{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T01:20:46Z","timestamp":1770513646352,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,8,6]],"date-time":"2014-08-06T00:00:00Z","timestamp":1407283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2014,11,15]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Device closure of atrial septal defects (ASD II) is an alternative to surgery. ASD morphology and intracardiac relationships may influence device selection. Biocompatibility, techniques for closing large or multiple defects, and the risk of erosion are main issues in children<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The GORE\u00ae Septal Occluder (GSO) is a non\u2010self\u2010centering device with a flat and conformable nitinol\u2010frame covered with expanded polytetrafluoroethylene. We hereby evaluate our initial experience in children to demonstrate feasibility, efficacy, and safety. <jats:bold>Methods:<\/jats:bold> Single\u2010center retrospective intention\u2010to\u2010treat analysis of GSO procedures in children and adolescents with hemodynamically significant ASD. All procedures were conducted under general anesthesia, fluoroscopy and transesophageal echocardiography. All defects were sized using stop\u2010flow\u2010technique. GSOs of 20\u201330 mm disc\u2010diameter were implanted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>GSO implantation was attempted in 45 with technical success in 41 patients, median age 6 (range 3\u201317) years, bodyweight 19 (12\u201395) kg. Median balloon\u2010sized diameter was 13 (8\u201319) mm resulting in a GSO\u2010to\u2010ASD\u2010ratio of 2 (1.7\u20132.5). Deficient retro\u2010aortic rims (&lt;3 mm) were found in 12 patients, and 10 of these 12 defects could be closed. We observed no complications. Four extensive or multiple ASDs were not treated successfully with GSO. After retrieval, one was closed with a different device; three patients needed surgical therapy. The median follow\u2010up of four (range 0.2\u201322) months was uneventful in all patients<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found the GSO device closure of ASDs in children to be effective. However, our initial experience is limited to short\u2010 and mid\u2010term\u2010follow\u2010up of a low number of patients. \u00a9 2014 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.25494","type":"journal-article","created":{"date-parts":[[2014,3,24]],"date-time":"2014-03-24T11:16:39Z","timestamp":1395659799000},"source":"Crossref","is-referenced-by-count":16,"title":["Transcatheter closure of atrial septal defects in children and adolescents: Single\u2010center experience with the GORE\u00ae septal occluder"],"prefix":"10.1002","volume":"84","author":[{"given":"J.","family":"Grohmann","sequence":"first","affiliation":[{"name":"Department of Congenital Heart Defects and Pediatric Cardiology Heart Center, University of Freiburg Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"H\u00f6hn","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Defects and Pediatric Cardiology Heart Center, University of Freiburg Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Fleck","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Defects and Pediatric Cardiology Heart Center, University of Freiburg Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Schmoor","sequence":"additional","affiliation":[{"name":"Clinical Trials Unit, Medical Center, University of Freiburg Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Stiller","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Defects and Pediatric Cardiology Heart Center, University of Freiburg Freiburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,8,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2011.12.031"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.108.810507"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22155"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biomaterials.2007.07.017"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22435"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21145"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2013.07.020"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24347"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24500"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25106"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24851"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25216"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20211"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.11.053"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24405"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV8I6A111"},{"key":"e_1_2_6_18_1","first-page":"465","article-title":"HELEX septal occluder for transcatheter closure of patent foramen ovale: Multicentre experience","volume":"1","author":"Billinger K","year":"2006","journal-title":"EuroIntervention"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-012-0445-1"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.07.009"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.25494","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.25494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T21:19:09Z","timestamp":1696627149000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.25494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,6]]},"references-count":19,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,11,15]]}},"alternative-id":["10.1002\/ccd.25494"],"URL":"https:\/\/doi.org\/10.1002\/ccd.25494","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,6]]}}}