State-of-the-Art Atrial Septal Defect Closure Devices for Congenital Heart

Interv Cardiol Clin. 2019 Jan;8(1):11-21. doi: 10.1016/j.iccl.2018.08.008.

Abstract

This article describes current devices and indications for transcatheter device closure of atrial septal defect (TC-ASD) and patent foramen ovale in children and young adults. TC-ASD has a proven record of efficacy and safety, but device erosion raises questions about the relative safety of TC-ASD versus operative open heart surgical ASD closure. New devices for ASD closure with properties to reduce risk of erosion are being developed. Recent studies demonstrating superiority of patent foramen ovale device closure over medical therapy for cryptogenic stroke may lead to changes in practice for structural/interventional cardiologists. Care should be taken in extrapolating data to children and younger adults.

Keywords: Erosion; Outcomes; Pediatric cardiology; Transcatheter intervention.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Atrial Septum / diagnostic imaging
  • Atrial Septum / surgery*
  • Cardiac Catheterization / methods*
  • Cardiac Surgical Procedures / methods*
  • Echocardiography, Transesophageal
  • Heart Septal Defects, Atrial / diagnosis
  • Heart Septal Defects, Atrial / surgery*
  • Humans
  • Septal Occluder Device*