Editorial

Do we need another device for catheter interventional closure of septum secundum atrial septal defects?

EuroIntervention 2023;19:710-711. DOI: 10.4244/EIJ-E-23-00042

Peter Ewert
Peter Ewert1, MD; Andreas Eicken1, MD
1. German Heart Center Munich, Munich, Germany
Today, catheter interventional closure is the preferred first-line treatment for children and adults with congenital septum secundum atrial septal defects (ASD) when technically feasible. In most centres, a relatively rigid, self-centring double-disc device, comprising a nitinol mesh in combination with polyester fibres, is used123. The significant difference in these double-disc devices is the delivery mechanism. Some variations in nitinol strut thickness, coating, and assembly of the wires do not seem to be of major clinical importance. The AMPLATZER Septal Occluder (ASO; Abbott) has been used to close ASDs up to 36 mm in size for almost 30 years in many tens of ...

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