Results of transvenous occlusion of secundum atrial septal defects with the fourth generation buttoned device: comparison with first, second and third generation devices

Rao, P. Syamasundar; Berger, Felix; Rey, Christian; Haddad, Jorge; Meier, Bernhard; Walsh, Kevin; Chandar, Jay; Lloyd, Thomas R.; Lezo, José Suárez de; Zamora, Rolando; Sideris, Eleftherios B.

doi:10.1016/s0735-1097(00)00725-7

Cited by 79 publications

(35 citation statements)

References 31 publications

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“…Cardiac perforation has not (yet) been reported with the HELEX Septal Occluder, but, erosions or perforations leading to pericardial effusions, tamponade, fistulas, and even death have been noted with other atrial septal occlusion devices [10–14]. The exact mechanisms and best ways to avoid perforations with these other devices remains controversial.…”

Section: Discussionmentioning

confidence: 99%

Partial prolapse of a HELEX device associated with early frame fracture and mitral valve perforation

Qureshi

Mumtaz

Latson

2009

Cathet Cardio Intervent

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One or more breaks in the wire frame of the HELEX Septal Occluder (W.L. Gore and Associates, Flaggstaff, Arizona) were identified in 5% of patients in the multicenter pivotal trial leading to FDA approval. Fractures of the perimeter frame have not previously been associated with any apparent deleterious clinical effects. We report a case in which the broken ends of wire at a frame fracture were located in a position that resulted in perforation of the anterior mitral valve leaflet. There was significant mitral regurgitation and the device was removed surgically. The possible etiologies and prevention of wire frame fractures are also discussed.

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Section: Discussionmentioning

confidence: 99%

Partial prolapse of a HELEX device associated with early frame fracture and mitral valve perforation

Qureshi

Mumtaz

Latson

2009

Cathet Cardio Intervent

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“…The results of a worldwide multicenter trial with 4th generation buttoned devices were published in 2000 by Rao and colleagues. 11 During a 4-year period ending in September 1997, 475 patients were recruited in the 40 participating centers and brought to the catheterization laboratory with the intention to occlude the ASD.…”

Section: Resultsmentioning

confidence: 99%

Catheter Closure of Secundum ASD Using “Other” Devices

Schräder¹

2003

J Interven Cardiology

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The first nonoperative ASD closure was performed by Noel L. Mills and Terry D. King in a 17‐year old female patient on April 8, 1975. In the following years there was little interest in this clinical field after trials with the “Clamshell Device” had been discontinued because of arm fractures. From the late 1980s until the mid 1990s E. B. Sideris (“Buttoned Device”) and U.U. Babic (“ASDOS”) kept the ideas of King&Mills alive while G.S. Das developed the first self‐centering device (“AngelWings”). Clinical trials with ASDOS and AngelWings have been stopped because of complicated technology and risk of perforation. The Buttoned Device and its modifications are still used with high success rates even in defects >20 mm and low long‐term risk of perforation. Since the pioneering works of King & Mills marked improvements in devices and delivery systems have been achieved. After almost three decades of ongoing research and development, transcatheter ASD closure has become a clinical routine procedure. (J Interven Cardiol 2003;16:409–412)

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“…ASDs have also been associated with a variety of genetic diseases including Down syndrome, DiGeorge syndrome, Ellis‐Van Creveld syndrome, and Holt‐Oram syndrome 47–49 . Since the first transvenous ASD closure was performed by King and Mills in 1974, 50 a number of transcatheter closure devices have been designed, tested, and studied in clinical trials 51–54 . Nearly three decades later, continued technological advancements in device design and delivery methods have allowed transcatheter closure of ASDs to become a routine interventional procedure.…”

Section: Introductionmentioning

confidence: 99%

Transcatheter Closure of Intracardiac Defects in Adults

Kim¹,

Klein²,

Carroll³

2007

J Interven Cardiology

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There has been a dramatic increase in the adult congenital heart disease population and appreciation of intracardiac shunt lesions discovered or acquired in adults over the past several years. Fortunately, this increase has been met with advances in imaging modalities, which permit a more accurate noninvasive assessment of cardiac defects. Additionally, the evolutions in both device technology as well as fluoroscopic and echocardiographic image guidance have permitted the safe and effective catheter-based closure of numerous intracardiac defects. With catheter-based closure procedures now considered the treatment of choice in most cases of intracardiac defect repair in adults, it is imperative that clinicians possess a sound understanding of intracardiac shunt lesions and indications for repair or closure so that they may better care for this unique subset of adult patients. This review will focus on the anatomy, pathophysiology, and current transcatheter therapeutic options for adult patients with patent foramen ovale (PFO), atrial septal defects (ASD), and ventricular septal defects (VSD).

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Results of transvenous occlusion of secundum atrial septal defects with the fourth generation buttoned device: comparison with first, second and third generation devices

Abstract: These data suggest that the fourth generation buttoned device is as effective as earlier generation devices, but without significant unbuttoning. Follow-up results remained good, with a reintervention-free rate of 89% at five years.

Cited by 79 publications

References 31 publications

Partial prolapse of a HELEX device associated with early frame fracture and mitral valve perforation

Partial prolapse of a HELEX device associated with early frame fracture and mitral valve perforation

Catheter Closure of Secundum ASD Using “Other” Devices

Transcatheter Closure of Intracardiac Defects in Adults

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