Image in Cardiology
An extremely rare but considerably important device-related complication of percutaneous atrial septal defect closure
Uma complicação extremamente rara mas consideravelmente importante relacionada com dispositivo de encerramento percutâneo da comunicação interauricular
Lido
4527
Vezesque se leu este artigo
1675
Total PDF
2852
Total HTML
Compartilhar estatísticas
array:24 [ "pii" => "S0870255116303651" "issn" => "08702551" "doi" => "10.1016/j.repc.2016.12.019" "estado" => "S300" "fechaPublicacion" => "2018-02-01" "aid" => "1136" "copyright" => "Sociedade Portuguesa de Cardiologia" "copyrightAnyo" => "2017" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2018;37:209-10" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1562 "formatos" => array:3 [ "EPUB" => 128 "HTML" => 1062 "PDF" => 372 ] ] "itemSiguiente" => array:18 [ "pii" => "S0870255118301677" "issn" => "08702551" "doi" => "10.1016/j.repc.2018.03.004" "estado" => "S300" "fechaPublicacion" => "2018-02-01" "aid" => "1171" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "prv" "cita" => "Rev Port Cardiol. 2018;37:211" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 970 "formatos" => array:3 [ "EPUB" => 136 "HTML" => 539 "PDF" => 295 ] ] "pt" => array:8 [ "idiomaDefecto" => true "titulo" => "Breve Comentário Vídeo ao Artigo Recomendado do Mês" "tienePdf" => "pt" "tieneTextoCompleto" => "pt" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "211" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Brief Comment Video to the Recommended Article of the Month" ] ] "contieneTextoCompleto" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "pt" => true ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255118301677?idApp=UINPBA00004E" "url" => "/08702551/0000003700000002/v1_201803150415/S0870255118301677/v1_201803150415/pt/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0870255116303419" "issn" => "08702551" "doi" => "10.1016/j.repc.2017.03.010" "estado" => "S300" "fechaPublicacion" => "2018-02-01" "aid" => "1137" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2018;37:205-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1614 "formatos" => array:3 [ "EPUB" => 141 "HTML" => 1079 "PDF" => 394 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Transbrachial intra-aortic balloon pump before urgent coronary artery bypass graft in a patient with severe peripheral atherosclerosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "205" "paginaFinal" => "207" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Implantação de balão intra-aórtico por via braquial antes de cirurgia urgente de revascularização coronária num doente com aterosclerose periférica grave" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1394 "Ancho" => 2333 "Tamanyo" => 440861 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a, b) Invasive angiogram showing severe coronary artery disease affecting the distal part of the left main and proximal segments of the three vessels. (c) Fluoroscopy revealing very severe calcification of the terminal abdominal aorta and bilateral iliofemoral arteries.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Laura Alvarez-Roy, Tomás Benito-González, Armando Pérez de Prado, Javier Gualis Cardona, Samuel del Castillo, Felipe Fernández-Vázquez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Laura" "apellidos" => "Alvarez-Roy" ] 1 => array:2 [ "nombre" => "Tomás" "apellidos" => "Benito-González" ] 2 => array:2 [ "nombre" => "Armando" "apellidos" => "Pérez de Prado" ] 3 => array:2 [ "nombre" => "Javier" "apellidos" => "Gualis Cardona" ] 4 => array:2 [ "nombre" => "Samuel" "apellidos" => "del Castillo" ] 5 => array:2 [ "nombre" => "Felipe" "apellidos" => "Fernández-Vázquez" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116303419?idApp=UINPBA00004E" "url" => "/08702551/0000003700000002/v1_201803150415/S0870255116303419/v1_201803150415/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "An extremely rare but considerably important device-related complication of percutaneous atrial septal defect closure" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "209" "paginaFinal" => "210" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Yusuf I. Alihanoglu, Dogu I. Kilic, Bekir S. Yildiz, Bilgin Emrecan, Harun Evrengul" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Yusuf I." "apellidos" => "Alihanoglu" "email" => array:1 [ 0 => "aliizyu@mynet.