Skip to main content

Cardiac Septal Defects: Treatment via the Amplatzer® Family of Devices

  • Chapter
Handbook of Cardiac Anatomy, Physiology, and Devices
  • 129k Accesses

Abstract

The majority of patients with congenital heart disease present with defects resulting from vascular narrowing or absence (such as interruption or coarctation of the aorta or pulmonary arteries) or failure of structures to fuse or separate during development (total anomalous pulmonary venous connection, septal defects, fusion of valve cusps). Correction of these defects initially began with open-heart surgery, but now many of these repairs can be performed through catheter-delivered closure devices (e.g., Amplatzer closure devices). This chapter will present a brief history of defect repairs and provide information on the design, development, and preclinical animal testing of such systems.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lock JE, Niemi T, Einzig S, Amplatz K, Burke B, Bass JL (1981) Transvenous angioplasty of experimental branch pulmonary artery stenosis in newborn lambs. Circulation 64:886–893

    Article  CAS  PubMed  Google Scholar 

  2. Lock JE, Castaneda-Zuniga WR, Bass JL, Foker JE, Amplatz K, Anderson RW (1982) Balloon dilation of excised human coarctations. Radiology 143:689–691

    Article  CAS  PubMed  Google Scholar 

  3. Porstmann W, Wierny L, Warnke H (1968) Closure of ductus arteriosus persistens without thoracotomy. Fortschr Geb Rontgenstr Nuklearmed 109:133–148

    Article  CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  5. Rashkind WJ (1983) Transcatheter treatment of congenital heart disease. Circulation 67:711–716

    Article  CAS  PubMed  Google Scholar 

  6. Sharafuddin MJA, Gu X, Titus JL, Urness M, Cervera-Ceballos JJ, Amplatz K (1997) Transvenous closure of secundum atrial septal defects. Preliminary results with a new self-expanding nitinol prosthesis in a swine model. Circulation 95:2162–2168

    Article  CAS  PubMed  Google Scholar 

  7. Kong H, Wilkinson JL, Coe JY et al (2002) Corrosive behaviour of Amplatzer devices in experimental and biological environments. Cardiol Young 12:260–265

    Article  PubMed  Google Scholar 

  8. Neal WA, Moller JH, Varco RL, Anderson RC (1975) Operative repair of atrial septal defect without cardiac catheterization. J Pediatr 86:189–193

    Article  CAS  PubMed  Google Scholar 

  9. Latson LA (2000) Atrial septal defect. In: Moller JH, Hoffman JIE (eds) Pediatric cardiovascular medicine. Churchill Livingstone, New York, pp 311–321

    Google Scholar 

  10. Lewis FJ, Varco RL, Taufic M (1954) Repair of atrial septal defects in man under direct vision with the aid of hypothermia. Surgery 36:538–556

    CAS  PubMed  Google Scholar 

  11. Rome JJ, Keane JF, Perry SB, Spevak PJ, Lock JE (1990) Double-umbrella closure of atrial septal defects: initial clinical applications. Circulation 82:751–758

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  14. Das GS, Voss G, Jarvis G, Wyche K, Gunther R, Wilson RF (1993) Experimental atrial septal defect closure with a new, transcatheter, self-centering device. Circulation 88:1754–1764

    Article  CAS  PubMed  Google Scholar 

  15. Agarwal SK, Ghosh PK, Mittal PK (1996) Failure of devices used for closure of atrial septal defects: mechanisms and management. J Thorac Cardiovasc Surg 112:21–26

    Article  CAS  PubMed  Google Scholar 

  16. Du ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntz L (2002) Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults. J Am Coll Cardiol 39:1836–1844

    Article  PubMed  Google Scholar 

  17. Amin Z, Hijazi ZM, Bass JL, Cheatham JP, Hellenbrand WE, Kleinman CS (2004) Erosion of Amplatzer septal occluders after closure of secundum atrial septal defects: review of registry of complications and recommendations to minimize future risk. Catheter Cardiovasc Interv 63:496–502

    Article  PubMed  Google Scholar 

  18. Gersony WM, Apfel HD (2000) Patent ductus arteriosus and other aortopulmonary anomalies. In: Moller JH, Hoffman JIE (eds) Pediatric cardiovascular medicine. Churchill Livingstone, New York, pp 323–330

    Google Scholar 

  19. Kirklin JW, Barratt-Boyes BG (1993) Patent ductus arteriosus. In: Kirklin JW, Barratt-Boyes BG (eds) Cardiac surgery, 2nd edn. Churchill Livingstone, New York, p 854

    Google Scholar 

  20. Nykanen DG, Hayes AM, Benson LN, Freedom RM (1994) Transcatheter patent ductus arteriosus occlusion: application in the small child. J Am Coll Cardiol 23:1666–1670

    Article  CAS  PubMed  Google Scholar 

  21. Pass RH, Hijazi Z, Hsu DT, Lewis V, Hellenbrand WE (2004) Multicenter USA Amplatzer patent ductus arteriosus occlusion device trial: initial and one-year results. J Am Coll Cardiol 44:513–519

    Article  PubMed  Google Scholar 

  22. Sharafuddin MJA, Gu X, Titus JL et al (1996) Experimental evaluation of a new self-expanding patent ductus arteriosus occluder in a canine model. J Vasc Interv Radiol 7:877–887

