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Transcatheter closure of interatrial communications with a modified umbrella device
1Department of Paediatric Cardiology, Royal Brompton Hospital, London.
Objective:
To show the institutional experience of closure of interatrial communications with a modified umbrella device.
Design:
Descriptive study of all patients in whom transcatheter umbrella closure of interatrial communications has been attempted.
Setting:
A tertiary referral centre.
Patients:
16 patients with 17 interatrial communications of various types.
Interventions:
Transcatheter placement of a modified Rashkind umbrella occluder.
Results:
Two procedural failures due to venous access problems. Two placement failures needing early surgical repair. 13 successful placements in 12 patients.
Conclusions:
The modified Rashkind umbrella can successfully be used to close both iatrogenic and naturally occurring interatrial communications, particularly those present after the Fontan procedure.