title: Transcatheter closure of interatrial communications with a modified umbrella device.
abstract: OBJECTIVE
  To show the institutional experience of closure of interatrial communications with a modified umbrella device.
  
  
  METHODS
  Descriptive study of all patients in whom transcatheter umbrella closure of interatrial communications has been attempted.
  
  
  METHODS
  A tertiary referral centre.
  
  
  METHODS
  16 patients with 17 interatrial communications of various types.
  
  
  METHODS
  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.
authors.affiliation: Department of Paediatric Cardiology, Royal Brompton Hospital, London.
authors.forename: A N
authors.initials: AN
authors.lastname: Redington
authors.forename: M L
authors.initials: ML
authors.lastname: Rigby
mesh_terms: D000293:Adolescent; D000328:Adult; D006328:Cardiac Catheterization / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003971:Diastole; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000473:pathology; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019736:Prostheses and Implants