{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T13:51:12Z","timestamp":1776693072525,"version":"3.51.2"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T00:00:00Z","timestamp":1558915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008497","name":"Boston Scientific Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008497","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011949","name":"Abbott Vascular","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011949","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006520","name":"Edwards Lifesciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006520","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,2,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare transesophageal echocardiography (TOE) findings after patent foramen ovale (PFO) closure by BioSTAR (NMT Medical Inc, Boston, MA) and Amplatzer PFO occluders (Abbott Vascular, Plymouth, MN).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>PFO closure with a biodegradable device represents an attractive alternative to permanent devices. Long\u2010term effectiveness and morphology after biodegradation remain unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between February 2008 and June 2014, 49 patients received BioSTAR and 48 Amplatzer PFO occluder. TOE was performed after closure, at 6 months and beyond 2 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>PFO features were comparable between the groups. Immediate effective closure (&lt;5 bubbles on Valsalva) was obtained in 96% by BioSTAR and 88% by Amplatzer PFO occluder (<jats:italic>p<\/jats:italic> = .16). Except for transient fever after BioSTAR (10.8 vs. 0%; <jats:italic>p<\/jats:italic> = .08), there was no adverse events. TOE at 6 months revealed comparable effective closure (93 vs. 89%; <jats:italic>p<\/jats:italic> = .74), all devices in correct position and no thrombus\/pericardial effusion. In the BioSTAR group, a peri\u2010device left\u2010to\u2010right color Doppler shunt was documented in one patient (2.2%), protrusion of the nitinol framework strut(s) into the atrial cavity in two patients (4.3%), and both events in one patient (2.2%). TOE beyond 2 years showed comparable effective closure (92 vs. 96%; <jats:italic>p<\/jats:italic> = 1.00) and again BioSTAR\u2010associated peri\u2010device left\u2010to\u2010right shunt and metal framework strut(s) protrusion. There was no stroke or peripheral embolization in either group while TIA was numerically greater in BioSTAR patients (6.8 vs. 2.5%; <jats:italic>p<\/jats:italic> = .61).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>BioSTAR provided similar PFO closure rate as Amplatzer PFO occluder. As yet unreported BioSTAR\u2010associated peri\u2010device left\u2010to\u2010right shunt and metal framework strut(s) protrusion may have practical implications for further development of biodegradable devices.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28360","type":"journal-article","created":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T09:40:12Z","timestamp":1558950012000},"page":"349-354","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Long\u2010term transesophageal echocardiography after patent foramen ovale closure by BioSTAR and Amplatzer patent foramen ovale occluders"],"prefix":"10.1002","volume":"95","author":[{"given":"Natasa Cernic","family":"Suligoj","sequence":"first","affiliation":[{"name":"MC Medicor Slovenia  Ljubljana Slovenia"},{"name":"Department of Cardiology General Hospital Izola  Izola 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