Figure legend
Figure 1. Images of the device used to perform atrial septal defect closure.
A:The conveying device includes loading sheaths, push cables, adjustable bent sheath and inner core.
B:The adjustable bent sheath can adjust the head curvature from 0 to 900
Figure 2.Operative procedure images.
A: The central ASD.
B: The guidewire is placed through the superior venacava into the right atrium.
C and D:The adjustable curved sheath enters the right atrium through the guidewire, the manipulator is rotated and gently rotates the sheath. The sheath passes through the ASD to the left atrium.
E and F:A steel cable is used to feed the occluder along the sheath,and the occluder is delivered into the left atrium and the left side is released.
G: push-and-pull test.
H: The occluder is released.
ASD: atrial septal defect.
IRB information: The study was approved by the Medical Ethics Committee of the Henan Provinces of People´s Hospital.
Consent for publication: The patient’s next to kin has given their consent for publication of this case report and any accompanying images. Written informed consent for publication was obtained from the patient’s next to kin.
Funding: There was no funding supporting this study
Competing interests: The authors declare that they have no competing interests.
Authors’ contributions: Hu Xiaonsong conceived the idea for the manuscript,revised the manuscript and acted as guarantors of the manuscript. Ai feng,Zhang yanwei,Zheng jiayong drafted the manuscript and operation. Li yanandrafted the manuscript and Echocardiography Guidance. All authors read and approved the final manuscript.