Summarized patient outcomes/complications of amplatzer septal occluder were reported in a research article in a subject population with multiple co-morbidities including patent ductus arteriosus (including types a, b, c ¿ tubular, d, and e).Some of the complications reported was obstruction/occlusion; this complication is anticipated for the procedure and subject population.A more comprehensive assessment could not be performed as the event was non-contemporaneously reported through a literature review and no device or individual patient information was received for analysis.Per the instructions for use, (b)(6), revision a, stated "indication and usage: the amplatzer¿ septal occluder is a percutaneous, transcatheter atrial septal defect closure device intended for the occlusion of atrial septal defects (asds) in secundum position or patients who have undergone a fenestrated fontan procedure and who now require closure of the fenestration.Patients indicated for asd closure have echocardiographic evidence of ostium secundum atrial septal defect and clinical evidence of right ventricular (rv) volume overload (ie, 1.5:1 degree of left-to-right shunt or rv enlargement).".
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The article, ¿tubular pda versus other pda types: challenging device choice for transcatheter closure¿, was reviewed.The article presented a retrospective multi- center study to assess the safety and effectiveness of different devices for transcatheter closure of tubular patent ductus arteriosus (pda).Devices included in this study were cook detachable coil, nit-occlud coil, amplatzer duct occluder (ado i and ado ii), amplatzer vascular plug ii (avp ii), amplatzer muscular vsd occluder (mvsd), and amplatzer septal occluder (aso).The article concluded different devices can be used successfully to close tubular pdas in infants and children.Avp ii may be a reasonable option in cases with a relatively narrow diameter.[(b)(6)].
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