Incidence and clinical course of thrombus formation on atrial septal defect and patient foramen ovale closure devices in 1,000 consecutive patients
Ulrike Krumsdorf, MD*,
Stefan Ostermayer, MD*,
Kai Billinger, MD*,
Thomas Trepels, MD*,
Elisabeth Zadan, MD*,
Kathrin Horvath, MD* and
Horst Sievert, MD, PhD*,*
* Cardiovascular Center Frankfurt, Sankt Katharinen, Frankfurt, Germany
View larger version (75K):
[in a new window]
|
Figure 1 (A) Transesophageal echocardiography four-chamber view: left-sided mobile thrombus attached to a StarFLEX occluder detected four weeks after catheter closure. (B) Transesophageal echocardiography short-axis: right- and left-sided immobile thrombus surrounding an ASDOS occluder detected four weeks after catheter closure. (C) Transesophageal echocardiography short-axis: large mobile thrombus (30 x 18 mm) attached to the right atrial wall (without direct contact to the ASDOS device) detected one year after catheter closure. LA = left atrium; RA = right atrium.
|
|
View larger version (73K):
[in a new window]
|
Figure 2 Unsuccessful resolution of a large right-sided thrombus (30 x 18 mm) attached to the lateral atrial wall under long-term warfarin treatment. During surgery the ASDOS occluder was left in place. Only a tip of wire sticking out of the covered device had been cut.
|
|
View larger version (77K):
[in a new window]
|
Figure 3 A short transesophageal view of small mobile left-sided thrombi on a StarFLEX occluder. During surgery, the absence of the left-sided thrombi but detection of a right-sided thrombus (8 mm) not diagnosed before was removed together with the device. AO = aorta; LA = left atrium; RA = right atrium.
|
|
|
