Percutaneous closure of multiple defects of the atrial septum: Procedural results and long‐term follow‐up

Abstract

Percutaneous closure of multiple ASDs is feasible and associated with a good outcome. A thorough identification and analysis of morphological aspects are mandatory in order to select the appropriate device and the optimal strategy.

Intra-operative device closure of multiple atrial septal defects facilitated by a unique atrial septum remodeling technique: initial results and experience in 11 patients

“…Data about the feasibility and efficacy of using transcatheter approach to close the multiple ASDs are limited [3][4][5][6][7][8]. Cao et al [3] and Butera [4] reported the clinical result of percutaneous closure of multiple ASDs and provided initial experience of device closure for this type of ASD.…”

“…Presenting with various morphologies, those defects are often difficult to close via transcatheter approach in technical aspect [3,5,8]. Meanwhile, due to the special design of ASD occluder device, as for two or more ASDs with close distance (<7 mm) between each other, percutaneous closure using multiple devices is also not recommended due to potential interface between the devices [3][4][5][6][7][8].…”

“…However, only limited studies have tried to examine the feasibility and effectiveness of using transcatheter closure for patients with multiple ASDs using multiple devices [3][4][5][6][7][8]. Presenting with various morphologies, those defects are often difficult to close via transcatheter approach in technical aspect [3,5,8].…”

Perkütan Cribriform Tip Atriyal Septal Defekt Kapatma İşlemi Sonrası Acil Cerrahi: Olgu Sunumu

“…Cribriform ya da multipl atriyal septal defekte sahip hastalarda, perkütan kapatma ile hem kısa hem uzun dönemde başarılı sonuçlar bildiren çalışmalar mevcuttur 7 . Fakat perkütan kapatma işleminde, geniş ya da multipl defekte sahip olan hastalar ile 1'den fazla occluder device kullanılan hastalarda rezidüel shunt oranı daha fazladır 8 .…”

Challenges in Atrial Septal Defect Occlusion

“…The devices might interfere with blood flow and even increase the risk of thrombosis. This, however, has not been apparent in follow-up studies, even after cessation of antiplatelet therapy [5]. In addition, the devices might cause erosion of important tissues, including the aortic root, atrioventricular valves, or atrial free walls.…”