TY  - JOUR
AU  - Fraisse, Alain
AU  - Latchman, Monica
AU  - Sharma, Shiv-Raj
AU  - Bayburt, Selin
AU  - Amedro, Pascal
AU  - di Salvo, Giovanni
AU  - Baruteau, Alban Elouen
PY  - 2018
TI  - Atrial septal defect closure: indications and contra-indications
JF  - Journal of Thoracic Disease; Vol 10, Supplement 24 (September 2018): Journal of Thoracic Disease (Atrial Septal Defect)
Y2  - 2018
KW  - 
N2  - Transcatheter closure has become an accepted alternative to surgical repair for ostium secundum atrial septal defects (ASD). However, large ASDs (>38 mm) and defects with deficient rims are usually not offered transcatheter closure but are referred for surgical closure. Transcatheter closure also remains controversial for other complicated ASDs with comorbidities, additional cardiac features and in small children. This article not only provides a comprehensive, up-to-date description of the current indications and contra-indications for ASD device closure, but also further explores the current limits for transcatheter closure in controversial cases. With the devices and technology currently available, several cohort studies have reported successful percutaneous closure in the above-mentioned complex cases. However the feasibility and safety of transcatheter technique needs to be confirmed through larger studies and longer follow-up.
UR  - https://jtd.amegroups.org/article/view/23871