The Experts below are selected from a list of 15 Experts worldwide ranked by ideXlab platform
Alain Fraisse - One of the best experts on this subject based on the ideXlab platform.
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Feasibility of transCatheter closure in unselected patients with secundum atrial septal defect, using amplatzer devices and a modified Sizing Balloon technique
Catheterization and Cardiovascular Interventions, 2011Co-Authors: Issam Kammache, Julien Mancini, Caroline Ovaert, Gilbert Habib, Alain FraisseAbstract:Objectives: We aimed to assess (1) the role of surgical versus transCatheter closure techniques and (2) the impact of a modified implantation technique to optimize closure of secundum septal defects with the Amplatzer device. Background: Despite several comparative studies, the respective roles of surgical and transCatheter closure are not clarified. Additionally, the impact of modified method of implantation on device closure remains unknown. Methods: Fifty-seven unselected patients were referred for secundum atrial septal defect closure in 2009, at a median age and weight of 27.5 (0.8–88) years and 40.6 (5.6–97) kg, respectively. TransCatheter closure was attempted in 53 cases under transesophagal echocardiography guidance in children (n = 28) and intracardiac echocardiography guidance in adults. If standard closure failed, a Sizing Balloon Catheter inflated in the left atrium was used as a support to secure the position of the device upon deployment. Results: Fifty of the 57 cases (88%) were successfully closed with a median Amplatzer Septal Occluder size of 20 (10–40) mm, using the Sizing Balloon technique in eight (16%) cases. No major complication occurred. A trivial residual shunt remained in two patients (4%) whereas a mild mitral regurgitation appeared in one. By univariate analysis, a deficient superior–posterior rim and a large defect (>15 mm2/m2) were associated with the use of the Sizing Balloon technique (P = 0.04 and 0.03, respectively). A deficient superior–posterior rim and pulmonary hypertension were associated with failure to close the defect (P = 0.02 and 0.03, respectively). Conclusion: The majority of secundum atrial septal defect is amenable to transCatheter closure, using a modified implantation technique in 16% of cases. © 2011 Wiley-Liss, Inc.
Issam Kammache - One of the best experts on this subject based on the ideXlab platform.
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Feasibility of transCatheter closure in unselected patients with secundum atrial septal defect, using amplatzer devices and a modified Sizing Balloon technique
Catheterization and Cardiovascular Interventions, 2011Co-Authors: Issam Kammache, Julien Mancini, Caroline Ovaert, Gilbert Habib, Alain FraisseAbstract:Objectives: We aimed to assess (1) the role of surgical versus transCatheter closure techniques and (2) the impact of a modified implantation technique to optimize closure of secundum septal defects with the Amplatzer device. Background: Despite several comparative studies, the respective roles of surgical and transCatheter closure are not clarified. Additionally, the impact of modified method of implantation on device closure remains unknown. Methods: Fifty-seven unselected patients were referred for secundum atrial septal defect closure in 2009, at a median age and weight of 27.5 (0.8–88) years and 40.6 (5.6–97) kg, respectively. TransCatheter closure was attempted in 53 cases under transesophagal echocardiography guidance in children (n = 28) and intracardiac echocardiography guidance in adults. If standard closure failed, a Sizing Balloon Catheter inflated in the left atrium was used as a support to secure the position of the device upon deployment. Results: Fifty of the 57 cases (88%) were successfully closed with a median Amplatzer Septal Occluder size of 20 (10–40) mm, using the Sizing Balloon technique in eight (16%) cases. No major complication occurred. A trivial residual shunt remained in two patients (4%) whereas a mild mitral regurgitation appeared in one. By univariate analysis, a deficient superior–posterior rim and a large defect (>15 mm2/m2) were associated with the use of the Sizing Balloon technique (P = 0.04 and 0.03, respectively). A deficient superior–posterior rim and pulmonary hypertension were associated with failure to close the defect (P = 0.02 and 0.03, respectively). Conclusion: The majority of secundum atrial septal defect is amenable to transCatheter closure, using a modified implantation technique in 16% of cases. © 2011 Wiley-Liss, Inc.
Julien Mancini - One of the best experts on this subject based on the ideXlab platform.
