{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T14:44:17Z","timestamp":1763563457118,"version":"3.44.0"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The GCA is a well performing device in terms of efficacy despite complex anatomies (aortic rim &lt;5\u2009mm and ASD diameter &gt;17\u2009mm) with a good safety profile.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate atrial septal defect (ASD) features impacting on right disc device thrombosis in patients who underwent Gore Cardioform ASD Occluder (GCA) implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 44 consecutive patients undergoing percutaneous ASD with GCA device from January 2020 to September 2022 at our tertiary care Center were evaluated. The minimum follow\u2010up was 6 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patients were stratified in two groups according to a cut\u2010off value of ASD diameter equal to 20\u2009mm at sizing balloon, derived from ROC analysis (AUC\u2009=\u20090.894; <jats:italic>p<\/jats:italic>\u2009=\u20090.024). Baseline characteristics were comparable between groups in terms of age, sex, weight, height, and interatrial septum dimensions. Patients with ASD\u2009&gt;\u200920\u2009mm (<jats:italic>n<\/jats:italic>\u2009=\u20099) had a higher ASD\/device dimension ratio, both at echocardiography (<jats:italic>p<\/jats:italic>\u2009=\u20090.009) and at sizing balloon (<jats:italic>p<\/jats:italic>\u2009=\u20090.001), longer fluoroscopic time (<jats:italic>p<\/jats:italic>\u2009=\u20090.022), and higher incidence of device thrombosis (0.006). Right disc thrombosis was observed in three patients of the ASD\u2009&gt;\u200920\u2009mm group, always in the inferior portion of the right disc. On univariate analysis, ASD diameter at sizing balloon (OR 1.360; <jats:italic>p<\/jats:italic>\u2009=\u20090.036) was the only positive predictor of device thrombosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Right disc thrombosis of the GCA device may be under\u2010recognized at follow\u2010up, hence deserving clinical attention, especially in those patients with larger ASD diameters.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.31002","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T09:24:42Z","timestamp":1709803482000},"page":"741-750","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Right disc thrombosis of the new Gore Cardioform ASD Occluder"],"prefix":"10.1002","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5538-5222","authenticated-orcid":false,"given":"Omar A.","family":"Oliva","sequence":"first","affiliation":[{"name":"Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4413-5751","authenticated-orcid":false,"given":"Luca","family":"Giugno","sequence":"additional","affiliation":[{"name":"Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0160-7317","authenticated-orcid":false,"given":"Alice","family":"Moroni","sequence":"additional","affiliation":[{"name":"Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7317-304X","authenticated-orcid":false,"given":"Francesco","family":"Sturla","sequence":"additional","affiliation":[{"name":"3D and Computer Simulation Laboratory IRCCS Policlinico San Donato San Donato Milanese Italy"},{"name":"Department of Electronics Information and Bioengineering, Politecnico di Milano Milano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciane","family":"Piazza","sequence":"additional","affiliation":[{"name":"Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Saracino","sequence":"additional","affiliation":[{"name":"Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelo","family":"Micheletti","sequence":"additional","affiliation":[{"name":"ACHD Unit \u2010 Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelo Fabio","family":"d'Aiello","sequence":"additional","affiliation":[{"name":"ACHD Unit \u2010 Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Reali","sequence":"additional","affiliation":[{"name":"Congenital Cardiac Surgery Unit IRCCS\u2010Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Chessa","sequence":"additional","affiliation":[{"name":"ACHD Unit \u2010 Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"},{"name":"Faculty of Medicine and Surgery Vita Salute San Raffaele University Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Carminati","sequence":"additional","affiliation":[{"name":"Pediatric and Adult Congenital Heart Center IRCCS Policlinico San Donato San Donato Milanese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa554"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000605"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.20220"},{"issue":"4","key":"e_1_2_10_5_1","first-page":"335","article-title":"Late complications of transcatheter atrial septal defect closure requiring urgent surgery","volume":"4","author":"Kovacevic P","year":"2017","journal-title":"J Interv 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