- Percutaneous Closure of Intra-MitraClip Leak: Impact of Occluder Device Type on Closure Success and Hemolysis. [Journal Article]
- JCJACC Cardiovasc Interv 2019 Jul 12
- A novel biodegradable occluder for the closure of ventricular septal defects: immediate and medium-term results in a canine model. [Journal Article]
- ICInteract Cardiovasc Thorac Surg 2019 Jul 18
- CONCLUSIONS: The effective occlusion of VSD, good biocompatibility, rapid endothelialization and lack of complications shown by the biodegradable occluder in this study suggest that the device meets acceptable clinical safety and has potential application prospects.
- Kissing-Watchman technique applied in single-lobulated left atrial appendage anatomy with giant ostia. [Journal Article]
- CJCardiol J 2019 Jul 17
- CONCLUSIONS: When necessary, the implantation of a kissing-device to achieve complete LAA occlusion in patients with single-lobulated left atrial appendage and giant ostia anatomy is safe and leads to favorable results during follow-up. Potentially, this technical innovation may widen Watchman indications in single-lobulated left atrial appendage with giant ostia anatomy.
- Retrograde transcatheter aortic valve closure in an infant with failing Norwood stage I palliation: a case report. [Journal Article]
- JMJ Med Case Rep 2019 Jul 17; 13(1):217
- CONCLUSIONS: Retrograde transcatheter aortic valve closure may be considered a feasible alternative in infants with a failing single ventricle due to aortic regurgitation, with critical device evaluation being crucial for successful device implantation in this young age group.
- Device-related thrombosis on atrial septal defect occluder after simultaneous closure of left atrial appendage and atrial septal defect: a case report. [Journal Article]
- JGJ Geriatr Cardiol 2019; 16(6):490-494
- Role of Cardiac Septal Occluders in the Treatment of Gastrointestinal Fistulas: A Systematic Review. [Review]
- CEClin Endosc 2019 Jul 09
- Treating gastrointestinal (GI) fistulas endoscopically is challenging owing to an established epithelial tract. The variety of endoscopic approaches is transforming endoscopy into a first-line therap…
Treating gastrointestinal (GI) fistulas endoscopically is challenging owing to an established epithelial tract. The variety of endoscopic approaches is transforming endoscopy into a first-line therapy. However, many sessions are often required, with variable success rates. Owing to these limitations, the off-label use of cardiac septal occluders (CSOs) has been reported. We searched for articles related to CSOs in the MEDLINE, EMBASE, Cochrane Library, and LILACS databases and gray literature. The primary outcomes included technical success, clinical success, and safety of CSOs in GI fistula management. A total of 25,574 records were identified, and 19 studies ultimately satisfied the inclusion criteria. Technical success was achieved in all cases. Of the 22 fistulas, 77.27% had successful closure, with a mean follow-up period of 32.02 weeks. The adverse event rate was 22.72%, with no associated mortality. Univariable and multivariable regression analyses showed no significant difference in the success of closure and adverse events in relation to several variables among the subgroups. The use of CSOs appeared to be technically feasible, effective, and safe in the treatment of GI fistulas. The satisfactory results derived from this sparse literature suggest that it can be an option in the management of GI fistulas.
- [A case of ductus arteriosus occluder displacement]. [Journal Article]
- ZXZhonghua Xin Xue Guan Bing Za Zhi 2019 Jun 24; 47(6):492-493
- The Limiting Case of Amodal Completion: The Phenomenal Salience and the Role of Contrast Polarity. [Journal Article]
- BSBrain Sci 2019 Jun 24; 9(6)
- In this work, we demonstrated unique and relevant visual properties imparted by contrast polarity in perceptual organization and in eliciting amodal completion, which is the vivid completion of a sin…
In this work, we demonstrated unique and relevant visual properties imparted by contrast polarity in perceptual organization and in eliciting amodal completion, which is the vivid completion of a single continuous object of the visible parts of an occluded shape despite portions of its boundary contours not actually being seen. T-junction, good continuation, and closure are considered the main principles involved according to relevant explanations of amodal completion based on the simplicity-Prägnanz principle, Helmholtz's likelihood, and Bayesian inference. The main interest of these approaches is to explain how the occluded object is completed, what is the amodal shape, and how contours of partially visible fragments are relatable behind an occluder. Different from these perspectives, amodal completion was considered here as a visual phenomenon and not as a process, i.e., the final outcome of perceptual processes and grouping principles. Therefore, the main question we addressed through our stimuli was "What is the role of shape formation and perceptual organization in inducing amodal completion?" To answer this question, novel stimuli, similar to limiting cases and instantiae crucis, were studied through Gestalt experimental phenomenology. The results demonstrated the domination of the contrast polarity against good continuation, T-junctions, and regularity. Moreover, the limiting conditions explored revealed a new kind of junction next to the T- and Y-junctions, respectively responsible for amodal completion and tessellation. We called them I-junctions. The results were theoretically discussed in relation to the previous approaches and in the light of the phenomenal salience imparted by contrast polarity.
- Antithrombotic/Antiplatelet Treatment in Transcatheter Structural Cardiac Interventions-PFO/ASD/LAA Occluder and Interatrial Shunt Devices. [Review]
- FCFront Cardiovasc Med 2019; 6:75
- Transcatheter interventions enable safe and efficient treatment of various structural heart diseases. However, therapy does not finished with the end of the procedure. Device thrombosis is a possible…
Transcatheter interventions enable safe and efficient treatment of various structural heart diseases. However, therapy does not finished with the end of the procedure. Device thrombosis is a possible serious complication. Therefore, careful patient management should include optimal antiplatelet or antithrombotic medication to enhance safe and complete endothelial coverage of the implanted device. In case of thrombus formation careful diagnostic evaluation and prompt treatment is crucial. This paper provides an update to current knowledge and understanding of prevention and management of device related thrombosis.
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- Very long-term outcomes of transcatheter secundum atrial septal defect closure using intracardiac echocardiography without balloon sizing. [Journal Article]
- CRClin Radiol 2019 Jun 20
- CONCLUSIONS: The present study suggested that ICE-guided closure of ASDs with current devices without sizing balloons is safe and effective with very low procedural and late complications even in the very long-term follow-up.