{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T15:02:56Z","timestamp":1704812576940},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,11,18]],"date-time":"2013-11-18T00:00:00Z","timestamp":1384732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>Amplatzer Duct Occluder II (ADO II) is especially designed for closing long ducts in infants. The experience with off\u2010label use of ADO II in non\u2010ductal positions is limited. Aim: To evaluate feasibility of use of ADO II in non\u2010ductal positions, incidence of complete heart block (CHB), advantages and disadvantages. Material and Results: Out of 79 defects closed with ADO II, 61 had perimembranous, 12 apical\/mid\u2010muscular ventricular septal defects (VSD), 4 Gerbode defects, one each of coronary arterio\u2010venous fistula and aorto\u2010right ventricular tunnel. Age ranged from 8 months to 21 years (mean 8.9\u2009\u00b1\u20094.02 years, median 9 years). The mean fluoroscopy time was 5.2\u2009\u00b1\u20091.1 min with range 4.2\u20139.2 min. Complete closure was achieved in all. Three cases developed transient junctional bradycardia, treated with steroids. One patient who developed CHB (1.3%) needed temporary pacing. Discussion: ADO II is a low profile device. It can be easily delivered through a 5F guiding catheter and needs very short fluoroscopic time as arteriovenous loop is not needed. The cost is 1\/3 of regular ventricular septal occluders. The CHB that is a major challenge for closure of VSDs is less common with soft, specially designed ADO II, which does not compress the conducting system. Conclusions: Use of the ADO II in non\u2010ductal positions can be achieved with high success and low complication rates, especially CHB; its use is also associated with significantly reduced procedure time and device cost. Device size availability restricts use of the ADO II to defects up to 6 mm in diameter. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ccd.25250","type":"journal-article","created":{"date-parts":[[2013,10,15]],"date-time":"2013-10-15T17:06:41Z","timestamp":1381856801000},"source":"Crossref","is-referenced-by-count":13,"title":["Treatment of congenital non\u2010ductal shunt lesions with the amplatzer duct occluder II"],"prefix":"10.1002","volume":"89","author":[{"given":"I.B.","family":"Vijayalakshmi","sequence":"first","affiliation":[{"name":"Sri Jayadeva Institute of Cardiovascular Sciences and Research Bengaluru Karnataka India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chitra","family":"Narasimhan","sequence":"additional","affiliation":[{"name":"Sri Jayadeva Institute of Cardiovascular Sciences and Research Bengaluru Karnataka 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