Skip to main content
Erschienen in: Pediatric Cardiology 5/2015

01.06.2015 | Original Article

Comparison of the Occlutech® Figulla® Septal Occluder and Amplatzer® Septal Occluder for Atrial Septal Defect Device Closure

verfasst von: Supaporn Roymanee, Worakan Promphan, Nakharin Tonklang, Kanjarut Wongwaitaweewong

Erschienen in: Pediatric Cardiology | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

The Occlutech® Figulla® septal occluder (OFSO) is a later-generation double-disk device with few reports of its success rates and complications compared with the Amplatzer® septal occluder (ASO), which is the worldwide standard device in percutaneous atrial septal defect (ASD) closure. We recruited and compared the results in 149 patients (76.5 % female) who underwent ASD device closure in our center between January 2003 and June 2012. The patients ranged in age from 2.3 to 77.2 years. There were no statistically significant differences between the two groups regarding patient baseline characteristics and procedure variables. The success rate using either device was excellent (ASO 94.4 % and OFSO 97.4 %; p = 0.43). Although the diameter of the ASD and the pulmonary arterial pressure in the OFSO group were slightly higher than in the ASO group, the median fluoroscopic time in the OFSO group was significantly shorter (ASO 13.7 min; OFSO 9.0 min; p < 0.001). The overall median follow-up time was 3.6 years (interquartile range 2.1–9.0 years). There were no significant differences between the major and minor complications when comparing the two devices. Both devices were safe and effective for percutaneous ASD closures. The OFSO had the benefit of a shorter fluoroscopic time.
Literatur
1.
Zurück zum Zitat Abaci A, Unlu S, Alsancak Y, Kaya U, Sezenoz B (2013) Short and long term complications of device closure of atrial septal defect and patent foramen ovale: meta-analysis of 28,142 patients from 203 studies. Catheter Cardiovasc Interv 82:1123–1138. doi:10.1002/ccd.24875 CrossRefPubMed Abaci A, Unlu S, Alsancak Y, Kaya U, Sezenoz B (2013) Short and long term complications of device closure of atrial septal defect and patent foramen ovale: meta-analysis of 28,142 patients from 203 studies. Catheter Cardiovasc Interv 82:1123–1138. doi:10.​1002/​ccd.​24875 CrossRefPubMed
2.
Zurück zum Zitat Amin Z, Hijazi ZM, Bass JL, Cheatham JP, Hellenbrand WE, Kleinman CS (2004) Erosion of Amplatzer septal occluder device after closure of secundum atrial septal defects: review of registry of complications and recommendations to minimize future risk. Catheter Cardiovasc Interv 63:496–502CrossRefPubMed Amin Z, Hijazi ZM, Bass JL, Cheatham JP, Hellenbrand WE, Kleinman CS (2004) Erosion of Amplatzer septal occluder device after closure of secundum atrial septal defects: review of registry of complications and recommendations to minimize future risk. Catheter Cardiovasc Interv 63:496–502CrossRefPubMed
3.
Zurück zum Zitat Ammar RI, Hegazy RA (2013) Transcatheter closure of secundum ASD using Occlutech Figulla-N device in symptomatic children younger than 2 years of age. J Invasive Cardiol 25:76–79PubMed Ammar RI, Hegazy RA (2013) Transcatheter closure of secundum ASD using Occlutech Figulla-N device in symptomatic children younger than 2 years of age. J Invasive Cardiol 25:76–79PubMed
4.
