Skip to main content
SpringerLink
Log in

Interventional pediatric cardiology: Device closures

  • Symposium: Pediatric Cardiology—II
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Surgical treatment of various septal defects has been long established. With the advances in transcatheter therapy dilatation techniques for valvular stenosis and vascular obstruction have become established procedures. Closure of septal defects in the catheterization laboratory has also been introduced; some of these have come into regular use in current practice. In 1967, Porstmannet al reported the use of lvalon plug to close patent ductus arteriosus (PDA). Since then, several devices have been used including Rashkind PDA ocluder (not being used now), Gianturco coils, detachable coils (for small PDA), CardioSEAL and other umbrella devices and Amplatzer PDA occluder. Closure rates vary from 95–98% in most series, however, some of these devices are very expensive, more so, when compared to the cost of surgical ligation of PDA. Catheter closure of secundum atrial septal defect (ASD) has also been done by various devices like clamshell device, Sideris Buttoned device, ASDOS device, amplatzer device and cardioSEAL. So far no device has been accepted as ideal for every case, however, Amplatzer device has been used most extensively. Issues such as completeness of endothelialisation, incidence of late arrhythmias, endocarditis remain uncertain. However, in select population of ASD cases with a central secundum defect, device closure is being used increasingly. Device closure of ventricular septal defect remains challenging and controversial and is probably available to a small group of children with defects that are difficult to close surgically and involve higher risk.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Gross RE, Hubbard JP. Surgical ligation of a patent ductus arteriosus. Report of first successful case.JAMA 1938; 112:729

    Google Scholar 

  2. Lewis FJ, Tauffic M. Closure of atrial septal defects with the aid of hypothermia: experimental accomplishments and the report of the one successful case.Surgery 1953;33:52

    PubMed  CAS  Google Scholar 

  3. Rashkind WJ, Miller WW. Creation of an atrial septal defect without thoracotomy: a palliative approach to complete transposition of the great arteries.J Amer Med Assoc 1966;196:991–992

    Article  CAS  Google Scholar 

  4. King TD, Mills NL. Nonoperative closure of atrial septal defects.Surgery 1974;75:383–388

    PubMed  CAS  Google Scholar 

  5. Mills NL, King TD. Nonoperative closure of left-to-right shunts.J Thorac Cardiovasc Surg 1976;72:371–378

    PubMed  CAS  Google Scholar 

  6. Porstmann W, Wierny L, Warnke H. Closure of a persistent ductus arteriosus without thoracotomy.Ger Med Mon 1967; 12:259–261

    PubMed  CAS  Google Scholar 

  7. Rashkind WJ, Cuaso CC. Transcatheter closure of a patent ductus arteriosus: successful use in a 3.5 kg infant.Pediat Cardiol 1979;1:3–7

    Article  Google Scholar 

  8. Rashkind WJ, Mullins CE, Hellenbrand WE, Tait MA. Nonsurgical closure of patent ductus PDA occluder System.Circulation 1987;75:583592

    Google Scholar 

  9. Hills L.C. Closure of patent ductus arteriosus using the Rashkind PDA occluder system.Radiogr Today 1989;55:20–23.

    PubMed  CAS  Google Scholar 

  10. Arora R, Kalra GS, Nigam M, Khalillulah M. Transcatheter occlusion of patent ductus arteriosus by Rashkind umbrella device: follow-up results.Amer Heart J 1994;128:539–541

    Article  PubMed  CAS  Google Scholar 

  11. Bulbul ZR, Fhey JT, Doyle TP, Hijazi ZM, Hellenbrand WE. Transcatheter closure of the patent ductus arteriosus: comparison between the Rashkind occluding coils and the Rashkind umbrella device.Cathet Cardiovasc Diagn 1996; 39:355–363.

    Article  PubMed  CAS  Google Scholar 

  12. Galal O, de Moor M, al-Fadley F, Hijazi ZM. Transcatheter closure of the patent ductus arteriosus: comparison between the Rashkind occluder decive and the anterograde Gianturco coils technique.Amer Heart J 1996;131:368–373.

    Article  PubMed  CAS  Google Scholar 

  13. Sievert H, Ensslen R, Fach Aet al. Transcatheter closure of patent ductus arteriosus with the Rashkind occluder. Acute results and angiographic follow-up in adults.Eur Heart J 1997;128:1014–1018.

