ASD Closure in Structural Heart Disease.

Abstract:

PURPOSE OF REVIEW:While the safety and efficacy of percutaneous ASD closure has been established, new data have recently emerged regarding the negative impact of residual iatrogenic ASD (iASD) following left heart structural interventions. Additionally, new devices with potential advantages have recently been studied. We will review here the potential indications for closure of iASD along with new generation closure devices and potential late complications requiring long-term follow-up. RECENT FINDINGS:With the expansion of left-heart structural interventions and large-bore transseptal access, there has been growing experience gained with management of residual iASD. Some recently published reports have implicated residual iASD after these procedures as a potential source of diminished clinical outcomes and mortality. Additionally, recent trials investigating new generation closure devices as well as expanding knowledge regarding late complications of percutaneous ASD closure have been published. While percutaneous ASD closure is no longer a novel approach to managing septal defects, there are several contemporary issues related to residual iASD following large-bore transseptal access and new generation devices which serve as an impetus for this review. Ongoing attention to potential late complications and decreasing their incidence with ongoing study is clearly needed.

journal_name

Curr Cardiol Rep

authors

Wiktor DM,Carroll JD

doi

10.1007/s11886-018-0983-x

subject

Has Abstract

pub_date

2018-04-17 00:00:00

pages

37

issue

6

eissn

1523-3782

issn

1534-3170

pii

10.1007/s11886-018-0983-x

journal_volume

20

pub_type

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