{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T18:07:49Z","timestamp":1772993269768,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:00:00Z","timestamp":1548288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the structural integrity of the patch\u2010like Gore Septal Occluder (GSO) used for device closure of secundum\u2010type atrial septal defects (ASD II) in pediatric patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>GSO has shown to be effective and safe for ASD device closure in children and adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single\u2010center, retrospective mid\u2010 to long\u2010term follow\u2010up of all children and adolescents with a GSO in situ (\u226512\u2009months). Periprocedural data and follow\u2010up data were evaluated, including chest X\u2010rays to assess the GSO's wire\u2010frame morphology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010one consecutive patients were enrolled with a median age and weight of 5 years (range 2\u201318) and 20\u2009kg (range 11\u201395) at implantation. ASD anatomy included 64 single and 27 multi\u2010fenestrated defects, with 39 patients having small retro\u2010aortic rims (\u22644 mm). Median follow\u2010up period was 42.5 months (range 12\u201374). Chest X\u2010rays were available in 80 children: in 74 of them, the GSO's visualization on X\u2010ray enabled us to reliably assess the wire\u2010frame structure. Wire\u2010frame fracture (WFF) was ultimately detected in five of the 74 patients (6.8%); however, those occluders appeared stably anchored and well aligned to both sides of the septum, and no free wire fragments had escaped the GSO matrix. Thus, no further treatment was required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our data confirm that the GSO is safe and effective for ASD closure. Despite its lightweight construction, the GSO seems to offer reliable mechanical durability. Wire\u2010frame fractures occur, but the free wire\u2010ends appear to have remained stable within the GSO matrix without any clinical sequelae so far.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28103","type":"journal-article","created":{"date-parts":[[2019,1,25]],"date-time":"2019-01-25T07:27:26Z","timestamp":1548401246000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Wire\u2010frame integrity of patch\u2010like Gore devices following atrial septal defect closure"],"prefix":"10.1002","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9125-8626","authenticated-orcid":false,"given":"R.","family":"Kubicki","sequence":"first","affiliation":[{"name":"Department of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg \u2013 Bad Krozingen, Medical Center\u2010University of Freiburg, Faculty of Medicine University of Freiburg  Freiburg 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