Zurück zum Zitat Aytemir K, Oto A, Ozkutlu S, Kaya EB, Canpolat U, Yorgun H, Sahiner L, Kabakçi G (2012) Early-mid term follow-up results of percutaneous closure of the interatrial septal defects with occlutech figulla devices: a single center experience. J Interv Cardiol 25:375–381CrossRefPubMed Aytemir K, Oto A, Ozkutlu S, Kaya EB, Canpolat U, Yorgun H, Sahiner L, Kabakçi G (2012) Early-mid term follow-up results of percutaneous closure of the interatrial septal defects with occlutech figulla devices: a single center experience. J Interv Cardiol 25:375–381CrossRefPubMed
5.
Zurück zum Zitat Cansel M, Pekdemir H, Yağmur J, Tasolar H, Ermis N, Kurtoglu E, Acıkgoz N, Atas H, Ozdemir R (2011) Early single clinical experience with the new Figulla ASD occluder for transcatheter closure of atrial septal defect in adults. Arch Cardiovasc Dis 104:155–160CrossRefPubMed Cansel M, Pekdemir H, Yağmur J, Tasolar H, Ermis N, Kurtoglu E, Acıkgoz N, Atas H, Ozdemir R (2011) Early single clinical experience with the new Figulla ASD occluder for transcatheter closure of atrial septal defect in adults. Arch Cardiovasc Dis 104:155–160CrossRefPubMed
6.
Zurück zum Zitat DiBardino DJ, McElhinney DB, Kaza AK, Mayer JE Jr (2009) Analysis of the US Food and Drug Administration Manufacturer and User Facility Device Experience database for adverse events involving Amplatzer septal occluder devices and comparison with the Society of Thoracic Surgery congenital cardiac surgery database. J Thorac Cardiovasc Surg 137:1334–1341. doi:10.1016/j.jtcvs.2009.02.032 CrossRefPubMedCentralPubMed DiBardino DJ, McElhinney DB, Kaza AK, Mayer JE Jr (2009) Analysis of the US Food and Drug Administration Manufacturer and User Facility Device Experience database for adverse events involving Amplatzer septal occluder devices and comparison with the Society of Thoracic Surgery congenital cardiac surgery database. J Thorac Cardiovasc Surg 137:1334–1341. doi:10.​1016/​j.​jtcvs.​2009.​02.​032 CrossRefPubMedCentralPubMed
7.
Zurück zum Zitat Du ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntz K (2002) Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol 39:1836–1844CrossRefPubMed Du ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntz K (2002) Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol 39:1836–1844CrossRefPubMed
8.
Zurück zum Zitat Durongpisitkul K, Soongswang J, Laohaprasitiporn D, Nana A, Sriyoschati S, Ponvilawan S, Subtaweesin T, Kangkagate C (2002) Comparison of atrial septal defect closure using amplatzer septal occluder with surgery. Pediatr Cardiol 23:36–40CrossRefPubMed Durongpisitkul K, Soongswang J, Laohaprasitiporn D, Nana A, Sriyoschati S, Ponvilawan S, Subtaweesin T, Kangkagate C (2002) Comparison of atrial septal defect closure using amplatzer septal occluder with surgery. Pediatr Cardiol 23:36–40CrossRefPubMed
10.
Zurück zum Zitat Fu YC, Cao QL, Hijazi ZM (2007) Device closure of large atrial septal defects: technical considerations. J Cardiovasc Med 8:30–33CrossRef Fu YC, Cao QL, Hijazi ZM (2007) Device closure of large atrial septal defects: technical considerations. J Cardiovasc Med 8:30–33CrossRef
11.
Zurück zum Zitat Halabi A, Hijazi ZM (2008) A new device to close secundum atrial septal defects: first clinical use to close multiple defects in a child. Catheter Cardiovasc Interv 71:853–856CrossRefPubMed Halabi A, Hijazi ZM (2008) A new device to close secundum atrial septal defects: first clinical use to close multiple defects in a child. Catheter Cardiovasc Interv 71:853–856CrossRefPubMed
12.
Zurück zum Zitat Harper RW, Mottram PM, McGaw DJ (2002) Closure of secundum atrial septal defects with the Amplatzer septal occluder device: techniques and problems. Catheter Cardiovasc Interv 57:508–524CrossRefPubMed Harper RW, Mottram PM, McGaw DJ (2002) Closure of secundum atrial septal defects with the Amplatzer septal occluder device: techniques and problems. Catheter Cardiovasc Interv 57:508–524CrossRefPubMed
