{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T14:41:33Z","timestamp":1763563293035},"reference-count":9,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,1,12]],"date-time":"2016-01-12T00:00:00Z","timestamp":1452556800000},"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":[[2016,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To report on a new technique that increases the safety of percutaneous atrial septal defect (ASD) closure using a goose\u2010neck snare system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>ASD transcatheter closure is a widespread procedure. However, in some cases, ASDs may be large and with soft rims. In these situation, a potential risk exists for device malposition or embolization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>When transesophageal echocardiography (TEE) evaluation and balloon sizing showed large defects with floppy rims the chosen Amplatzer device was implanted in a standard way. In large defects with floppy rims, before release a 5\u2010mm goose\u2010neck snare with its 4 Fr catheter was placed across the delivery cable and fixed to catch the screwing mechanism of implanted Amplatzer device. The delivery cable was unscrewed and the device reached its final position without any tension. If the position was considered satisfactory the device was released from the goose\u2010neck snare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirteen patients had a snare\u2010assisted ASD transcatheter closure. Median device size was 24 mm (range 14\u201038 mm). Retrieval or repositioning of the device using the goose\u2010neck snare was performed in four cases: in three patients, because of device malposition after delivery cable release and in one patient, because of unsuitability of closure of a second significant defect. Furthermore, in two subjects with multiple ASDs, a second fenestration looked quite significant with the device still attached to the delivery cable while it appeared smaller after release.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Snare\u2010assisted Amplatzer ASD device placement is a new method for ASD percutaneous closure and adds safety to the procedure. \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26369","type":"journal-article","created":{"date-parts":[[2016,1,12]],"date-time":"2016-01-12T10:14:19Z","timestamp":1452593659000},"page":"926-930","source":"Crossref","is-referenced-by-count":10,"title":["Goose\u2010neck snare\u2010assisted transcatheter <scp>ASD<\/scp> closure: A safety procedure for large and complex <scp>ASD<\/scp>s"],"prefix":"10.1002","volume":"87","author":[{"given":"Gianfranco","family":"Butera","sequence":"first","affiliation":[{"name":"Department of Congenital Cardiology and Cardiac Surgery Policlinico San Donato IRCCS  Milan 20097 Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicusor","family":"Lovin","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiology and Cardiac Surgery Policlinico San Donato IRCCS  Milan 20097 Italy"},{"name":"Department of Cardiology Institutul De Boli Cardiovasculare \u201cProf.Dr.George I.M. Georgescu\u201d Iasi Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenica","family":"Paola Basile","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiology and Cardiac Surgery Policlinico San Donato IRCCS  Milan 20097 Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Carminati","sequence":"additional","affiliation":[{"name":"Department of Congenital Cardiology and Cardiac Surgery Policlinico San Donato IRCCS  Milan 20097 Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,1,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq249"},{"key":"e_1_2_6_3_1","first-page":"213","article-title":"Transcatheter closure of atrial septal defects: How large is too large?","volume":"4","author":"Fraisse A","year":"2014","journal-title":"Cardiovasc Diagn Ther"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v7.i3.150"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV7I3A63"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25175"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-88-470-5681-7_26"},{"key":"e_1_2_6_8_1","first-page":"74","article-title":"Prospective randomized trial of transthoracic echocardiography versus transesophageal echocardiography for assessment and guidance of transcatheter closure of atrial septal defects in children using the Amplatzer septal occluder","volume":"6","author":"Bartakia S","year":"2013","journal-title":"J Am Coll Cardiol Int"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV9I8A160"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2010.12.006"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.26369","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.26369","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.26369","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:25:57Z","timestamp":1695493557000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.26369"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,12]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1002\/ccd.26369"],"URL":"https:\/\/doi.org\/10.1002\/ccd.26369","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,12]]}}}