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Atrial septal defect closure: indications and contra-indications

Abstract : 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.
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https://hal.umontpellier.fr/hal-01874943
Contributeur : Dominique Mornet <>
Soumis le : mardi 28 avril 2020 - 10:15:42
Dernière modification le : vendredi 15 mai 2020 - 12:22:09

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2018 Fraisse et al., Atrial se...
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Alain Fraisse, Monica Latchman, Shiv-Raj Sharma, Selin Bayburt, Pascal Amedro, et al.. Atrial septal defect closure: indications and contra-indications. Journal of Thoracic Disease, AME Publishing Company, 2018, 10 (S24), pp.S2874-S2881. ⟨10.21037/jtd.2018.08.111⟩. ⟨hal-01874943⟩

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