GORE® CARDIOFORM ASD occluder thrombus in a patient of rheumatoid arthritis occurred three days after deployment
A 67-year-old female patient with rheumatoid arthritis that was well suppressed by medications except for steroids had catheter closure of the secundum atrial septal defect (ASD). After the administration of aspirin and intravenous heparin, a 32-mm of GORE® CARDIOFORM ASD occluder was successfully d...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | International Journal of Cardiology Congenital Heart Disease |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666668525000369 |
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| _version_ | 1849318377834676224 |
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| author | Naomi Nakagawa Yusuke Shigemitsu Kengo Okamoto |
| author_facet | Naomi Nakagawa Yusuke Shigemitsu Kengo Okamoto |
| author_sort | Naomi Nakagawa |
| collection | DOAJ |
| description | A 67-year-old female patient with rheumatoid arthritis that was well suppressed by medications except for steroids had catheter closure of the secundum atrial septal defect (ASD). After the administration of aspirin and intravenous heparin, a 32-mm of GORE® CARDIOFORM ASD occluder was successfully deployed. On postprocedural day 3, transthoracic echocardiography showed mobile echogenic mass of 9 mm on the right side of the device. Intravenous heparin 10 IU/kg/hr was administrated continuously, and clopidogrel was added. On the following day, the mobile mass was not visible. Even though the occurrence rate of device thrombus is not high, device thrombosis can become a major complication of device closure of ASD because it may cause systemic and/or pulmonary embolism. Administration of dual antiplatelet therapy or other anticoagulant therapy should be considered if the patients have a higher risk of thrombosis. |
| format | Article |
| id | doaj-art-6ce5d5f99da748dbb5554169d66ea5d9 |
| institution | Kabale University |
| issn | 2666-6685 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology Congenital Heart Disease |
| spelling | doaj-art-6ce5d5f99da748dbb5554169d66ea5d92025-08-20T03:50:50ZengElsevierInternational Journal of Cardiology Congenital Heart Disease2666-66852025-09-012110060010.1016/j.ijcchd.2025.100600GORE® CARDIOFORM ASD occluder thrombus in a patient of rheumatoid arthritis occurred three days after deploymentNaomi Nakagawa0Yusuke Shigemitsu1Kengo Okamoto2Corresponding author. Department of Pediatric Cardiology, Hiroshima City Hospital, 7-33 Naka-ku Moto-machi, Hiroshima City, Hiroshima, 730-8518, Japan.; Department of Pediatric Cardiology, Hiroshima City Hospital, Hiroshima, JapanDepartment of Pediatric Cardiology, Hiroshima City Hospital, Hiroshima, JapanDepartment of Pediatric Cardiology, Hiroshima City Hospital, Hiroshima, JapanA 67-year-old female patient with rheumatoid arthritis that was well suppressed by medications except for steroids had catheter closure of the secundum atrial septal defect (ASD). After the administration of aspirin and intravenous heparin, a 32-mm of GORE® CARDIOFORM ASD occluder was successfully deployed. On postprocedural day 3, transthoracic echocardiography showed mobile echogenic mass of 9 mm on the right side of the device. Intravenous heparin 10 IU/kg/hr was administrated continuously, and clopidogrel was added. On the following day, the mobile mass was not visible. Even though the occurrence rate of device thrombus is not high, device thrombosis can become a major complication of device closure of ASD because it may cause systemic and/or pulmonary embolism. Administration of dual antiplatelet therapy or other anticoagulant therapy should be considered if the patients have a higher risk of thrombosis.http://www.sciencedirect.com/science/article/pii/S2666668525000369Atrial septal defectGORE cardioform ASD occluderThrombus formationCongenital heart diseaseRheumatoid arthritis |
| spellingShingle | Naomi Nakagawa Yusuke Shigemitsu Kengo Okamoto GORE® CARDIOFORM ASD occluder thrombus in a patient of rheumatoid arthritis occurred three days after deployment International Journal of Cardiology Congenital Heart Disease Atrial septal defect GORE cardioform ASD occluder Thrombus formation Congenital heart disease Rheumatoid arthritis |
| title | GORE® CARDIOFORM ASD occluder thrombus in a patient of rheumatoid arthritis occurred three days after deployment |
| title_full | GORE® CARDIOFORM ASD occluder thrombus in a patient of rheumatoid arthritis occurred three days after deployment |
| title_fullStr | GORE® CARDIOFORM ASD occluder thrombus in a patient of rheumatoid arthritis occurred three days after deployment |
| title_full_unstemmed | GORE® CARDIOFORM ASD occluder thrombus in a patient of rheumatoid arthritis occurred three days after deployment |
| title_short | GORE® CARDIOFORM ASD occluder thrombus in a patient of rheumatoid arthritis occurred three days after deployment |
| title_sort | gore r cardioform asd occluder thrombus in a patient of rheumatoid arthritis occurred three days after deployment |
| topic | Atrial septal defect GORE cardioform ASD occluder Thrombus formation Congenital heart disease Rheumatoid arthritis |
| url | http://www.sciencedirect.com/science/article/pii/S2666668525000369 |
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