13.
Zurück zum Zitat Ilkay E, Kaçmaz F, Özeke Ö, Turan RS, Firat S, Pampal K, Ozer E, Bilgin S (2010) The efficiency and safety of percutaneous closure of secundum atrial septal defects with the Occlutech Figulla device: initial clinical experience. Turk Kardiyol Dern Ars 38:189–193PubMed Ilkay E, Kaçmaz F, Özeke Ö, Turan RS, Firat S, Pampal K, Ozer E, Bilgin S (2010) The efficiency and safety of percutaneous closure of secundum atrial septal defects with the Occlutech Figulla device: initial clinical experience. Turk Kardiyol Dern Ars 38:189–193PubMed
14.
Zurück zum Zitat King TD, Mills NL (1974) Nonoperative closure of atrial septal defects. Surgery 75:383–388PubMed King TD, Mills NL (1974) Nonoperative closure of atrial septal defects. Surgery 75:383–388PubMed
15.
Zurück zum Zitat Krizanic F, Sievert H, Pfeiffer D, Konorza T, Ferrari M, Hijazi Z, Jung C, Lauten A, Figulla HR (2010) The Occlutech Figulla PFO and ASD occluder: a new nitinol wire mesh device for closure of atrial septal defects. J Invasive Cardiol 22:182–187PubMed Krizanic F, Sievert H, Pfeiffer D, Konorza T, Ferrari M, Hijazi Z, Jung C, Lauten A, Figulla HR (2010) The Occlutech Figulla PFO and ASD occluder: a new nitinol wire mesh device for closure of atrial septal defects. J Invasive Cardiol 22:182–187PubMed
16.
Zurück zum Zitat Masura J, Gavora P, Podnar T (2005) Long-term outcome of transcatheter secundum-type atrial septal defect closure using Amplatzer septal occluders. J Am Coll Cardiol 45:505–507CrossRefPubMed Masura J, Gavora P, Podnar T (2005) Long-term outcome of transcatheter secundum-type atrial septal defect closure using Amplatzer septal occluders. J Am Coll Cardiol 45:505–507CrossRefPubMed
17.
Zurück zum Zitat Pac A, Polat TB, Cetin I, Oflaz MB, Balli S (2009) Figulla ASD occluder versus Amplatzer Septal Occluder: a comparative study on validation of a novel device for percutaneous closure of atrial septal defects. J Interv Cardiol 22:489–495CrossRefPubMed Pac A, Polat TB, Cetin I, Oflaz MB, Balli S (2009) Figulla ASD occluder versus Amplatzer Septal Occluder: a comparative study on validation of a novel device for percutaneous closure of atrial septal defects. J Interv Cardiol 22:489–495CrossRefPubMed
18.
Zurück zum Zitat Quek SC, Wu WX, Chan KY, Ho TF, Yip WC (2010) Transcatheter closure of atrial septal defects: is balloon sizing still necessary? Ann Acad Med Singapore 39:390–393PubMed Quek SC, Wu WX, Chan KY, Ho TF, Yip WC (2010) Transcatheter closure of atrial septal defects: is balloon sizing still necessary? Ann Acad Med Singapore 39:390–393PubMed
19.
Zurück zum Zitat Suchon E, Pieculewicz M, Tracz W, Przewlocki T, Sadowski J, Podolec P (2009) Transcatheter closure as an alternative and equivalent method to the surgical treatment of atrial septal defect in adults: comparison of early and late results. Med Sci Monit 15:CR612–CR617PubMed Suchon E, Pieculewicz M, Tracz W, Przewlocki T, Sadowski J, Podolec P (2009) Transcatheter closure as an alternative and equivalent method to the surgical treatment of atrial septal defect in adults: comparison of early and late results. Med Sci Monit 15:CR612–CR617PubMed
20.
