{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:11:27Z","timestamp":1777392687426,"version":"3.51.4"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T00:00:00Z","timestamp":1517788800000},"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":[[2018,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nit\u2010Occlud<jats:sup>\u00ae<\/jats:sup> (atrial septal defect) ASD\u2010R and (patent ductus arteriosus) PDA\u2010R devices are used outside the United States for percutaneous closure of the patent ductus arteriosus and atrial septal defects. When embolization occurs, these devices have been difficult to retrieve.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Bench simulations of retrieval of PDA\u2010R and ASD\u2010R devices were performed in a vascular model. Retrieval of each device was attempted using snare techniques or with bioptome forceps with a range of devices. The same devices were then intentionally embolized in an animal model. Retrieval methods were systematically tested in a range of sheath sizes, and graded in terms of difficulty and retrieval time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Devices that were grasped by the bioptome in the center of the proximal part of the devices were easily retrieved in both models. Bench studies determined the minimum sheath sizes needed for retrieval of each device with this method. In general sheathes two french sizes greater than the delivery sheath were successful with this technique. Three out of the four PDA\u2010R devices were successfully retrieved in vivo. Two were retrieved by grasping the middle of the PA end of the PDA\u2010R device with a Maslanka bioptome and one small PDA\u2010R device was retrieved using a 10 mm Snare. Four of the five ASD\u2010R devices were retrieved successfully grasping the right atrial ASD\u2010R disc or by passing a wire through the device and snaring this loop. For ASD\u2010R 28 and 30 mm devices, a double bioptome technique was needed to retrieve the device.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>ASD\u2010R and PDA\u2010R devices can be successfully retrieved in the catheterization lab. It is critical to grab the center portion of the right atrial disc of the ASD\u2010R device or pulmonary portion of the PDA\u2010R device and to use adequately sized sheathes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.27423","type":"journal-article","created":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T05:08:37Z","timestamp":1517807317000},"page":"478-484","source":"Crossref","is-referenced-by-count":2,"title":["Techniques for trans\u2010catheter retrieval of embolized Nit\u2010Occlud<sup>\u00ae<\/sup> PDA\u2010R and ASD\u2010R devices"],"prefix":"10.1002","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4737-4750","authenticated-orcid":false,"given":"Sanjay","family":"Sinha","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics UCLA Mattel Children's Hospital Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Levi","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics UCLA Mattel Children's Hospital Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Peirone","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Hospital Privado de Cordoba, Naciones Unidas 346  (5016) Cordoba Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Pedra","sequence":"additional","affiliation":[{"name":"Catheterization Laboratory for Congenital Heart Disease Instituto Dante Pazzanese de Cardiolog\u0131a, Av Dr. Dante, Pazzanese 500 CEP 04012\u2010180 Sao Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,5]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"GranjaM PeironeA Damsky BarbosaJ HeathA TrentacosteL.Nit\u2010OccludVR ASD\u2010R PFM device. In: Sievert H Qureshi SA Wilson N Hijazi ZM editors Franke J Bertog S co\u2010editors. Structural Valvular and Congenital Heart Disease Interventions. Informa Healthcare."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25434"},{"key":"e_1_2_7_4_1","unstructured":"Personal Communication: personal communication; i.e: Dr Alejandro Peirone or Miguel Granja."},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20011"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20211"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24347"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01711-4"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"103","DOI":"10.4103\/0974-2069.132477","article-title":"Rescrewing the embolized duct occluder using the delivery cable","volume":"7","author":"Koneti NR","year":"2014","journal-title":"Ann Pediatr Card."},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01862-4"},{"key":"e_1_2_7_11_1","first-page":"220","article-title":"Closure of atrial septal defects in children: surgery versus Amplatzer device implantation","volume":"31","author":"Bialkowski J","year":"2004","journal-title":"J Tex Heart Inst J."},{"key":"e_1_2_7_12_1","first-page":"CR612","article-title":"Transcatheter closure as an alternative and equivalent method to the surgical treatment of atrial septal defect in adults: comparison of early and late results","volume":"15","author":"Suchon E","year":"2009","journal-title":"Med Sci Monit."}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.27423","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.27423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T22:34:02Z","timestamp":1695681242000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.27423"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,5]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,2,15]]}},"alternative-id":["10.1002\/ccd.27423"],"URL":"https:\/\/doi.org\/10.1002\/ccd.27423","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,5]]}}}