Massive thromboembolism due to transcatheter ASD closure with ASDOS device

Article Article scientifique Rapport de cas Massive thromboembolism due to transcatheter ASD closure with ASDOS device eng 1999 author Khatchatourov Gregory 514318 author Kalangos Afksendiyos 132614 author Anwar Asif 120253 author Urban Philippe 24060 author De Moerloose Philippe 26335 author Friedli Beat 25332 author Faidutti Bernard 25092 743-745 10745477 1042-3931 Transcatheter occlusion of atrial septal defects (ASD) is currently being investigated as an attractive alternative to surgical correction. Thromboembolic events are rare in both techniques. However, we report a case of massive systemic embolization and residual left atrial thrombus after secundum ASD transcatheter closure by the ASDOS device (Atrial Septal Defect Occlusion System, Dr. Ing Osypka Corporation, Germany). The patient was successfully treated by femoral embolectomies, surgical removal of the device and closure of the ASD without a patch. No thrombophilia was found on subsequent exploration. Transcatheter ASD closure with the ASDOS device may therefore expose the patient to severe embolic complications. Further evaluation is needed before this technique can be safely recommended. Adult Cardiac Catheterization/adverse effects Cardiac Surgical Procedures Device Removal Embolectomy Equipment and Supplies/adverse effects Heart Septal Defects, Atrial/therapy Humans Male Thromboembolism/etiology/surgery Dewey 616 Dewey 617 Dewey 618 56 Département de médecine 221 57 Département de chirurgie 222 58 Département de pédiatrie, gynécologie et obstétrique 223 false 10 Anticorps antiphospholipides 12 80 Chirurgie cardio-vasculaire 105 The Journal of invasive cardiology 11 12 4cee11e6-21f4-4a46-ba7d-06258aa11d80 Article (Published version) Restricted 1999_khatchatourov_j_invas_cardiol.pdf 1872310 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de chirurgie Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

Title	Published in	Access level	OA Policy	Year	Views	Downloads

Massive thromboembolism due to transcatheter ASD closure with ASDOS device	The Journal of invasive cardiology			1999	453	0

Archive ouverte UNIGE

Anwar, Asif