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Experience in one centre using the buttoned device for occlusion of atrial septal defect: comparison with the Amplatzer septal occluder

Published online by Cambridge University Press:  19 August 2008

François Godart ,
Christian Rey ,
Charles Francart ,
Marie André Cajot ,
Georges Marie Brevière ,
Guy Vaksmann ,
Patrick Devos ,
Jean Michel Coullet  and
André Vincentelli
François Godart
Affiliation:
Service des Maladies Cardio-vasculaires Infantiles et Congénitales,Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
Christian Rey
Affiliation:
Service des Maladies Cardio-vasculaires Infantiles et Congénitales,Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
Charles Francart
Affiliation:
Service des Maladies Cardio-vasculaires Infantiles et Congénitales,Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
Marie André Cajot
Affiliation:
Service d'anesthésie, Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
Georges Marie Brevière
Affiliation:
Service des Maladies Cardio-vasculaires Infantiles et Congénitales,Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
Guy Vaksmann
Affiliation:
Service des Maladies Cardio-vasculaires Infantiles et Congénitales,Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
Patrick Devos
Affiliation:
CERIM-Département de Biostatistiques, Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
Jean Michel Coullet
Affiliation:
Service des Maladies Cardio-vasculaires Infantiles et Congénitales,Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
André Vincentelli
Affiliation:
Service de Chirurgie Cardiovasctdaire, Hôpital Cardiologique, Centre Hospitaller et Universitaire de Lille, France
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Abstract

We report our experience using the buttoned device to close defects within the oval fossa and probe-patent oval foramens, comparing the findings with those obtained with the Amplatzer septal occluder. from 1992 to 1997, we used the buttoned device to close defects in 73 consecutive patients, 64 with defects in the oval fossa and nine with patent foramens. We compared this experience with a further series of 62 patients seen from 1997 to 1999 in whom the Amplatzer septal occluder was used. Successful implantation was achieved in three-quarters of those with septal defects in whom the buttoned device was used, in all of those in whom the buttoned device was used for patent foramens, and in nine-tenths of those in whom closure was attempted using the Amplatzer occluder. Immediate surgery was needed in 3 patients in whom a buttoned device was used, one because of embolization and two with residual shunts and a straddling device. Similar immediate surgery was needed to retrieve one embolized Amplatzer occluder. During follow-up, surgery was needed in a further 7 patients, all having had insertion of a buttoned device, because of atrial perforation in one and a significant residual shunt in the remainder. At late follow-up, the rate of complete occlusion was 69% in the patients in whom the buttoned device was used to close a septal defect, 100% when the buttoned device was used for patent foramens, and 95% in those treated with the Amplatzer occluder. Our experience shows that the Amplatzer occluder produced a significantly higher rate of occlusion for larger defects, and with a shorter fluoroscopy time than the buttoned device. The Amplatzer septal occluder, therefore, is our preferred device for closure of defects within the oval fossa.

Keywords

Atrial septal defectbuttoned deviceAmplatzer septal occluder
Type
Original Article
Information
Cardiology in the Young , Volume 10 , Issue 5 , September 2000 , pp. 527 - 533
Copyright
Copyright © Cambridge University Press 2000

