By Ziyad M. Hijazi, Ted Feldman, John Cheatham, Horst Sievert
issues in the course of Percutaneous Interventions for Congenital and Structural center ailment is a realistic, easy-to-read consultant focusing completely on problems that happen in the course of interventional remedy of sufferers with heart problems. Highlights from problems in the course of Percutaneous Interventions for Congenital and Structural center ailment contain:
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Extra resources for Complications During Percutaneous Interventions for Congenital and Structural Heart Disease
However, there are four devices used for PFO occlusion in one of several FDA authorized clinical trials in the US, and all of these same devices are in routine use outside of the US. The first of these is the CardioSEAL™ device. Its design and characteristics have been discussed previously under muscular VSD devices. The CardioSEAL™ device for PFO occlusion is exactly the same device as the muscular VSD device and is available in the same sizes. The second PFO device, the STARFlex™ device (NMT Medical, Inc, Boston, MA) is a slight modification of a CardioSEAL™ device.
The new sheath should be as large in diameter as possible, and certainly large enough to accommodate an only partially compressed device. An ‘exchange cable’ is available for all of the Amplatzer™ device delivery systems. This cable allows replacement of the long delivery sheath with the larger diameter, long sheath without releasing the device from the original delivery cable. qxp 11/14/2008 11:54 AM Page 23 SET-UP AND EQUIPMENT FOR A PEDIATRIC/CONGENITAL INTERVENTIONAL CARDIAC CATHETERIZATION LABORATORY without the fear of more distal embolization of the device if it must be released to exchange sheaths.
The major difference between the various balloon expandable stents, regardless of material, is the design of the ‘mesh’ which makes up the wall of the stent. The Genesis X-D™ stents (Johnson & JohnsonCordis Corp, Miami Lakes, FL) and the C-P™ stents (NuMED, Inc, Hopkinton, NY – only available outside of the US and in one recent FDA clinical trial), are ‘closed cell’ designs, each with side spaces or ‘cells’ of a maximum, uniform, and predetermined size and shape. This design makes these stents more rigid in both their compressed and expanded configurations, however these closed cell design stents tend to be stronger, with a greater resistance to compression.
Complications During Percutaneous Interventions for Congenital and Structural Heart Disease by Ziyad M. Hijazi, Ted Feldman, John Cheatham, Horst Sievert