Transcatheter closure of multiple interatrial communications

Masseli, Johannes; Bertog, Stefan; Stanczak, Lukas; Majunke, Nicolas; Reiffenstein, I; Renkhoff, Kristina; Lehn, Katharina; Wunderlich, Nina; Sievert, Horst

doi:10.1002/ccd.24329

Cited by 19 publications

(22 citation statements)

References 56 publications

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“…Following verification of good position of both devices, the smaller device should first be released followed by release of larger device. Use of 2 Amplatzer devices to close 2 ASDs at the same time has been reported by a number of authors including our group . Similarly, use of 3 Amplatzer devices to close 3 ASDs at the same time has also been reported .…”

Section: Closure Of Multiple or Fenestrated Asdssupporting

confidence: 54%

Transcatheter Closure of Complex Atrial Septal Defects

Rao

2014

Echocardiography

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Section: Closure Of Multiple or Fenestrated Asdssupporting

confidence: 54%

Transcatheter Closure of Complex Atrial Septal Defects

Rao

2014

Echocardiography

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“…Staged device delivery is a reported alternative to simultaneous device implantation in transcatheter closure of multiple ASDs . Although simultaneous device deployment of three Amplatzer devices for multiple ASDs has been reported, to our knowledge, our report is the first case of transcatheter ASD closure using four devices under a staged device delivery strategy with three‐dimensional echocardiography guidance.…”

Section: Discussionmentioning

confidence: 92%

Three‐Dimensional Echocardiography Guided Closure of Complex Multiple Atrial Septal Defects

et al. 2014

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Transcatheter closure of complex multiple atrial septal defects (ASDs) remains a challenge. We describe our clinical experience with staged device deployment in a patient with multiple ASDs using four Amplatzer septal occluder devices. Three-dimensional transesophageal echocardiography imaging contributed not only to the therapeutic guidance of successful device deployment but also to the decision making for the staged device delivery approach in a case of morphologically complex multiple ASDs.

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“…On the other hand, additional defect(s) that is/are not hemodynamically important may not be closed if it is not clinically required or if the remaining defect(s) may potentially close automatically in the future 14). While a PFO occluder was implanted in 1 case and double ASO implantation was made in 2 cases during the same session in Group 1, double ASO implantation was made in 2 cases during the same session in Group 3.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Transcatheter Atrial Septal Defect Closure in Children, Adolescents and adults: Differences, Challenges and Short-, Mid- and Long-Term Results

et al. 2016

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Background and ObjectivesThis study aims to compare the characteristics, effectiveness and results of transcatheter closure of atrial septal defect between children, adolescents, and adults.Subjects and MethodsIn this study, 683 patients who underwent atrial septal defect closure in the last 10 years were divided into three groups: children (age <12), adolescents (age 12 to 16), and adults (age >16) as group 1, group 2 and group 3, respectively.ResultsThe average defect size and incidence of complex atrial septal defect were higher in group 3 (p=0.0001 and 0.03 respectively). While the average size of the devic was higher in adults (22.6±6.4 mm vs. 18.5±4.9 mm; p=0.0001), the ratio of the device size/total septum was higher in both children and adolescents (Group 1 and 2). In the child and adolescent groups and patients with only complex atrial septal defect, the use of techniques, other than standard deployment, was similar in all three groups (p=0.86 and 0.41, respectively). The ratio of the residual shunt was similar in all three groups. Major complications were seen in 5 cases (4 cases with migration, and 1 case with dislocation) in group 3 and 1 case (migration) in group 1.ConclusionDepending on the complexity of the defect and age of the patient, transcatheter closure of atrial septal defect might have certain difficulties and complications. Patients must be evaluated in detail to avoid major complications and possible problems during the procedure.

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Transcatheter closure of multiple interatrial communications

Cited by 19 publications

References 56 publications

Transcatheter Closure of Complex Atrial Septal Defects

Transcatheter Closure of Complex Atrial Septal Defects

Three‐Dimensional Echocardiography Guided Closure of Complex Multiple Atrial Septal Defects

Comparison of Transcatheter Atrial Septal Defect Closure in Children, Adolescents and adults: Differences, Challenges and Short-, Mid- and Long-Term Results

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