PMC3959065_01
Aortic angiogram in the lateral projection, showing a patent arterial duct
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F1
Then, aortic angiogram was done [Figure 1].
(a) Terumo wire advanced into the descending aorta through a snared Terumo guide catheter; (b) Delivery sheath advanced over the guide wire into the descending aorta
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F2
TorqVue 2 delivery sheath 6F, 60 cm long (AGA Medical Corporation, Golden Valley, MN) was advanced over the wire from the venous side and again snared in the descending aorta [Figures 2a and b]. An Amplatzer duct occluder (ADO) size 8/6 was advanced through the sheath while still holding the sheath with a snare [Figure 3a-c].
(a) Angiogram through the sheath; (b) Snare capturing the sheath; (c) Device being advanced through the sheath
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F3
TorqVue 2 delivery sheath 6F, 60 cm long (AGA Medical Corporation, Golden Valley, MN) was advanced over the wire from the venous side and again snared in the descending aorta [Figures 2a and b]. An Amplatzer duct occluder (ADO) size 8/6 was advanced through the sheath while still holding the sheath with a snare [Figure 3a-c].
Lateral projection showing aortic disc opened in the descending aorta and sheath freed from the snare
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F4
The sheath and the device were pulled back into the duct and the device was successfully implanted [Figure 4]. The device was then released and it attained a stable position [Figure 5].
Fluoroscopy in the lateral projection showing device released in the duct
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F5
The sheath and the device were pulled back into the duct and the device was successfully implanted [Figure 4]. The device was then released and it attained a stable position [Figure 5].