    Google Scholar 

  14. Lloyd TR, Fedderly R, Memdelsohn AM, Sandhu SK, Beekman RH. Transcatheter occlusion of patent ductus arteriosus with Gianturco coils.Circulation 1993;88: 1412–1420.

    PubMed  CAS  Google Scholar 

  15. Hijazi ZM, Geggel RL. Results of anterograde transcatheter closure of patent ductus arteriosus using single or multiple Gianturco coils.Amer J Cardiol 1994;74:925–929.

    Article  PubMed  CAS  Google Scholar 

  16. Moore JW, George L, Kirkpatrick SE, Mathewson JW, Spicer RLet al. Percutaneous closure of the small patent ductus arteriosus using occluding spring coils.J Am Coll Cardiol 1994;23:759–765.

    Article  PubMed  CAS  Google Scholar 

  17. Celiker A, Bilgic A, Alehan D, Ceviz N Lenk M. Transcatheter closure of patent ductus arteriosus using controlled-release coils.Acta Paediatr Jpn 1996;38:500–505

    PubMed  CAS  Google Scholar 

  18. Tometzki AJ, Arnold R, Peart Iet al. Transcatheter occlusion of the patent ductus arteriosus with Cook detachable coils.Heart 1996;76:531–535.

    Article  PubMed  CAS  Google Scholar 

  19. Uzun O, Hancock S, Parsons JM, Dickinson DF, Gibbs JL. Transcatheter occlusion of the arterial duct with Cook detachable coils: early experience.Heart 1996;76:269–273.

    Article  PubMed  CAS  Google Scholar 

  20. Celiker A, Qureshi SA, Bilgic A, Carminati M, Kirk Ret al. Transcatheter closure of patent arterial ducts using controlled-release coils.Eur Heart J 1997;18:450–454.

    PubMed  CAS  Google Scholar 

  21. Ing FF, Sommer RJ. The snare-assisted technique for transcatheter coil occlusion of moderate to large patent ductus arteriosus: Immediate and intermediate results.J Am Coll Cardiol 1999;33:1710–1718.

    Article  PubMed  CAS  Google Scholar 

  22. Weber HS, Cyran SE. Transvenous “snare-assisted” coil occlusion of patent ductus arteriosus.Am J Cardiol 1998; 82 248–251.

    Article  PubMed  CAS  Google Scholar 

  23. Dalvi B, Goyal V, Narula D, Kulkarni H, Ramakantan R. New technique using temporary balloon occlusion for transcatheter closure of patent ductus arteriosus with Gianturco coils.Cathet Cardiovasc Diagn 1997;41:62–70.

    Article  PubMed  CAS  Google Scholar 

  24. Hijazi ZM, Geggel RL. Transcatheter closure of large patent ductus arteriosus (≥4 mm) with multiple Gianturco coils: immediate and mid-term results.Heart 1996;76:536–540.

    Article  PubMed  CAS  Google Scholar 

  25. Alwi M, Kang LM, Samion H, Latiff HA, Kandavel G, Zambahari R. Transcatheter occlusion of native persistent ductus arteriosus using conventional Gianturco coils.Am J Cardiol 1997;79:1430–1432.

    Article  PubMed  CAS  Google Scholar 

  26. Moore JW, Boosfeld C. Duct Occlud-implant for transcatheter closure of patent ductus arteriosus.Biomed Tech (Berl) 1999;44:46–51.

    Article  CAS  Google Scholar 

  27. Oho S, Ishizawa A, Koike K, Kobayashi T, Nakanishi Tet al. Transcatheter occlusion of patent ductus arteriosus with a new detachable coil system (Duct Occlud): a multicenter clinical trial.Jpn Circ J 1998;62:489–493.

    Article  PubMed  CAS  Google Scholar 

  28. Grifka RG, Vincent JA, Nihill MR, Ing FF, Mullins CE. Transcatheter patent ductus arteriosus closure in an infant suing the Gianturco-Grifka Vascular Occlusion Device.Am J Cardiol 1996;78:721–723.

