Background The Amplatzer septal occluder (ASO) allows the percutaneous closure of small to very large atrial septal defects (ASDs). The CardioSEAL/STARflex (CS/SF) can be used only for closure of small to moderate ASDs (stretch size up to 18 mm). These 2 devices are widely used in clinical practice. Therefore, a comparison of their use in the closure of small to moderate ASDs is needed. Methods From December 1996 to September 2002, 274 consecutive patients (mean age 20.3 ± 17 years) underwent percutaneous closure of small to moderate ostium secundum ASDs. The CS/SF device was used in 121 patients, and the ASO was used in 153. Results There were no differences in age, sex ratio, or pulmonary/systemic flow ratio. Stretch size of the defect was higher in the ASO group (13.6 ± 3.5 mm vs 15.5 ± 3.2 mm, P < .001). Procedure time and fluoroscopy time were shorter in patients treated with the ASO (61 ± 21 vs 75 ± 32 min, P < .0003, and 11.6 ± 9 vs 23.8 ± 17.4 min, P < .0001, respectively). Residual shunt at procedure and discharge was significantly more frequent in the CS/SF group (P < .0001). There were no differences in the complication rate for the 2 groups (CS/SF 4/121 vs ASO 6/153). Length of follow-up was longer in the CS/SF group (24 ± 14 vs 16 ± 9 months, P = .0001). Residual shunting was significantly more frequent in the CS/SF group during follow-up, while closure rate reached 100% after 1 month in ASO group. Conclusions The 2 devices are clinically safe and effective in ASD closure. However, percutaneous closure of small to moderate ASDs with ASO is quicker and provides an higher rate of complete occlusion.

CardioSEAL/STARflex versus Amplatzer devices for percutaneous closure of small to moderate (up to 18 mm) atrial septal defects / Butera, G.; Carminati, M.; Chessa, M.; Delogu, A.; Drago, M.; Piazza, L.; Giamberti, A.; Frigiola, A.. - In: AMERICAN HEART JOURNAL. - ISSN 0002-8703. - 148:3(2004), pp. 507-510. [10.1016/j.ahj.2004.03.013]

CardioSEAL/STARflex versus Amplatzer devices for percutaneous closure of small to moderate (up to 18 mm) atrial septal defects

Chessa M.;
2004-01-01

Abstract

Background The Amplatzer septal occluder (ASO) allows the percutaneous closure of small to very large atrial septal defects (ASDs). The CardioSEAL/STARflex (CS/SF) can be used only for closure of small to moderate ASDs (stretch size up to 18 mm). These 2 devices are widely used in clinical practice. Therefore, a comparison of their use in the closure of small to moderate ASDs is needed. Methods From December 1996 to September 2002, 274 consecutive patients (mean age 20.3 ± 17 years) underwent percutaneous closure of small to moderate ostium secundum ASDs. The CS/SF device was used in 121 patients, and the ASO was used in 153. Results There were no differences in age, sex ratio, or pulmonary/systemic flow ratio. Stretch size of the defect was higher in the ASO group (13.6 ± 3.5 mm vs 15.5 ± 3.2 mm, P < .001). Procedure time and fluoroscopy time were shorter in patients treated with the ASO (61 ± 21 vs 75 ± 32 min, P < .0003, and 11.6 ± 9 vs 23.8 ± 17.4 min, P < .0001, respectively). Residual shunt at procedure and discharge was significantly more frequent in the CS/SF group (P < .0001). There were no differences in the complication rate for the 2 groups (CS/SF 4/121 vs ASO 6/153). Length of follow-up was longer in the CS/SF group (24 ± 14 vs 16 ± 9 months, P = .0001). Residual shunting was significantly more frequent in the CS/SF group during follow-up, while closure rate reached 100% after 1 month in ASO group. Conclusions The 2 devices are clinically safe and effective in ASD closure. However, percutaneous closure of small to moderate ASDs with ASO is quicker and provides an higher rate of complete occlusion.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/163997
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