During an atrial septal defect closure procedure, the defect was measured via balloon sizing, sizing plate and echo measurements and measured 19 mm.A 22 mm amplatzer septal occluder (aso) was chosen along with a 9f amplatzer torqvue 45 delivery system (dtv45).The aso was attempted to be correctly positioned several times without success as the 5mm anterior edge of the defect had floppy tissue and the aso was not able to be deployed in a stable position.The 22 mm aso was removed and a larger 26 mm aso was attempted through a larger 10f dtv45.The 26mm aso was also not able to be positioned and the procedure was aborted.There were no patient consequences reported; however, the procedure was delayed 40 minutes due to this event.Patient information cannot be provided due to personal data privacy legislation/policy.
|