    Article  PubMed  CAS  Google Scholar 

  29. Masura J, Walsh KP, Thanopoulous B, Chan C, Bass Jet al. Catheter closure of moderate-to large-sized patent ductus arteriosus using the new Amplatzer duct occluder: immediate and short-term results.JAM Coll Cardiol 1998; 31:878–882.

    Article  CAS  Google Scholar 

  30. Lock JE, Cockerham JT, Keane JF, Finley JP, Wakely PE Jr., Fellows KE. Transcatheter umbrella closure of congenital heart defects.Circulation 1987;75:593–599

    PubMed  CAS  Google Scholar 

  31. Lock JE, Rome JJ, Davis Ret al. Transcatheter closure of atrial septal defects. Experimental studies.Circulation 1989; 79:1091–1099

    PubMed  CAS  Google Scholar 

  32. Rome JJ, Keane JF, Perry SB, Spevak PJ, Lock JE. Double-umbrella closure of atrial defects. Initial clinical applications.Circulation 1990;82:751–758

    PubMed  CAS  Google Scholar 

  33. Hickey PR, Wessel DL, Streitz SLet al. Transcatheter closure of atrial septal defect: hemodynamic complications and anesthetic management.Anesth Analg 1992;74:44–50

    Article  PubMed  CAS  Google Scholar 

  34. Boutin C, Musewe NN, Smallhorn JF, Dyck JD, Kobayashi T, Benson LN. Echocardiographic follow-up of atrial septal defect after catheter closure by double-umbrella device.Circulation 1993;88:621–627

    PubMed  CAS  Google Scholar 

  35. Sideris EB, Sideris SE, Thanopoulos BD, Ehly RL, Fowlkes JP. Transvenous atrial septal defect occlusion by the buttoned device.Am J Cardiol 1990;66:1524–1526

    Article  PubMed  CAS  Google Scholar 

  36. Rao PS, Wilson AD, Sideris EB, Chopra PS. Transcatheter closure of patent ductus arteriosus with buttoned device: first successful clinical application in a child.Am Heart J 1991;121:1799–1802

    Article  PubMed  CAS  Google Scholar 

  37. Rao RS, Wilson Ad, Levy JM, Gupta VK, Chopra PS. Role of “buttoned” double-disc device in the management of atrial defects.Am Heart J 1992;123:191–200

    Article  PubMed  CAS  Google Scholar 

  38. Arora R, Trehan VK, Kalra GS, Chawla R, Jhambu Uet al. Trascatheter closure of atrial septal defect using buttoned device-Indian experience.Indian Heart J 1996; 48:145–149

    PubMed  CAS  Google Scholar 

  39. Gildein HP, Dabritz S, Geibel Aet al. Transcatheter closure of atrial septal defects by the “butoned” device: complication and need for surgical revision.Pediatr Cardiol 1997;18:328–331

    Article  PubMed  CAS  Google Scholar 

  40. Zamora R, Rao PS, Lloyd TR, Beekman RH, Sideris EB. Intermediate-term results of Phase I Food and Drug Administration Trials of buttoned device occlusion of secundum atrial septal defects.J Am Coll Cardiol 1998;31:674–676

    Article  PubMed  CAS  Google Scholar 

  41. Sideris EB, Leung M, Yoon JHet al. Occlusion of large atrial septal defects with centering buttoned device: early clinical experience.Am Heart J 1996;131:356–359

    Article  PubMed  CAS  Google Scholar 

  42. Hausdorf G, Schneider M, Franzbach B, Kampmann C, Kargus K, Goeldner B. Transcatheter closure of secundum atrial septal defects with the atrial septal defect occlusion system (ASDOS): initial experience in children.Heart 1996;75:83–88

    Article  PubMed  CAS  Google Scholar 

  43. Kalra GS, Verma PK, Dhall A, Singh S, Bhardwaj S, Arora R. Transcatheter closure of secundum atrial septal defect with atrial septal defect occlusion system (ASDOS): initial experience and short-term follow-up.Indian Heart J 1998; 50:409–413

    PubMed  CAS  Google Scholar 

  44. Sievert H, Babic UU, Hausdorf G, Schneider M, Hopp HWet al. Transcatheter closure of atrial septal defect and patent foramen ovale with ASDOS device (A multi-institutional European trial).Am J Cardiol 1998;82:1405–1413

    Article  PubMed  CAS  Google Scholar 

  45. Benerjee A, Bengur AR, Li JS, Homans DC, Toher Cet al. Echocardiographic characteristics of successful deployment of the Das Angel Wings atrial septal defect closure device: Initial multicenter experience in the United States.Am J Cardiol 1999;83:1336–1421

    Google Scholar 

  46. Magni G, Hijazi ZM, Pandian NGet al. Two-and three dimensional transesophageal echocardiography in patient selection and assessment of atrial septal defect closure by the new DAS-Angel Wings device: initial clinical experience.Circulation 1997;96:1722–1728.

