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Novel Approaches to Structural Heart Disease: Closing an ASD Using ICE and Fluoroscopy


Gus Pichard, MD, and Michael Slack, MD, the Cath Lab Director at Children’s National Medical Center, discuss the case of a 71-year-old patient. In the past, the patient had a full pulmonary vein ablation to treat atrial fibrillation (AF) but the patient’s AF has returned. The patient was subsequently diagnosed with a significant atrial septal defect (ASD) with a significant left-to-right shunt. Using fluoroscopy and intracardiac echocardiography (ICE) via right femoral vein venous access, the physicians will treat the ASD with an Amplatz closure device.

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