Key result
Percutaneous AVP-III closure of RV free wall perforation fails, requiring surgical repair.
Why the study?
Right ventricular free wall perforation during pericardiocentesis is a rare but life-threatening complication usually treated surgically, with limited data on percutaneous treatment options.
Case Report (n=1)
The Amplatzer vascular plug-III device is inappropriate for transcatheter closure of right ventricular free wall perforations due to anatomical incompatibility.
Suggests caution with Amplatzer vascular plug-III for right ventricular perforation closure; hypothesis-generating for alternative devices.
Right ventricular (RV) perforation is a rare but life-threatening complication of pericardiocentesis and is usually treated surgically. We presented a case of RV free wall perforation, which occurred during pericardiocentesis and tried to be closed percutaneously with the Amplatzer vascular plug-III (AVP-III) device. The occluder device sealed the perforation, but it was in an insecure position; therefore, the patient underwent surgical repair. As an AVP-III device, with a middle disk thicker than the RV myocardium, it may cause the RV myocardium to stretch outwards, so it should not be used for the treatment of RV perforation by the transcatheter way.
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Çelık et al. (2020) conducted a case report in Right ventricular free wall perforation during pericardiocentesis (n=1). Percutaneous closure with Amplatzer vascular plug-III (AVP-III) device was evaluated on Device positioning and perforation sealing. Percutaneous closure of a right ventricular free wall perforation using an Amplatzer vascular plug-III device resulted in an insecure position requiring surgical repair.
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