{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T11:12:40Z","timestamp":1767093160038,"version":"3.37.3"},"reference-count":35,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,11,30]],"date-time":"2016-11-30T00:00:00Z","timestamp":1480464000000},"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":[[2017,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the safety and efficacy of the Gore Septal Occluder (GSO) used for device\u2010closure of significant secundum\u2010type atrial septal defects (ASD II) focusing on pediatric patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The GSO is a patch\u2010like double disc device. Due to its design, it is assumed to be safe, even when implanted in ASDs with deficient retro\u2010aortic rims.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Multicenter retrospective analysis of consecutive children and adolescents with a GSO in situ for at least 12 months according to a 1\u2010 to 4\u2010year midterm follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hundred and seventy three pediatric patients were enrolled. At implantation, median age was 6 years (range 0.7\u201317.9), median body weight and length were 21 kg (6.4\u201395) and 119 cm (65\u2013193). Median follow\u2010up period was 20 months (range 12\u201351). ASD anatomy was comprised of single defects in 131 patients (76%), multi\u2010fenestrated defects in 42 (24%), and deficient retro\u2010aortic rims in 33 (19%). Follow\u2010up confirmed an overall closure\u2010rate of 95.4%. Small residual shunts were reported in eight patients (4.6%) without need for any re\u2010intervention. Complications were classified as minor events both during the initial procedure (9 patients, 5.2%) and on follow\u2010up (another 9 patients), including transient AV block II in three patients (1.8%) and four snare\u2010retrievals (2.4%) during the initial procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Periprocedural and midterm follow\u2010up data have shown the GSO to be effective and safe for ASD device closure in children and adolescents. GSO may be considered the first\u2010choice device in deficient retro\u2010aortic rims and multi\u2010fenestrated defects, when covering most of the atrial septum is necessary. \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.26881","type":"journal-article","created":{"date-parts":[[2016,11,30]],"date-time":"2016-11-30T09:57:06Z","timestamp":1480499826000},"source":"Crossref","is-referenced-by-count":14,"title":["Multicenter midterm follow\u2010up results using the gore septal occluder for atrial septal defect closure in pediatric patients"],"prefix":"10.1002","volume":"89","author":[{"given":"Jochen","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":"Christian","family":"Wildberg","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart 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