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Case report: Right atrial appendage hybrid access to bailout a stuck stent from the inferior vena cava of a small child

A three-month-old baby boy (5. 4 Kg) with pulmonary atresia, subaortic ventricular septal defect (VSD), and patent ductus arteriosus (PDA) was sent for ductal stenting from the femoral vein. The route to the PDA was extremely tortuous and the procedure was complicated with a stent stuck in the abdom...

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Detalles Bibliográficos
Autores principales: Prakoso, Radityo, Sembiring, Aditya Agita, Hernisa, Latifa, Mendel, Brian, Lelya, Olfi, Lilyasari, Oktavia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9912932/
https://www.ncbi.nlm.nih.gov/pubmed/36776945
http://dx.doi.org/10.3389/fcvm.2022.1084170
Descripción
Sumario:A three-month-old baby boy (5. 4 Kg) with pulmonary atresia, subaortic ventricular septal defect (VSD), and patent ductus arteriosus (PDA) was sent for ductal stenting from the femoral vein. The route to the PDA was extremely tortuous and the procedure was complicated with a stent stuck in the abdominal inferior vena cava (IVC). Transfemoral stent recapture was technically laborious and the stent was successfully recaptured across a 10-Fr right atrial appendage (RAA) hybrid access avoiding a cardiopulmonary bypass (CBP). The PDA was subsequently stented for the femoral artery with satisfactory clinical outcomes.