Tramscatheter closure of surgical shunts in patients with congenital heart disease

John W. Moore, Frank Ing, Danielle Drummond, Farhouch Berdjis, Sandra K. Clapp, Ronald G. Grifka, Michael R. Nihill, Charles E. Mullins

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The aim of this study was to review contemporary techniques, devices, and results of transcatheter occlusion of surgical shunts in 2 pediatric cardiac programs. Closure of superfluous surgical shunts may reduce cardiac work and risk of endocarditis. Previous studies have shown that transcatheter closure of shunts is feasible, but have not demonstrated acceptable efficacy or safety. In addition, the performance of new techniques and devices has not been reviewed. Between 1993 and 1998, 18 patients with congenital heart disease underwent transcatheter closure of 19 Blalock-Taussig shunts. Detachable and standard Gianturco coils and Gianturco-Grifka vascular occlusion devices were employed. All 19 shunts had complete closure. Eight shunts had initial placement of detachable coils. Five shunts had stents placed that bridged the pulmonary end of the shunts. These 5 and 4 additional shunts had closure by standard coils. Two shunts were closed with Gianturco-Grifka devices. There were no complications, no embolizations, and no requirement for surgery precipitated by the procedures. This review of contemporary techniques, devices, and results suggests that transcatheter occlusion of surgical shunts is effective and safe.

Original languageEnglish (US)
Article number7751
Pages (from-to)636-640
Number of pages5
JournalAmerican Journal of Cardiology
Volume85
Issue number5
DOIs
StatePublished - Jan 1 2000

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Heart Diseases
Equipment and Supplies
Blalock-Taussig Procedure
Endocarditis
Stents
Blood Vessels
Pediatrics
Safety
Lung

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Moore, J. W., Ing, F., Drummond, D., Berdjis, F., Clapp, S. K., Grifka, R. G., ... Mullins, C. E. (2000). Tramscatheter closure of surgical shunts in patients with congenital heart disease. American Journal of Cardiology, 85(5), 636-640. [7751]. https://doi.org/10.1016/S0002-9149(99)00824-3

Tramscatheter closure of surgical shunts in patients with congenital heart disease. / Moore, John W.; Ing, Frank; Drummond, Danielle; Berdjis, Farhouch; Clapp, Sandra K.; Grifka, Ronald G.; Nihill, Michael R.; Mullins, Charles E.

In: American Journal of Cardiology, Vol. 85, No. 5, 7751, 01.01.2000, p. 636-640.

Research output: Contribution to journalArticle

Moore, JW, Ing, F, Drummond, D, Berdjis, F, Clapp, SK, Grifka, RG, Nihill, MR & Mullins, CE 2000, 'Tramscatheter closure of surgical shunts in patients with congenital heart disease', American Journal of Cardiology, vol. 85, no. 5, 7751, pp. 636-640. https://doi.org/10.1016/S0002-9149(99)00824-3
Moore, John W. ; Ing, Frank ; Drummond, Danielle ; Berdjis, Farhouch ; Clapp, Sandra K. ; Grifka, Ronald G. ; Nihill, Michael R. ; Mullins, Charles E. / Tramscatheter closure of surgical shunts in patients with congenital heart disease. In: American Journal of Cardiology. 2000 ; Vol. 85, No. 5. pp. 636-640.
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