Long‐Term complications of ASD closure devices

Abstract

Fig. 1. Fluoroscopic image of the buttoned device demonstrating the passage of the counter-occluder (CO) beyond the button (B). LW, loading wire; O, occluder.

Perforation of the aortic sinus after closure of atrial septal defects with the Atriasept occluder

“…Complications arising from percutaneous ASD closure devices are uncommon, but both early and late complications may occur [9–13]. Most of the complications are minor and rarely need specific treatment.…”

A biodegradable device (BioSTAR™) for atrial septal defect closure in children

“…In addition, such devices cause significant artifact during magnetic resonance imaging (MR) of the thorax, although the device itself can be usefully interrogated by the MR [10,11]. Finally, the potential for a long-term local and systemic chronic foreign body reaction exists as is the possibility of such devices interfering with septal dynamics that may create functional problems in later years [12][13][14][15][16]. Many (but not all) of these concerns can be addressed if the implant could dissolve or be resorbed after an appropriate period of endothelialization and tissue overgrowth.…”

UK multicenter experience using the gore septal occluder (GSOTM) for atrial septal defect closure in children and adults

“…Additionally, such devices cause significant artifact during magnetic resonance imaging (MR) of the thorax, although the device itself can be usefully interrogated by MR . Finally, the potential for a long‐term local and systemic chronic foreign body reaction exists as is the possibility of such devices interfering with septal dynamics which may create functional problems in later years . Despite these potential concerns, the ASO device provides a safe, effective platform for atrial defects (ASD) closure in experienced hands.…”