title: Percutaneous closure of atrial septal defect via transjugular approach with the Amplatzer septal occluder after unsuccessful attempt using the CardioSEAL device.
abstract: Percutaneous closure of a secundum atrial septal defect was performed successfully via the jugular approach in a 77-year-old patient with heparin-induced thrombocytopenia and total occlusion of the inferior vena cava using the Amplatzer septal occluder after an unsuccessful attempt using the CardioSEAL septal occluder. This case demonstrates the advantages of the jugular approach in the patient with difficult anatomy and the advantage of the Amplatzer over the CardioSEAL device in this situation.
authors.affiliation: Tampa General Hospital, Tampa, Florida, USA. jsullebarger@fciheart.com
authors.forename: J Thompson
authors.initials: JT
authors.lastname: Sullebarger
authors.forename: Dany
authors.initials: D
authors.lastname: Sayad
authors.forename: Lowell
authors.initials: L
authors.lastname: Gerber
authors.forename: Jose
authors.initials: J
authors.lastname: Ettedgui
authors.forename: Sonia
authors.initials: S
authors.lastname: Jimmo-Waumans
authors.forename: Patricia C
authors.initials: PC
authors.lastname: Alcebo
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D003131:Combined Modality Therapy; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D004867:Equipment Design; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000628:therapy; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D013921:Thrombocytopenia / Q000000981:diagnostic imaging / Q000628:therapy; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy