Off label use of cardiac devices

Q: Device which is used to close atrial septal defect (ASD) or patent foramen ovale (PFO) known as Amplatzer device - can also be used (off label) to close

A) Brochopleural Fistula (BPF)
B) Aortic Valve Stenosis 
B) Esophageal perforation
D) Atrio-Venous malformations
E) Aorto-enteric fistula


Answer: A

Amplatzer device is intended for use to close the atrial septal defect or patent foramen ovale. It is particularly useful when BPFs are of larger size and can't be closed by a sealant.

#interventional-pulmonary



References:

1. Gómez López A, García Luján R, De Pablo Gafas A, et al. First use of Amplatzer device for bronchopleural fistula after lung transplantation. Thorax 2017; 72:668. 

2. Fruchter O, El Raouf BA, Abdel-Rahman N, et al. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices: long-term follow-up. Respiration 2014; 87:227.