    PubMed  CAS  Google Scholar 

  47. Rickers C, Hamm C, Stern Het al. Percutaneous closure of secundum atrial septal defect with a new self centering device (“Angel Wings”).Heart 1998;80:517–521.

    PubMed  CAS  Google Scholar 

  48. Kaulitz R, Paul T, Hausdorf G. Extending the limits of transcatheter closure of atrial septal defects with the double umbrella device (CardioSEAL).Heart 1998;80:54–59

    PubMed  CAS  Google Scholar 

  49. Masura J, Gavora P, Formanek A, Hijazi ZM. Transcatheter closure of secundum atrial septal defects using the new self-centering amplatzer septal occluder: initial human experience.Cathet Cardiovasc Diagn 1997;42:388–393.

    Article  PubMed  CAS  Google Scholar 

  50. Chan KY, Yip WC, Godman MJ. Transcatheter occlusion of atrial septal defects: an initial experience with the Amplatzer septal occluder.J Paediatr Child Health 1998; 34:369–373.

    Article  PubMed  CAS  Google Scholar 

  51. Wilkinson JL, Goh TH. Early clinical experience with use of the ‘Amplatzer Septal Occluder’ device for atrial septal defect.Cardiol Young 1998;8:295–302

    Article  PubMed  CAS  Google Scholar 

  52. Berger F, Ewert P, Bjornstad PG, Dahnert I, Krings G.et al. Transcatheter closure as standard treatment for most interatrial defects. Experience in 200 patients treated with the Amplatzer: Septal Occluder.Cardiol Young 1999;9: ???/???.

  53. Fischer G, Kramer HH, Stieh J, Harding P, Jung O. Transcatheter closure of secundum atrial septal defects with the new self-centering Amplatzer Septal Occluder.Eur Heart J 1999;20:459–541.

    Article  Google Scholar 

  54. Janorkar S, Goh T, Wilkinson J. Transcatheter closure of ventricular septal defects using the Rashkind device: Initial experience.Catheter Cardiovasc Interv 1999;46:43–48

    Article  PubMed  CAS  Google Scholar 

  55. Lee EM, Roberts DH, Walsh KP. Transcatheter closure of a residual postmyocardial infarction ventricular septal defect with the Amplatzer septal occluder.Heart 1998;80:522–524.

    PubMed  CAS  Google Scholar 

  56. Lock JE, Block PC, McKay RG, Baim DS, Keane JF. Transcatheter closure of ventricular septal defects.Circulation 1988;78:361–368.

    PubMed  CAS  Google Scholar 

  57. Nykanen DG, Perry SB, Keane JF, Moore P, Lock JE. Transcatheter occlusion of ventricular septal defects: experience in 80 patients with congenital heart disease (Abstract).Circulation 1993;88(pt 2):2864

    Google Scholar 

  58. Perry SB, Van DV, Bridges ND, Keane JF, Lock JE. Transcatheter closure of atrial and ventricular septal defects.Herz. 1993;18:135–142.

    PubMed  CAS  Google Scholar 

  59. Sideris EB, Walsh KP, Haddad JL, Chen CR, Ren SG, Kulkarni H. Occlusion of congenital ventricular septal defects by the buttoned device. “Buttoned device” Clinical Trials International Register.Heart 1997;77:276–279.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Royal Children’s Hospital, Flemington Road, Parkville, 3052, Melbourne, VIC, Australia

    James L. Wilkinson (Director of Cardiology)

Authors
  1. James L. Wilkinson
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wilkinson, J.L. Interventional pediatric cardiology: Device closures. Indian J Pediatr 67, 507–513 (2000). https://doi.org/10.1007/BF02760480

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02760480

Key words

Search

Navigation