Zurück zum Zitat Tomar M, Khatri S, Radhakrishnan S, Shrivastava S (2011) Intermediate and long-term follow up of percutaneous device closure of fossa ovalis atrial septal defect by the Amplatzer septal occluder in a cohort of 529 patients. Ann Pediatr Cardiol 4:22–27CrossRefPubMedCentralPubMed Tomar M, Khatri S, Radhakrishnan S, Shrivastava S (2011) Intermediate and long-term follow up of percutaneous device closure of fossa ovalis atrial septal defect by the Amplatzer septal occluder in a cohort of 529 patients. Ann Pediatr Cardiol 4:22–27CrossRefPubMedCentralPubMed
21.
Zurück zum Zitat Van Den Branden BJ, Post MC, Plokker HW, Ten Berg JM, Suttorp MJ (2011) Percutaneous atrial shunt closure using the novel Occlutech Figulla device: 6-month efficacy and safety. J Interv Cardiol 24:264–270CrossRef Van Den Branden BJ, Post MC, Plokker HW, Ten Berg JM, Suttorp MJ (2011) Percutaneous atrial shunt closure using the novel Occlutech Figulla device: 6-month efficacy and safety. J Interv Cardiol 24:264–270CrossRef
22.
Zurück zum Zitat Vijarnsorn C, Durongpisitkul K, Chanthong P, Chungsomprasong P, Soongswang J, Loahaprasitiporn D, Nana A (2012) Transcatheter closure of atrial septal defects in children, middle-aged adults, and older adults: failure rates, early complications; and balloon sizing effects. Cardiol Res Pract 2012:584236PubMedCentralPubMed Vijarnsorn C, Durongpisitkul K, Chanthong P, Chungsomprasong P, Soongswang J, Loahaprasitiporn D, Nana A (2012) Transcatheter closure of atrial septal defects in children, middle-aged adults, and older adults: failure rates, early complications; and balloon sizing effects. Cardiol Res Pract 2012:584236PubMedCentralPubMed
23.
Zurück zum Zitat Walters DL, Boga T, Burstow D, Scalia G, Hourigan LA, Aroney CN (2012) Percutaneous ASD closure in a large Australian series: short- and long-term outcomes. Heart Lung Circ 21:572–575CrossRefPubMed Walters DL, Boga T, Burstow D, Scalia G, Hourigan LA, Aroney CN (2012) Percutaneous ASD closure in a large Australian series: short- and long-term outcomes. Heart Lung Circ 21:572–575CrossRefPubMed
24.
Zurück zum Zitat Wang JK, Tsai SK, Lin SM, Chiu SN, Lin MT, Wu MH (2008) Transcatheter closure of atrial septal defect without balloon sizing. Catheter Cardiovasc Interv 71:214–221CrossRefPubMed Wang JK, Tsai SK, Lin SM, Chiu SN, Lin MT, Wu MH (2008) Transcatheter closure of atrial septal defect without balloon sizing. Catheter Cardiovasc Interv 71:214–221CrossRefPubMed
Metadaten
Titel
Comparison of the Occlutech® Figulla® Septal Occluder and Amplatzer® Septal Occluder for Atrial Septal Defect Device Closure
verfasst von
Supaporn Roymanee
Worakan Promphan
Nakharin Tonklang
Kanjarut Wongwaitaweewong
Publikationsdatum
01.06.2015
Verlag
Springer US
Erschienen in
Pediatric Cardiology / Ausgabe 5/2015
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-015-1103-y

Weitere Artikel der Ausgabe 5/2015

Pediatric Cardiology 5/2015 Zur Ausgabe

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Strenge Blutdruckeinstellung lohnt auch im Alter noch

30.04.2024 Arterielle Hypertonie Nachrichten

Ältere Frauen, die von chronischen Erkrankungen weitgehend verschont sind, haben offenbar die besten Chancen, ihren 90. Geburtstag zu erleben, wenn ihr systolischer Blutdruck < 130 mmHg liegt. Das scheint selbst für 80-Jährige noch zu gelten.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Dihydropyridin-Kalziumantagonisten können auf die Nieren gehen

30.04.2024 Hypertonie Nachrichten

Im Vergleich zu anderen Blutdrucksenkern sind Kalziumantagonisten vom Diyhdropyridin-Typ mit einem erhöhten Risiko für eine Mikroalbuminurie und in Abwesenheit eines RAS-Blockers auch für ein terminales Nierenversagen verbunden.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.