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Dogu I." "apellidos" => "Kilic" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Bekir S." "apellidos" => "Yildiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Bilgin" "apellidos" => "Emrecan" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "Harun" "apellidos" => "Evrengul" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Pamukkale University School of Medicine, Department of Cardiology, Denizli, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Pamukkale University School of Medicine, Department of Cardiovascular Surgery, Denizli, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Uma complicação extremamente rara mas consideravelmente importante relacionada com dispositivo de encerramento percutâneo da comunicação interauricular" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 593 "Ancho" => 950 "Tamanyo" => 140298 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Intraoperative imaging showing that all margins of the occluder device were properly attached to the interatrial septum and there was no displacement.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 21-year-old male with a 27-mm atrial septal defect (ASD) underwent an uneventful percutaneous device closure using a 28-mm Ultrasept ASD Occluder with super-low profile (Cardia, Inc., USA) under transoesophageal echocardiography (TEE) guidance. We particularly favoured this kind of occluder device due to the possible future need for catheter atrial septostomy in such a young patient. The use of TEE during the procedure ensured that the occluder device was properly deployed in the middle part of the interatrial septum and there was no residual shunt through it (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>). There were also no problems with the occluder device at 1-month follow-up. However, four months after the procedure, the patient presented again with vague chest pain, palpitations and shortness of breath. The physical examination was unremarkable. Transthoracic echocardiography (TTE), followed by TEE, revealed a significant left-to-right shunt, although the device was clearly seen in the middle part of the interatrial septum. The initial differential diagnosis included partial displacement of the device and therefore, the patient was referred to surgery, all margins of the occluder device were found to be properly attached to the interatrial septum during the surgery (<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>). Interestingly, the central patch of the device had almost completely disappeared (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>). Surgical repair of the atrial septum was performed successfully after removing the metallic part of the device. There were no signs of emboli in the brain or pulmonary vasculature on the computed tomography scan, which was performed following the surgery for any possible embolisation of the patch material. The patient was discharged from the hospital without any complications and in good health.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In conclusion, although device closure of ASDs can safely be performed percutaneously, recanalisation may occur on rare occasions, probably due to device characteristics of the Ultrasept ASD Occluder. While ASD occluder devices from this brand are usually preferred due to their super-low profile, this feature of the devices may not provide necessary support and resistance in the interatrial septum. As a matter of fact, the last generation of Ultrasept ASD Occluder devices have an extra layer between the two other layers, indicating this kind of necessity.