{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:29:57Z","timestamp":1791826197356,"version":"4.3.4"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2005,1,21]],"date-time":"2005-01-21T00:00:00Z","timestamp":1106265600000},"content-version":"unspecified","delay-in-days":173,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2004,8]]},"abstract":"<jats:p>Apart from closure of atrial septal defects, there is little information concerning the use of the CardioSEAL family of occluders in congenitally malformed hearts. We review here our initial experience using the CardioSEAL and STARFlex occluders in 12 patients aged 17.3 \u00b1 11.2 years, with a range from 4 to 34 years. Of the patients, 5 had fenestrated extracardiac Fontan procedures, 5 had persistent patency of the arterial duct, 1 had a leak across a Mustard baffle, and the final patient had a huge pulmonary arteriovenous malformation. We implanted successfully 9 CardioSEAL, and 3 STARFlex occluders, with sizes from 17 to 40 mm. In one patient, the occluder embolized to the right pulmonary artery, from where it was retrieved through the catheter. In two patients, there was a trivial residual leak immediately after implantation, but no patient had a residual leak after 6 months of follow-up. We noted improved ventricular dimensions, without any fractures of the arms of the occluders, perforations, or disturbances of flow after 2.4 \u00b1 0.9 years of follow-up. We have demonstrated, therefore, the versatility of the CardioSEAL and STARFlex occluders, which have been used safely and effectively to close a variety of intra and extracardiac communications other than atrial septal defects.<\/jats:p>","DOI":"10.1017\/s1047951104004032","type":"journal-article","created":{"date-parts":[[2005,1,28]],"date-time":"2005-01-28T15:59:10Z","timestamp":1106927950000},"page":"367-372","source":"Crossref","is-referenced-by-count":4,"title":["Diverse experience with the CardioSEAL<sup>\u00ae<\/sup>and STARFlex<sup>\u00ae<\/sup>septal occluders"],"prefix":"10.1017","volume":"14","author":[{"given":"Sotiria C.","family":"Apostolopoulou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cleo V.","family":"Laskari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Kiaffas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Papagiannis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spyridon","family":"Rammos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2005,1,21]]},"reference":[{"key":"S1047951104004032_ref014","doi-asserted-by":"crossref","unstructured":"Apostolopoulou SC , Kelekis NL , Papagiannis J , Hausdorf G , Rammos S . Transcatheter occlusion of a large pulmonary arteriovenous malformation with use of a CardioSEAL device. J Vasc Interv Radiol 2001; 12: 767\u2013769.","DOI":"10.1016\/S1051-0443(07)61452-3"},{"key":"S1047951104004032_ref019","doi-asserted-by":"crossref","unstructured":"Cowley CG , Badran S , Gaffney D , Rocchini AP , Lloyd TR . Transcatheter closure of fontan fenestrations using the Amplatzer septal occluder: initial experience and follow-up. Catheter Cardiovasc Interv 2000; 51: 301\u2013304.","DOI":"10.1002\/1522-726X(200011)51:3<301::AID-CCD12>3.0.CO;2-G"},{"key":"S1047951104004032_ref013","doi-asserted-by":"crossref","unstructured":"Apostolopoulou SC , Papagiannis J , Hausdorf G , Rammos S . Transcatheter occlusion of atrial baffle leak after mustard repair. Catheter Cardiovasc Interv 2000; 51: 305\u2013307.","DOI":"10.1002\/1522-726X(200011)51:3<305::AID-CCD13>3.0.CO;2-9"},{"key":"S1047951104004032_ref007","doi-asserted-by":"crossref","unstructured":"Carminati M , Giusti S , Hausdorf G , Qureshi S , Tynan M , Witsenburg M , Hess J , Piechaud JF , Bonhoeffer P , Donti A , Ovaert C , Sievert H , Elzenga N , Talsma M , van Oort A , Ernst J , Gewillig M , De Geeter B . A European multicentric experience using the CardioSEAL and STARFlex double umbrella devices to close interatrial communications holes within the oval fossa. Cardiology in the Young 2000; 10: 519\u2013526.","DOI":"10.1017\/S1047951100008210"},{"key":"S1047951104004032_ref008","doi-asserted-by":"crossref","unstructured":"Gamillscheg A , Beitzke A , Stein JI , Rupitz M , Zobel G , Rigler B . Transcatheter coil occlusion of residual interatrial communications after Fontan procedure. Heart 1998; 80: 49\u201353.","DOI":"10.1136\/hrt.80.1.49"},{"key":"S1047951104004032_ref016","doi-asserted-by":"crossref","unstructured":"Hausdorf G , Kaulitz R , Paul T , Carminati M , Lock J . Transcatheter closure of atrial septal defect with a new flexible, self-centering device (the STARFlex occluder). Am J Cardiol 1999; 84: 1113\u20131116, A10.","DOI":"10.1016\/S0002-9149(99)00515-9"},{"key":"S1047951104004032_ref011","doi-asserted-by":"crossref","unstructured":"Bilkis AA , Alwi M , Hasri S , Haifa AL , Geetha K , Rehman MA , Hasanah I . The Amplatzer duct occluder: experience in 209 patients. J Am Coll Cardiol 2001; 37: 258\u2013261.","DOI":"10.1016\/S0735-1097(00)01094-9"},{"key":"S1047951104004032_ref001","doi-asserted-by":"crossref","unstructured":"King TD , Thompson SL , Steiner C , Mills NL . Secundum atrial septal defect. Nonoperative closure during cardiac catheterization. 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