PP-154 PERCUTANEUS CORONARY INTERVENTION FOR ACUTE INFERIOR MYOCARDIAL INFARCTION IN PATIENT WITH ISOLATED SINGLE CORONARY ARTERY

Objective: Transcatheter treatment of many congenital and structural heart defects became the method of choice. Recently new device Cardio-OFix Occluder (COF) was introduced into clinical practice. Our preliminary expirience in this subject is presented. Methods: Five patients aged 0.5-69 years were included to the study: 2 with ASD, 1 with PFO after cryptogenic stroke, and 2 with PDA (one 6 months old infant with coexistent hypertrophied cardiomyopathy, and 53 y old women with recanalized PDA after previous ligation). All were treated percuatneously with Cardio-O-Fix Occluders. There were no preliminary patient selection the only limitation was the size of possessed devices. The implantation technique was the same as previously described for Amplatzer Occluders. Results: All procedures were finished successfully: 2 ASD were closed with 16 and 22 mm ASD-COF occluders, 1 PFO with 25 mm PFO-COF and 2 PDA with 4/6 and 6/8 mm PDA-COF. In all cases complete closure of shunts was confirmed after1 month of follow-up. In the child with PDA decrease of gradient from 80 to 60 mmHg in hypertrophied LVOT was observed, however small protrusion of PDA-COF device was noted in descending aorta (8 mmHg gradient in ECHO). In the patient with recanalized PDA the procedure was performed after arterio-venous loop creation (difficulty in the canulation of PDA). Mean fluoroscopy time was 4.4 (from 1.6 to 11) min. Conclusions: Our preliminary experience indicate that application of Cardio-O-Fix devices is safe and effective.