Modified safety techniques for transcatheter repair of superior sinus venosus defects with partial anomalous pulmonary venous drainage using a 100-mm Optimus-CVS® covered XXL stent.
Raymond N HaddadDamien BonnetStephen BrownSophie-Guiti Malekzadeh-MilaniPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2022)
We report the first use of a single 100-mm long custom-made version of the Optimus-CVS® balloon-expandable PTFE-covered XXL (15-Zig) stent (AndraTec, GmbH) to eliminate sinus venosus defect left-to-right shunt and redirect anomalous right pulmonary veins blood flow through a new walled channel to the left atrium. Anatomical feasibility and strategy decision were guided by ex-vivo procedure simulation on the patient-specific 3D printed heart model and in-vivo balloon interrogation. Modified procedural and implantation techniques are detailed. Immediate and one-month follow-up showed excellent outcomes.
Keyphrases
- blood flow
- pulmonary hypertension
- pulmonary artery
- inferior vena cava
- heart failure
- pulmonary arterial hypertension
- minimally invasive
- ultrasound guided
- atrial fibrillation
- vena cava
- decision making
- type diabetes
- psychometric properties
- coronary artery
- pulmonary embolism
- skeletal muscle
- left atrial appendage
- virtual reality
- glycemic control
- soft tissue