title: Delivery sheath tear after modification for ASD closure.
abstract: During transcatheter closure of an atrial septal defect with insufficient aortic rim, a standard delivery sheath was modified by cutting a bevel at the distal tip to improve device orientation. The sheath split longitudinally when attempting to recapture the closure device. Troubleshooting allowed a device to be implanted successfully. Pitfalls regarding our sheath modification and methods to overcome prolapse of the left atrial disk into the right atrium are discussed.
authors.affiliation: Section of Pediatric Cardiology, Indiana University School of Medicine, Indianapolis, 46202, USA. mhoyer@iupui.edu
authors.forename: Mark H
authors.initials: MH
authors.lastname: Hoyer
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation*; D002675:Child, Preschool; D017023:Coronary Angiography; D004867:Equipment Design; D004868:Equipment Failure; D006344:Heart Septal Defects, Atrial / Q000628:therapy*; D006801:Humans; D008297:Male; D015641:Radiography, Interventional