Extracardiac Fontan fenestration using the SafeSept transseptal guidewire and snare-controlled diabolo-shaped covered-stent placement

Joseph R. Casadonte, David F Wax, Jeffrey G. Gossett*

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Scopus citations


Transcatheter Fontan fenestration is a valuable option in situations of prolonged pleural drainage or low cardiac output in patients with failing Fontan circulation. This procedure relies on controlled baffle perforation without separation of the Fontan circuit from the pulmonary venous atrium, and placement of an accurately sized covered stent. We report a novel technique for transcatheter extracardiac Fontan fenestration using the SafeSept transseptal guidewire® and snare-controlled diabolo-shaped covered stent placement.

Original languageEnglish (US)
Pages (from-to)426-431
Number of pages6
JournalCatheterization and Cardiovascular Interventions
Issue number3
StatePublished - Feb 15 2016



  • baffle
  • failing Fontan
  • heterotaxy
  • pediatric
  • single ventricle
  • transcatheter

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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