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Percutaneous Closure of Ostium Secundum Atrial Septal Defect Using the Memopart™ Occlusion Device

Authors :
Moysés de Oliveira Lima-Filho
J. Antonio Marin-Neto
Walter Villela de Andrade Vicente
Luis Gustavo Gali
Daniel Conterno Lemos
Jorge Luis Haddad
Minna Moreira Dias Romano
Gustavo Caires Novaes
Geraldo Luiz de Figueiredo
Andre Vannucchi Badran
Paulo Henrique Manso
Rafael Brolio Pavão
Igor Matos Lago
Source :
Revista Brasileira de Cardiologia Invasiva (English Edition). (4):384-389
Publisher :
Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista. Published by Elsevier Editora Ltda. Published by Elsevier Editoria Ltda.

Abstract

Background The authors report their initial experience with the Memopart™ device (Shanghai Shape Memory Alloy Co Ltd, Shanghai, China) for the occlusion of secundum atrial septal defect (ASD). Methods This was a prospective observational study of a series of patients undergoing percutaneous occlusion of ASD with right ventricle volume overload and favorable anatomic characteristics. The procedure was performed by percutaneous femoral approach. The mean follow-up was 10.3 ± 5 months, with clinical and 24-hour echocardiographic evaluations (or before hospital discharge), 1, 3, 6, and 12 months after implantation. Results From February/2012 to April/2013, 21 patients, 16 females, mean age 33.1 ± 18.7 years, were submitted to percutaneous occlusion of an ASD. The average diameter of the defect was 19.04 ± 6.25 mm and the device size was 21.42 ± 6.73 mm (8 to 34 mm). Total occlusion of the defect was observed in all cases before hospital discharge. During follow-up, all patients were asymptomatic and without residual shunt. There was no deaths or any other complications in the series. Conclusions The percutaneous closure of ASD using a Memopart™ device is an effective and safe procedure within the limits of this investigation. The device is user-friendly and has a high rate of immediate occlusion, even in large defects.

Details

Language :
English
ISSN :
22141235
Issue :
4
Database :
OpenAIRE
Journal :
Revista Brasileira de Cardiologia Invasiva (English Edition)
Accession number :
edsair.doi.dedup.....fc44b024b92d7c9f058753007890f6e4
Full Text :
https://doi.org/10.1016/S2214-1235(15)30163-0