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Successful retrieval of embolised Occlutech atrial septal defect occluder from descending aorta in a 4-year-old child using a “mother and child” technique: a case report and literature review

Published online by Cambridge University Press:  21 June 2022

Abdul Salam Open the ORCID record for Abdul Salam [Opens in a new window] ,
Robert Yates  and
Sachin Khambadkone
Abdul Salam
Affiliation:
University College London, Institute of Cardiovascular Science, London, UK Great Ormond Street Hospital for Children, London, UK
Robert Yates
Affiliation:
University College London, Institute of Cardiovascular Science, London, UK Great Ormond Street Hospital for Children, London, UK
Sachin Khambadkone*
Affiliation:
University College London, Institute of Cardiovascular Science, London, UK Great Ormond Street Hospital for Children, London, UK
*
Author for correspondence: S. Khambadkone, Paediatric Cardiology Services, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK. Tel: +44 207 405 9200. E-mail: sachin.khambadkone@gosh.nhs.uk
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Abstract

A 9 mm Occlutech septal occluder Flex II device was retrieved in a 4-year-old 22 kg child; A 6 Fr Cook® Flexor sheath (child) was inserted into a 9 Fr Occlutech® ASD Delivery Set (mother). Once the tip of the smaller sheath was close to the device, a 4 Fr right Judkins catheter was introduced with a snare. The right atrial hub was captured and withdrawn to the level of the 6 Fr sheath which was then withdrawn into the 9 Fr sheath before being removed completely. The “mother and child” technique offers a greater likelihood of slenderising and retrieving embolised devices.

Keywords

Retrievalembolisationsheath-in-sheath
Type
Brief Report
Information
Cardiology in the Young , Volume 33 , Issue 2 , February 2023 , pp. 309 - 312
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

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