title: Transcatheter removal of atrial septal stent placed to decompress left atrium with VA ECMO.
abstract: Left atrial (LA) decompression in infants with thick atrial septum placed on veno-arterial extracorporeal membrane oxygenation (ECMO) can be reliably achieved with transcatheter atrial septal (AS) stent placement. However, with myocardial recovery and ECMO decannulation the stent causes a permanent left to right shunt and surgical removal of the AS stent is usually accomplished. Transcatheter removal of AS stent is an attractive option as the advantages of LA decompression would then be coupled with the advantage of avoiding a sternotomy for surgical removal of the stent. To our knowledge, this is the first reported case of successful transcatheter retrieval of AS stent used for LA decompression in a 13-month-old child.
authors.affiliation: Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Surendranath Reddy
authors.initials: SR
authors.lastname: Veeram Reddy
authors.forename: Kristine J
authors.initials: KJ
authors.lastname: Guleserian
authors.forename: Alan W
authors.initials: AW
authors.lastname: Nugent
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods; D020878:Device Removal / Q000379:methods; D004636:Emergency Service, Hospital; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D007223:Infant; D007234:Infant, Premature; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000628:therapy*
keywords: atrial septal stent; snare; transcatheter stent removal