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.