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2016-11-19" "fechaAceptado" => "2016-12-22" "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 449 "Ancho" => 1500 "Tamanyo" => 81108 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">TEE images demonstrate that the occluder device was properly deployed in the middle part of the interatrial septum (A) and there was no residual shunt through it (B).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 593 "Ancho" => 950 "Tamanyo" => 140298 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Intraoperative imaging showing that all margins of the occluder device were properly attached to the interatrial septum and there was no displacement.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 737 "Ancho" => 1498 "Tamanyo" => 232699 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Imaging of the occluder device after surgical extraction from the front (A) and the back (B) sites.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003700000002/v1_201803150415/S0870255116303651/v1_201803150415/en/main.assets" "Apartado" => array:4 [ "identificador" => "29264" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imagens em Cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003700000002/v1_201803150415/S0870255116303651/v1_201803150415/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116303651?idApp=UINPBA00004E" ]
| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 9 | 7 | 16 |
| 2024 Outubro | 34 | 27 | 61 |
| 2024 Setembro | 47 | 25 | 72 |
| 2024 Agosto | 51 | 30 | 81 |
| 2024 Julho | 38 | 30 | 68 |
| 2024 Junho | 35 | 22 | 57 |
| 2024 Maio | 27 | 20 | 47 |
| 2024 Abril | 36 | 24 | 60 |
| 2024 Maro | 34 | 22 | 56 |
| 2024 Fevereiro | 34 | 23 | 57 |
| 2024 Janeiro | 31 | 20 | 51 |
| 2023 Dezembro | 32 | 18 | 50 |
| 2023 Novembro | 39 | 27 | 66 |
| 2023 Outubro | 33 | 16 | 49 |
| 2023 Setembro | 18 | 13 | 31 |
| 2023 Agosto | 20 | 23 | 43 |
| 2023 Julho | 24 | 9 | 33 |
| 2023 Junho | 24 | 6 | 30 |
| 2023 Maio | 44 | 28 | 72 |
| 2023 Abril | 23 | 8 | 31 |
| 2023 Maro | 32 | 22 | 54 |
| 2023 Fevereiro | 20 | 17 | 37 |
| 2023 Janeiro | 17 | 12 | 29 |
| 2022 Dezembro | 28 | 21 | 49 |
| 2022 Novembro | 33 | 30 | 63 |
| 2022 Outubro | 24 | 17 | 41 |
| 2022 Setembro | 24 | 27 | 51 |
| 2022 Agosto | 21 | 28 | 49 |
| 2022 Julho | 25 | 37 | 62 |
| 2022 Junho | 23 | 17 | 40 |
| 2022 Maio | 22 | 40 | 62 |
| 2022 Abril | 27 | 26 | 53 |
| 2022 Maro | 29 | 51 | 80 |
| 2022 Fevereiro | 19 | 32 | 51 |
| 2022 Janeiro | 20 | 21 | 41 |
| 2021 Dezembro | 20 | 29 | 49 |
| 2021 Novembro | 32 | 36 | 68 |
| 2021 Outubro | 30 | 54 | 84 |
| 2021 Setembro | 27 | 29 | 56 |
| 2021 Agosto | 31 | 45 | 76 |
| 2021 Julho | 22 | 34 | 56 |
| 2021 Junho | 33 | 27 | 60 |
| 2021 Maio | 29 | 31 | 60 |
| 2021 Abril | 48 | 68 | 116 |
| 2021 Maro | 56 | 16 | 72 |
| 2021 Fevereiro | 60 | 17 | 77 |
| 2021 Janeiro | 32 | 12 | 44 |
| 2020 Dezembro | 34 | 4 | 38 |
| 2020 Novembro | 23 | 16 | 39 |
| 2020 Outubro | 13 | 12 | 25 |
| 2020 Setembro | 69 | 10 | 79 |
| 2020 Agosto | 23 | 5 | 28 |
| 2020 Julho | 39 | 17 | 56 |
| 2020 Junho | 46 | 12 | 58 |
| 2020 Maio | 34 | 5 | 39 |
| 2020 Abril | 31 | 20 | 51 |
| 2020 Maro | 52 | 6 | 58 |
| 2020 Fevereiro | 70 | 28 | 98 |
| 2020 Janeiro | 46 | 6 | 52 |
| 2019 Dezembro | 41 | 14 | 55 |
| 2019 Novembro | 43 | 3 | 46 |
| 2019 Outubro | 36 | 8 | 44 |
| 2019 Setembro | 20 | 4 | 24 |
| 2019 Agosto | 25 | 7 | 32 |
| 2019 Julho | 40 | 11 | 51 |
| 2019 Junho | 31 | 12 | 43 |
| 2019 Maio | 35 | 16 | 51 |
| 2019 Abril | 27 | 11 | 38 |
| 2019 Maro | 83 | 7 | 90 |
| 2019 Fevereiro | 73 | 11 | 84 |
| 2019 Janeiro | 57 | 8 | 65 |
| 2018 Dezembro | 67 | 14 | 81 |
| 2018 Novembro | 41 | 13 | 54 |
| 2018 Outubro | 53 | 22 | 75 |
| 2018 Setembro | 20 | 12 | 32 |
| 2018 Agosto | 22 | 12 | 34 |
| 2018 Julho | 29 | 4 | 33 |
| 2018 Junho | 35 | 11 | 46 |
| 2018 Maio | 17 | 10 | 27 |
| 2018 Abril | 73 | 32 | 105 |
| 2018 Maro | 85 | 45 | 130 |
| 2018 Fevereiro | 0 | 22 | 22 |
| 2018 Janeiro | 2 | 31 | 33 |
Mostrar tudo
