Comparison of transcatheter closure of secundum atrial septal defect using the Amplatzer septal occluder associated with deficient versus sufficient rims

Du, Zhong Dong; Koenig, Peter; Cao, Qi; Waight, David J.; Heitschmidt, Mary; Hijazi, Ziyad M.

doi:10.1016/s0002-9149(02)02709-1

Cited by 131 publications

(81 citation statements)

References 18 publications

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“…The success and safety of transcatheter techniques have significantly increased the number of percutaneous closure procedures. 25,26 As above, pulmonary hypertension, with right-to-left shunting at rest (or a pulmonary vascular resistance of Ͼ14 Woods units), is the principal contraindication to ASD closure. 20 However, patients may present with intermediate degrees of pulmonary hypertension with bidirectional or predominantly left-to-right shunts.…”

Section: Indications For Interventionmentioning

confidence: 98%

Pathophysiology of Congenital Heart Disease in the Adult

2008

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Section: Indications For Interventionmentioning

confidence: 98%

Pathophysiology of Congenital Heart Disease in the Adult

2008

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“…5,8 No ETT do primeiro mês, foi detectado mínimo shunt residual em quatro casos (8,1%) − três dos quais apresentavam múltiplos orifícios. Um paciente que tinha o septo muito fino necessitou de duas próteses.…”

Section: A B Figura 3 Fluoroscopia Mostra As Próteses Imediatamente unclassified

Oclusão Percutânea das Comunicações Interatriais Tipo Ostium Secundum com Próteses de Nitinol Revestidas de Última Geração

Chamié¹,

Chamié²,

Simöes³

et al. 2014

Rev. Bras. Cardiol. Invasiva

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RESUMOIntrodução: A oclusão percutânea das comunicações intera triais tipo ostium secundum com as próteses disponíveis co mercialmente é procedimento seguro e eficaz. Apresentamos a experiência com duas próteses de nova geração, com fios de nitinol revestidos. ABSTRACT Transcatheter Occlusion of Secundum Atrial Septal Defects with Latest Generation Coated Nitinol Wire DevicesBackground: Transcatheter occlusion of secundum atrial sep tal defects using commercial available devices is a safe and effective procedure. We present our experience with two new generation coated nitinol wire devices. Methods: We report device characteristics, implantation technique and outcomes of patients with atrial septal defects treated with the Lifetech CERA™ ASD Occluder and the Cocoon Septal Occluder. Results: Procedures were performed in 49 patients, 37 were female. Ages ranged from 7 to 68 years and body weight from 17 to 90 kg. The aortic rim was present in 34.7% and atrial septal aneurysms in 14.3% of the patients. Mean diameter was 13 ± 7 mm whereas the balloonstretched diameter was 22 ± 7 mm. Implantation was possible in all cases and 55 devices were used. Fortyfive CERA™ and four Cocoon devices were used. Three patients required occlusion of a second orifice. During the procedures the first device had to be replaced by a larger one in two cases, and in the third case it was replaced due to a tuliplike malformation of the left atrial disc. Immediate occlusion occurred in 91.9% and in 95.9% at 6 months. There were no deaths or other significant com plications. Conclusions: The use of both CERA™ and Cocoon devices was simple and reproducible in experienced hands. Shortterm occlusion rates were similar to the ones obtained with the Amplatzer™ device. More studies and longterm followup are required to determine the actual advantages of coated nitinol wire devices.

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“…This guidance offers adequate visualization of the margins and safe deployment of the device as well as confirmation that the vital structures such as vena cavae, coronary sinus and aortic rim are not compressed. It has been often reported in medical literature that deficient rims are intimately related to the success of the procedure and adequate attachment of the device to the septum 24,25 . If the device is deployed without this critical evaluation the chance of incomplete defect occlusion or embolization of the prosthesis increases significantly.…”

Section: Resultsmentioning

confidence: 99%

Efetividade da prótese de Amplatzer™ para fechamento percutâneo do defeito do septo interatrial tipo Ostium Secundum

Cardoso

Filho

Machado

et al. 2007

Arq. Bras. Cardiol.

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Comparison of transcatheter closure of secundum atrial septal defect using the Amplatzer septal occluder associated with deficient versus sufficient rims

Cited by 131 publications

References 18 publications

Pathophysiology of Congenital Heart Disease in the Adult

Pathophysiology of Congenital Heart Disease in the Adult

Oclusão Percutânea das Comunicações Interatriais Tipo Ostium Secundum com Próteses de Nitinol Revestidas de Última Geração

Efetividade da prótese de Amplatzer™ para fechamento percutâneo do defeito do septo interatrial tipo Ostium Secundum

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Comparison of transcatheter closure of secundum atrial septal defect using the Amplatzer septal occluder associated with deficient versus sufficient rims

Cited by 131 publications

References 18 publications

Pathophysiology of Congenital Heart Disease in the Adult

Pathophysiology of Congenital Heart Disease in the Adult

Oclus&#227;o Percut&#226;nea das Comunica&#231;&#245;es Interatriais Tipo Ostium Secundum com Pr&#243;teses de Nitinol Revestidas de &#218;ltima Gera&#231;&#227;o

Efetividade da prótese de Amplatzer™ para fechamento percutâneo do defeito do septo interatrial tipo Ostium Secundum

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Product

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Oclusão Percutânea das Comunicações Interatriais Tipo Ostium Secundum com Próteses de Nitinol Revestidas de Última Geração