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Feasibility of transCatheter closure in unselected patients with secundum atrial septal defect, using amplatzer devices and a modified Sizing Balloon technique
Catheterization and Cardiovascular Interventions, 2011Co-Authors: Issam Kammache, Julien Mancini, Caroline Ovaert, Gilbert Habib, Alain FraisseAbstract:Objectives: We aimed to assess (1) the role of surgical versus transCatheter closure techniques and (2) the impact of a modified implantation technique to optimize closure of secundum septal defects with the Amplatzer device. Background: Despite several comparative studies, the respective roles of surgical and transCatheter closure are not clarified. Additionally, the impact of modified method of implantation on device closure remains unknown. Methods: Fifty-seven unselected patients were referred for secundum atrial septal defect closure in 2009, at a median age and weight of 27.5 (0.8–88) years and 40.6 (5.6–97) kg, respectively. TransCatheter closure was attempted in 53 cases under transesophagal echocardiography guidance in children (n = 28) and intracardiac echocardiography guidance in adults. If standard closure failed, a Sizing Balloon Catheter inflated in the left atrium was used as a support to secure the position of the device upon deployment. Results: Fifty of the 57 cases (88%) were successfully closed with a median Amplatzer Septal Occluder size of 20 (10–40) mm, using the Sizing Balloon technique in eight (16%) cases. No major complication occurred. A trivial residual shunt remained in two patients (4%) whereas a mild mitral regurgitation appeared in one. By univariate analysis, a deficient superior–posterior rim and a large defect (>15 mm2/m2) were associated with the use of the Sizing Balloon technique (P = 0.04 and 0.03, respectively). A deficient superior–posterior rim and pulmonary hypertension were associated with failure to close the defect (P = 0.02 and 0.03, respectively). Conclusion: The majority of secundum atrial septal defect is amenable to transCatheter closure, using a modified implantation technique in 16% of cases. © 2011 Wiley-Liss, Inc.
Caroline Ovaert - One of the best experts on this subject based on the ideXlab platform.
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Feasibility of transCatheter closure in unselected patients with secundum atrial septal defect, using amplatzer devices and a modified Sizing Balloon technique
Catheterization and Cardiovascular Interventions, 2011Co-Authors: Issam Kammache, Julien Mancini, Caroline Ovaert, Gilbert Habib, Alain FraisseAbstract:Objectives: We aimed to assess (1) the role of surgical versus transCatheter closure techniques and (2) the impact of a modified implantation technique to optimize closure of secundum septal defects with the Amplatzer device. Background: Despite several comparative studies, the respective roles of surgical and transCatheter closure are not clarified. Additionally, the impact of modified method of implantation on device closure remains unknown. Methods: Fifty-seven unselected patients were referred for secundum atrial septal defect closure in 2009, at a median age and weight of 27.5 (0.8–88) years and 40.6 (5.6–97) kg, respectively. TransCatheter closure was attempted in 53 cases under transesophagal echocardiography guidance in children (n = 28) and intracardiac echocardiography guidance in adults. If standard closure failed, a Sizing Balloon Catheter inflated in the left atrium was used as a support to secure the position of the device upon deployment. Results: Fifty of the 57 cases (88%) were successfully closed with a median Amplatzer Septal Occluder size of 20 (10–40) mm, using the Sizing Balloon technique in eight (16%) cases. No major complication occurred. A trivial residual shunt remained in two patients (4%) whereas a mild mitral regurgitation appeared in one. By univariate analysis, a deficient superior–posterior rim and a large defect (>15 mm2/m2) were associated with the use of the Sizing Balloon technique (P = 0.04 and 0.03, respectively). A deficient superior–posterior rim and pulmonary hypertension were associated with failure to close the defect (P = 0.02 and 0.03, respectively). Conclusion: The majority of secundum atrial septal defect is amenable to transCatheter closure, using a modified implantation technique in 16% of cases. © 2011 Wiley-Liss, Inc.
Gilbert Habib - One of the best experts on this subject based on the ideXlab platform.
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Feasibility of transCatheter closure in unselected patients with secundum atrial septal defect, using amplatzer devices and a modified Sizing Balloon technique
Catheterization and Cardiovascular Interventions, 2011Co-Authors: Issam Kammache, Julien Mancini, Caroline Ovaert, Gilbert Habib, Alain FraisseAbstract:Objectives: We aimed to assess (1) the role of surgical versus transCatheter closure techniques and (2) the impact of a modified implantation technique to optimize closure of secundum septal defects with the Amplatzer device. Background: Despite several comparative studies, the respective roles of surgical and transCatheter closure are not clarified. Additionally, the impact of modified method of implantation on device closure remains unknown. Methods: Fifty-seven unselected patients were referred for secundum atrial septal defect closure in 2009, at a median age and weight of 27.5 (0.8–88) years and 40.6 (5.6–97) kg, respectively. TransCatheter closure was attempted in 53 cases under transesophagal echocardiography guidance in children (n = 28) and intracardiac echocardiography guidance in adults. If standard closure failed, a Sizing Balloon Catheter inflated in the left atrium was used as a support to secure the position of the device upon deployment. Results: Fifty of the 57 cases (88%) were successfully closed with a median Amplatzer Septal Occluder size of 20 (10–40) mm, using the Sizing Balloon technique in eight (16%) cases. No major complication occurred. A trivial residual shunt remained in two patients (4%) whereas a mild mitral regurgitation appeared in one. By univariate analysis, a deficient superior–posterior rim and a large defect (>15 mm2/m2) were associated with the use of the Sizing Balloon technique (P = 0.04 and 0.03, respectively). A deficient superior–posterior rim and pulmonary hypertension were associated with failure to close the defect (P = 0.02 and 0.03, respectively). Conclusion: The majority of secundum atrial septal defect is amenable to transCatheter closure, using a modified implantation technique in 16% of cases. © 2011 Wiley-Liss, Inc.