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References

1King, TD, Mills, NL. Secundum atrial septal defect: non operative closure during cardiac catheterisation. JAMA. 1976; 235: 2503–2509.CrossRefGoogle Scholar
2Rashkind, WJ. Transcatheter treatment of congenital heart disease. Circulation. 1983; 67: 711–716.CrossRefGoogle ScholarPubMed
3Lock, JE, Rome, JJ, Davis, R, et al. Transcatheter closure of atrial septal defect. Circulation. 1989; 79: 1091–1099.CrossRefGoogle Scholar
4Sideris, EB, Sideris, SE, Fowlkes, JP, Ehly, RL, Smith, JE, Guide, RE. Tranvenous atrial septal defect occlusion in piglets with a “buttoned” double-disk device. Circulation. 1990; 81: 312–318.CrossRefGoogle Scholar
5Bjornstad, PG, Masura, J, Thaulow, E, et al. Interventional closure of atrial septal defect with the Amplatzer device: first clinical experience. Cardiol Young 1997; 7: 277–283.CrossRefGoogle Scholar
6Wilkinson, JL, Goh, TH. Early clinical experience with use of the “Amplatzer Sepal OccluderRdquo; device for atrial septal defect. Cardiol Young 1998; 8: 295–302.CrossRefGoogle Scholar
7Formigari, R, Santoro, G, Rossetti, L, Rinelli, G, Guccione, P, Ballerini, L. Comparison of three different atrial septal defect occlusion devices. Am J Cardiol 1998; 3: 690–692.CrossRefGoogle Scholar
8Walsh, KP, Tofeig, M, Kitchiner, DJ, Peart, I, Arnold, R. Comparison of the Sideris and the Amplatzer septal occlusion devices. Am J Cardiol. 1999; 83: 933–936.CrossRefGoogle ScholarPubMed
9Godart, F, Rey, C, Francar, C, Jarrar, M, Vaksmann, G. Twodimensional echocardiographic and color Doppler measurement of atrial septal defect and comparison with the balloon-stretched diameter. Am J Cardiol. 1993; 72: 1095–1097.CrossRefGoogle ScholarPubMed
10Rao, PS, Langhough, R. Relationship of echocardiographic, shunt flow, and angiographic size to the stretched diameter of the atrial septal defect. Am Heart J. 1991; 122: 505–508.CrossRefGoogle Scholar
11Rao, PS, Sideris, EB, Hausdorf, G et al. International experience with secundum atrial septal defect occlusion by the buttoned device. Am Heart J 1994; 128: 1022–1035.CrossRefGoogle ScholarPubMed
12Gildein, HP, Dabritz, S, Geibel, A et al. Transcatheter closure of atrial septal defects by the “buttoned” device:complications and need for surgical revision. Pediatr Cardiol 1997; 18: 328–331.CrossRefGoogle ScholarPubMed
13Berger, F, Lang, P, Rey, C. The over the wire placement of the buttoned device for occlusion of atrial septal defect improved international results abstr. Cardiol Young 1995; 1: 1.Google Scholar
14Worms, AM, Rey, C, Bour, ON et al. Experience francaise de la fermeture des communications interauriculaires de type ostium secundum par la prothese boutonnee de Sideris. Arch Mai Cur. 1996; 89: 509–515.Google Scholar
15Lambert, V, Losay, J, Piot, JD et al. Complications tardives apres fermeture percutanee des communications interauriculaires par prothese boutonnee de Sideris. Arch Mai Coeur. 1997; 90: 245–251.Google ScholarPubMed
16Mercho, N, Stoller, JK, White, RD, Mehta, AC. Right-to-left interatrial shunt causing platypnea after pneumonectomy. A recent experience and diagnostic value of dynamic magneticresonance imaging. Chest 1994; 105: 931–933.Google ScholarPubMed
17Landzberg, MJ, Sloss, LJ, Faherry, CE et al. Orthodeoxiaplatypnea due to intracardiac shunting. Relief with transcatheter double umbrella closure. Cathet Cardiovasc Diagn 1995; 36: 247–250.Google ScholarPubMed
18Godart, F, Porte, H, Rey, C, Lablanche, JM, Wurtz, A. Postpneumonectomy interatrial right-to-left shunt: successful percutaneous treatment. Ann Thorac 1997; 64: 834–836.CrossRefGoogle ScholarPubMed
19Zamora, R, Rao, PS, Lloyd, TR, Beekman, RH, Sideris, EB. Intermediate-term results of phase 1 Food and Drug Administration trials of buttoned device occlusion of secundum atrial septal defect. JACC 1998; 31: 674–676.CrossRefGoogle Scholar