    Article  CAS  PubMed  Google Scholar 

  23. Masura J, Walsh KP, Thanopoulous B et al (1998) Catheter closure of moderate- to large-sized patent ductus arteriosus using the new Amplatzer duct occluder: immediate and short-term results. J Am Coll Cardiol 31:878–882

    Article  CAS  PubMed  Google Scholar 

  24. Kong H, Gu X, Bass JL et al (2001) Experimental evaluation of a modified Amplatzer duct occluder. Catheter Cardiovasc Interv 53:571–576

    Article  CAS  PubMed  Google Scholar 

  25. Ewert P (2005) Challenges encountered during closure of patent ductus arteriosus. Pediatr Cardiol 26:224–229

    Article  CAS  PubMed  Google Scholar 

  26. Gruenstein DH, Bass JL (2009) Experimental evaluation of a new articulated Amplatzer ductal occlude device without fabric. Catheter Cardiovasc Interv 74:482–487

    Article  PubMed  Google Scholar 

  27. Bass JL, Wilson N (2014) Transcatheter occlusion of the patent ductus arteriosus in infants—experimental testing of a new Amplatzer device. Catheter Cardiovasc Interv 83:250–255

    Article  PubMed  Google Scholar 

  28. Kenny D, Morgan GJ, Bentham JR et al (2013) Early clinical experience with a modified Amplatzer ductal occlude for transcatheter arterial duct occlusion in infants and small children. Catheter Cardiovasc Interv 82:534–540

    Article  PubMed  Google Scholar 

  29. Kirklin JK, Castaneda AR, Keane JF, Fellows KE, Norwood WI (1680) Surgical management of multiple ventricular septal defects. J Thorac Cardiovasc Surg 80:485–493

    Google Scholar 

  30. Lock JE, Block PC, Mckay RG, Baim DS, Keane JF (1988) Transcatheter closure of ventricular septal defects. Circulation 78:361–368

    Article  CAS  PubMed  Google Scholar 

  31. Amin Z, Gu X, Berry JM et al (1999) New device for closure of muscular ventricular septal defects in a canine model. Circulation 100:320–328

    Article  CAS  PubMed  Google Scholar 

  32. Bass JL, Kalra GS, Arora R et al (2003) Initial human experience with the Amplatzer perimembranous ventricular septal occluder device. Catheter Cardiovasc Interv 58:238–245

    Article  PubMed  Google Scholar 

  33. Berry JM, Krabill KA, Pyles LA, Lohr J, Steinberger J, Bass JL (1999) Muscular ventricular septal defect geometry and Amplatzer device closure: a new en face view. Circulation 100(18):I–30 (Abstract)

    Google Scholar 

  34. Rigby ML, Redington AN (1994) Primary transcatheter closure of perimembranous ventricular septal defect. Br Heart J 72:368–371

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  35. Gu X, Han YM, Titus JL et al (2000) Transcatheter closure of membranous ventricular septal defects with a new nitinol prosthesis in a natural swine model. Catheter Cardiovasc Interv 50:502–509

    Article  CAS  PubMed  Google Scholar 

  36. Holzer R, de Giovanni J, Walsh KP et al (2006) Transcatheter closure of perimembranous ventricular septal defects using the Amplatzer membranous VSD occluder: immediate and midterm results of an international registry. Catheter Cardiovasc Interv 68:620–628

    Article  PubMed  Google Scholar 

  37. Butera G, Carminati M, Chessa M et al (2007) Transcatheter closure of perimembranous ventricular septal defects. J Am Coll Cardiol 50:1189–1195

    Article  PubMed  Google Scholar 

  38. Predescu D, Chaturvedi RR, Friedberg MK, Benson LN, Ozawa A, Lee KJ (2008) Complete heart block associated with device closure of perimembranous ventricular septal defects. J Thorac Cadiovasc Surg 136:1223–1228

    Article  Google Scholar 

  39. Tucker EM, Pyles LA, Bass JL, Moller JH (2007) Permanent pacemaker for atrioventricular conduction block after operative repair of perimembranous ventricular septal defect. J Am Coll Cardiol 50:1196–1200

    Article  PubMed  Google Scholar 

  40. Bass JL, Gruenstein DH (2012) Transcatheter closure of the perimembranous ventricular septal defect—preclinical trial of a new Amplatzer device. Catheter Cardiovasc Interv 79:1153–1160

    Article  PubMed  Google Scholar 

  41. Tzikas A, Ibraham R, Belasco-Sanchez D et al (2014) Transcatheter closure of perimembranous ventricular septal defect with the Amplatzer membranous ventricular septal occluder 2: initial world experience and 1-year follow-up. Catheter Cardiovasc Interv 83:571–580

    Article  PubMed  Google Scholar 

  42. Ho SY, Thompson RP, Gibbs SR, Swindle MM, Anderson RH (1991) Ventricular septal defects in a family of Yucatan miniature pigs. Int J Cardiol 33:419–425

    Article  CAS  PubMed  Google Scholar 

  43. Mackey-Bojack S, Urness M, Titus J, Bass J (2005) HIS bundle pathology after insertion of the Amplatzer® perimembranous ventricular septal defect occluder in an animal model. Circulation 112(17):II–547 (Abstract 2600)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John L. Bass MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Bass, J.L. (2015). Cardiac Septal Defects: Treatment via the Amplatzer® Family of Devices. In: Iaizzo, P. (eds) Handbook of Cardiac Anatomy, Physiology, and Devices. Springer, Cham. https://doi.org/10.1007/978-3-319-19464-6_37

Download citation

Publish with us

Policies and ethics