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A new "tool" for transcatheter atrial defect closure: The St. Jude SL2™ sheath.
MedLine Citation:
PMID:  22431253     Owner:  NLM     Status:  Publisher    
BACKGROUND: Orienting the left atrial disc of an atrial septal defect closure device parallel to the septum is important, particularly in cases of atrial septal defects (ASD) with deficient retro-aortic rim. Standard vascular sheaths can make this challenging. We report the use of an electrophysiologic sheath, the SL2™ St. Jude Vascular sheath (St. Jude Medical, St. Paul, MN) for closure of ASD's. METHODS: All patients undergoing ASD closure between 7/2010 and 2/2011 at The Children's Hospital at Montefiore in which the SL2™ sheath was used were reviewed. RESULTS: Nine patients underwent transcatheter ASD or PFO (1/9) closure with the SL2™ sheath. Mean age was 22.7 yrs (range 3-58); weight was 46.5 kg (range 14.7-78.6). The Amplatzer ASD occluder (AGA Medical Corp., Plymouth, MN) was used in all cases. The mean measurement of the ASD's via "stop-flow" technique was 13.3 mm (range 4-19). The mean device size was 13.9 mm (range 5-20) or 105% the size of the defect. The retroaortic rim was deficient (< 2 mm) in 3/9. ASD closure was achieved in 9/9. In all, the left atrial disk was brought towards the atrial septum parallel to the atrial septum and repositioning or recapturing of the device was unnecessary in any case. Mean fluoroscopy time was 9.3 min (range 2.2-18). No significant complications. CONCLUSIONS: The SL2™ sheath was useful to position the ASD device parallel to the atrial septum, eliminating the need for redeployment during the procedure. This sheath was useful in those cases of deficient retro-aortic rim in this study. © 2012 Wiley Periodicals, Inc.
Simon Lee; Nicole Sutton; Leo Lopez; Kanwal Farooqi; Joseph Mahgerefteh; Imelissa Blancas; Robert H Pass
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-16
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Wiley Periodicals, Inc.
Pediatric Interventional Cardiology - Division of Pediatric Cardiology, Department of Pediatrics - Montefiore Medical Center - Albert Einstein College of Medicine.
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