Skip to main content

Transcatheter Closure of Atrial-Septal Defects Using the Amplatzer Devices

  • Chapter
Book cover Interventional Cardiology

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

An atrial-septal defect (ASD) is defined as an opening or defect in the atrial septum, between the right and left atrium. It excludes the patent foramen ovale. Four types of ASDs are recognized with distinct anatomic and embryological differences:

  1. 1.

    Primum defects arise from abnormal atrial-septal tissue development from the endocardial cushions.

  2. 2.

    Secundum result from defects in the septum primum with incomplete overlap of septum secundum.

  3. 3.

    Sinus venosus (superior vena cava type and inferior vena cava type) are defects in the part of the atrial septum that develops from the embryonic sinus venosus.

  4. 4.

    Coronary sinus septal defect is a defect in septation between the coronary sinus and the left atrium (LA).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Porter CJ, Feldt RH, Edwards WD, et al. Atrial septal defects. In: Moss and Adams’ heart disease in infants, children, and adolescents: including the fetus and young adult, 6th ed. Baltimore, MD: Williams and Wilkins, 2001:603–617.

    Google Scholar 

  2. Vick GW. Defects of the atrial septum including atrioventricular septal defects. In: The science and practice of pediatric cardiology, 2nd ed. Garson, Bricker, Fisher, and Neish, eds. Williams and Wilkins, Baltimore, MD: 1998:1141–1180.

    Google Scholar 

  3. Murphy JG, Gersh BJ, McGoon MD, et al. Long-term outcome after surgical repair of isolated atrial septal defect. N Engl J Med 1990;323:1645–1650.

    Article  PubMed  CAS  Google Scholar 

  4. Steele PM, Fuster V, Cohen M, Ritter DG, et al. Isolated atrial septal defect with pulmonary vascular obstructive disease—long-term follow-up and prediction of outcome after surgical correction. Circulation 1987;76(5):1037–1042.

    PubMed  CAS  Google Scholar 

  5. Masura J, Gavora P, Formanek A, Hijazi ZM. Trans-catheter closure of secundum atrial septal defects using the new self-centering Amplatzer septal occluder: initial human experience. Cathet Cardiovasc Diagn 1997;42: 388–393.

    Article  PubMed  CAS  Google Scholar 

  6. Weeks SM. Unconventional venous access. Tech Vasc Intervent Radiol 2002;5(2):114–120.

    Article  Google Scholar 

  7. Hijazi ZM, Cao Q, Patel HT, Rhodes J, et al. Trans-esophageal echocardiographic results of catheter closure of atrial septal defects in children and adults using the Amplatzer device. Am J Cardiol 2000;85:1387–1390.

    Article  PubMed  CAS  Google Scholar 

  8. Cao Q, Radtke W, Berger F, Zhu W, et al. Transcatheter closure of multiple atrial septal defects. Initial results and value of two-and three-dimensional transesophgeal echocardiography. Eur Heart J 2000; 21(11): 941–947.

    Article  PubMed  CAS  Google Scholar 

  9. Abdul Wahab H, Bairam AR, Cao QL, Hijazi ZM. Novel technique to prevent prolapse of the Amplatzer septal occluder through large atrial septal defect. Catheter Cardiovasc Interv 2003;60:543–545.

    Article  PubMed  Google Scholar 

  10. Du ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntx K, for the Amplatzer investigators. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multi-center non-randomized trial. J Am Coll Cardiol 2000;39:1836–1844.

    Article  Google Scholar 

  11. Durongpisitkul K, Soongswang J, Laohaprasitiporn D, et al. Comparison of atrial septal defect closure using amplatzer septal occluder with surgery. Pediatr Cardiol 2002;23(1):36–40.

    Article  PubMed  CAS  Google Scholar 

  12. Fischer G, Stieh J, Uebing A, et al. Experience with transcatheter closure of secundum atrial septal defects using the Amplatzer septal occluder: a single centre study in 236 consecutive patients. Heart. 2003;89(2): 199–204.

    Article  PubMed  CAS  Google Scholar 

  13. Kim JJ, Hijazi ZM. Clinical outcomes and cost of Amplatzer transcatheter closure as compared with surgical closure of ostium secundum atrial septal defects. Med Sci Monit 2002;8(12):CR787–CR791.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Patel, H., Holzer, R., Cao, QL., Hijazi, Z.M. (2005). Transcatheter Closure of Atrial-Septal Defects Using the Amplatzer Devices. In: Herrmann, H.C. (eds) Interventional Cardiology. Contemporary Cardiology. Humana Press. https://doi.org/10.1385/1-59259-898-6:161

Download citation

  • DOI: https://doi.org/10.1385/1-59259-898-6:161

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-367-1

  • Online ISBN: 978-1-59259-898-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics