{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T06:11:55Z","timestamp":1760249515374,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T00:00:00Z","timestamp":1625529600000},"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":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate whether hemodynamic changes during balloon occlusion test (BOT) predict future heart failure (HF) deterioration after transcatheter atrial septal defect closure (tASD\u2010closure).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Midterm HF deterioration can sometimes occur after tASD\u2010closure in adults. Whether hemodynamic changes during tASD\u2010closure can help identify patients at risk is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective observational study enrolled 86 consecutive adult patients who underwent tASD\u2010closure. Hemodynamic parameters, including pulmonary capillary wedge pressure (PCWP), were measured at baseline, during BOT, and after tASD\u2010closure. The changes in PCWP during BOT and after tASD\u2010closure were defined as \u0394PCWP (Occ\u2010Pre) and \u0394PCWP (Post\u2010Pre), respectively. Clinical parameters were evaluated before tASD\u2010closure and during the 3\u2010month follow\u2010up. We assessed the occurrence of HF deterioration (HF requiring hospitalization or additional diuretics) during a 2\u2010year follow\u2010up period and categorized patients into HF (+) and HF (\u2212) groups accordingly. The aforementioned parameters were compared between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Midterm HF deterioration occurred in 12 patients (13.9%). Compared to the HF (\u2212) group, the HF (+) group presented a significantly higher \u0394PCWP (Occ\u2010Pre) (9.5\u2009\u00b1\u20094.4\u2009mmHg vs. 3.0\u2009\u00b1\u20093.3\u2009mmHg; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and \u0394PCWP (Post\u2010Pre) (4.0\u2009\u00b1\u20092.8\u2009mmHg vs. 0.6\u2009\u00b1\u20091.8\u2009mmHg; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.004). Receiver operating characteristic curve analysis showed that the \u0394PCWP (Occ\u2010Pre) cutoff value of 5.5\u2009mmHg had excellent ability to predict HF deterioration (Area under the curve 0.886 [0.779\u20130.993], <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; sensitivity 0.917, specificity 0.824).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Increases in PCWP during BOT predict midterm HF deterioration after tASD\u2010closure. Close surveillance may be needed in patients with a \u0394PCWP (Occ\u2010Pre) &gt;5\u2009mmHg.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.29859","type":"journal-article","created":{"date-parts":[[2021,7,6]],"date-time":"2021-07-06T09:38:39Z","timestamp":1625564319000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hemodynamic changes during transcatheter atrial septal defect closure predict midterm heart failure deterioration in adults"],"prefix":"10.1002","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5268-4606","authenticated-orcid":false,"given":"Hiroyuki","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7349-7538","authenticated-orcid":false,"given":"Toshiro","family":"Shinke","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"},{"name":"Division of Cardiology, Department of Medicine Showa University School of Medicine  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9953-0551","authenticated-orcid":false,"given":"Hiromasa","family":"Otake","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Terashita","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Nagasawa","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kousuke","family":"Tanimura","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kensuke","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidekazu","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken\u2010ichi","family":"Hirata","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, Department of Internal Medicine Kobe University Graduate School of Medicine  Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,6]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_8_2_1","DOI":"10.1007\/BF00793947"},{"doi-asserted-by":"publisher","key":"e_1_2_8_3_1","DOI":"10.1056\/NEJM199012133232401"},{"doi-asserted-by":"publisher","key":"e_1_2_8_4_1","DOI":"10.1016\/S0735-1097(01)01635-7"},{"doi-asserted-by":"publisher","key":"e_1_2_8_5_1","DOI":"10.1016\/j.jcin.2012.12.126"},{"doi-asserted-by":"publisher","key":"e_1_2_8_6_1","DOI":"10.1016\/j.jcin.2015.02.002"},{"doi-asserted-by":"publisher","key":"e_1_2_8_7_1","DOI":"10.1002\/ccd.23457"},{"doi-asserted-by":"publisher","key":"e_1_2_8_8_1","DOI":"10.1002\/1522-726X(200102)52:2<177::AID-CCD1043>3.0.CO;2-G"},{"doi-asserted-by":"publisher","key":"e_1_2_8_9_1","DOI":"10.1002\/ccd.20292"},{"doi-asserted-by":"publisher","key":"e_1_2_8_10_1","DOI":"10.1016\/S0735-1097(98)00039-4"},{"doi-asserted-by":"publisher","key":"e_1_2_8_11_1","DOI":"10.1016\/j.echo.2014.10.003"},{"doi-asserted-by":"publisher","key":"e_1_2_8_12_1","DOI":"10.1161\/01.CIR.75.1.175"},{"doi-asserted-by":"publisher","key":"e_1_2_8_13_1","DOI":"10.1016\/j.jjcc.2014.09.002"},{"doi-asserted-by":"publisher","key":"e_1_2_8_14_1","DOI":"10.1111\/j.1540-8175.2007.00614.x"},{"doi-asserted-by":"publisher","key":"e_1_2_8_15_1","DOI":"10.1016\/j.amjcard.2005.05.031"},{"doi-asserted-by":"publisher","key":"e_1_2_8_16_1","DOI":"10.1161\/CIRCHEARTFAILURE.114.001276"},{"doi-asserted-by":"publisher","key":"e_1_2_8_17_1","DOI":"10.1016\/j.jcmg.2016.11.003"},{"doi-asserted-by":"publisher","key":"e_1_2_8_18_1","DOI":"10.1007\/s00380-011-0122-8"},{"doi-asserted-by":"crossref","unstructured":"BridaM DillerGP KempnyA DrakopoulouM ShoreD GatzoulisMA.Uebing a atrial septal defect closure in adulthood is associated with normal survival in the mid to longer term heart.2019;105:1014\u20101019.","key":"e_1_2_8_19_1","DOI":"10.1136\/heartjnl-2018-314380"},{"doi-asserted-by":"publisher","key":"e_1_2_8_20_1","DOI":"10.1016\/j.jcin.2020.12.029"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29859","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.29859","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.29859","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T16:01:53Z","timestamp":1693238513000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.29859"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,6]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1002\/ccd.29859"],"URL":"https:\/\/doi.org\/10.1002\/ccd.29859","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2021,7,6]]},"assertion":[{"value":"2021-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}