title: Use of a new low profile Occlutech PLD device for closure of Fontan fenestrations.
abstract: For some higher risk patients, fenestrations are still created in total cavopulmonary connection conduits completing the Fontan circulation for univentricular hearts. If these fenestrations remain patent and hemodynamics are favorable, they are closed to improve oxygenation and exercise tolerance and to decrease the risk of paradoxical emboli. Depending on the type of fenestration, different devices are used. Unfortunately, the search for the ideal device is still ongoing. We propose the first experience with the off-label use of the new Occlutech paravalvular leak device. This device offers the combination of a small delivery sheath size, high flexibility, less material, and a low profile. The low profile in particular could be an advantage in order to reduce the risk of thrombus formation in the low velocity flow environment of the Fontan circulation. © 2015 Wiley Periodicals, Inc.
authors.affiliation: Department of Pediatric Cardiology, Ghent University Hospital, Gent, Belgium.
authors.forename: Daniel
authors.initials: D
authors.lastname: De Wolf
authors.affiliation: Department of Pediatric Cardiology, HUDERF, Brussels, Belgium.
authors.forename: Hugues
authors.initials: H
authors.lastname: Dessy
authors.affiliation: Department for Congenital Heart Defects, Heart and Diabetes Centre North Rhine Westphalia, Ruhr University Bochum, Germany.
authors.forename: Nikolaus
authors.initials: N
authors.lastname: Haas
mesh_terms: D000792:Angiography; D006328:Cardiac Catheterization / Q000379:methods*; D002648:Child; D004867:Equipment Design; D005260:Female; D018729:Fontan Procedure / Q000295:instrumentation*; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000503:physiopathology; D055989:Septal Occluder Device
keywords: TCPC; congenital; percutaneous