Closure of Secundum Atrial Septal Defects by Using the Occlutech Occluder Devices in More Than 1300 Patients: The IRFACODE Project: A Retrospective Case Series

Nikolaus A. Haas, Dagmar B. Soetemann, Ismail Ates, Osman Baspinar, Igor Ditkivskyy, Christopher Duke, Francois Godart, Avraham Lorber, Edmundo Oliveira, Eustaquio Onorato, Feyza Pac, Worakan Promphan, Frank Thomas Riede, Supaporn Roymanee, Robert Sabiniewicz, Suhair Omar Shebani, Horst Sievert, Do Tin, Christoph M. Happel

Araştırma sonucu: Dergi katkısıMakalebilirkişi

57 Alıntılar (Scopus)

Özet

Background: The Occlutech Figulla ASD device series (OFSO) shows an improved device design for interventional ASD closure, larger follow-up series are missing. Methods: We retrospectively reviewed the feasibility, safety, implantation properties, results, and follow-up of ASD closure using Occlutech devices over a 5 year period by establishing a multi-institutional collaborative result registry with 16 contributing centers from 11 countries (IRFACODE). Results: In 1315 patients of all age groups (female 66.9%), successful (98%) ASD closure was performed (mean age 28.9 years, weight 52 kg, height 148.6 cm). Of the defects, 47.9% showed no or only a deficient aortic rim; in 11.9%, there was more than one defect; a septum aneurysm was present in 21.5%; and the mean implanted device size was 20.5 mm. Immediate closure was achieved in 78.6%, at discharge in 83.1%, and 96.4% and 97.3% at 6 and 12 months follow-up, respectively. During a mean follow-up of 2.7 years (in total 3597 patient years), significant complications were minimal (total = 8, <1%) with secondary device embolizations in five and AV-blocks in three patients. No erosion or death was reported. Conclusion: ASD closure using OFSO is feasible in a large variety of patients, safe with only a minimal risk of severe side effects and especially without any aortic erosions despite a large percentage of large and complicated defects.

Orijinal dilİngilizce
Sayfa (başlangıç-bitiş)571-581
Sayfa sayısı11
DergiCatheterization and Cardiovascular Interventions
Hacim88
Basın numarası4
DOI'lar
Yayın durumuYayınlanan - 1 Eki 2016
Harici olarak yayınlandıEvet

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