Titre
Late migration of percutaneous bio-absorbable devices--a word of caution.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Vottero, G.V.
Auteure/Auteur
Niclauss, L.
Auteure/Auteur
Marcucci, C.
Auteure/Auteur
Hurni, M.
Auteure/Auteur
von Segesser, L.K.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1540-8191
Statut éditorial
Publié
Date de publication
2012
Volume
27
Numéro
2
Première page
183
Dernière page/numéro d’article
185
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Résumé
BACKGROUND: Closures of atrial septal defects or a patent foramen ovale (PFO) are increasingly performed percutaneously. The experience of late migration of a new bio-absorbable device is presented here, followed by conceptual discussion.
METHODS: Six months post PFO closure with a BioSTAR® device a patient presented with chest pain. Echocardiography showed a hyperechogenic structure perforating the aortic wall.
RESULTS: Surgical exploration showed a perforation of the ascending aorta by one metallic, non absorbable arm. This is the second case of late (>6 months) dislocation of the residual framework of the occluder.
CONCLUSIONS: The overall incidence of perforation of cardiac structures due to secondary dislocation is low. However this complication exists and should kept in mind in symptomatic patients with new onset of chest pain, after percutaneous procedures. The concept of biodegradation, with residual, non absorbable metal braiding, should be reviewed, analyzing in particular long term results and incidence of secondary dislocation.
METHODS: Six months post PFO closure with a BioSTAR® device a patient presented with chest pain. Echocardiography showed a hyperechogenic structure perforating the aortic wall.
RESULTS: Surgical exploration showed a perforation of the ascending aorta by one metallic, non absorbable arm. This is the second case of late (>6 months) dislocation of the residual framework of the occluder.
CONCLUSIONS: The overall incidence of perforation of cardiac structures due to secondary dislocation is low. However this complication exists and should kept in mind in symptomatic patients with new onset of chest pain, after percutaneous procedures. The concept of biodegradation, with residual, non absorbable metal braiding, should be reviewed, analyzing in particular long term results and incidence of secondary dislocation.
PID Serval
serval:BIB_670AD04EC601
PMID
Date de création
2012-05-12T08:08:46.793Z
Date de création dans IRIS
2025-05-21T01:29:25Z