{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T19:43:45Z","timestamp":1771530225968,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T00:00:00Z","timestamp":1581638400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Interventional Cardiology"],"published-print":{"date-parts":[[2020,2,14]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. The Occlutech Figulla occluder has been proven safe and effective at midterm follow-up after percutaneous atrial septal defect (ASD) closure. We describe the safety and efficacy at long-term follow-up in adults. <jats:italic>Methods<\/jats:italic>. All consecutive adult patients that underwent ASD closure between 2008 and 2015 were included. All complications were registered. Residual left-to-right shunt (LRS) was diagnosed using color-Doppler transthoracic echocardiography (TTE). Right-to-left shunting was diagnosed using contrast TTE. Successful closure was defined as no LRS at follow-up. <jats:italic>Results<\/jats:italic>. In total, 166 patients (mean age 56.7\u2009\u00b1\u200916.1 years; 62% female) underwent percutaneous ASD closure using the Occlutech Flex I (70%) or Flex II (30%) device (diameter 24\u2009mm; range 10\u201340\u2009mm) under general anaesthesia and transoesophageal echocardiographic guidance. Long-term follow-up data were available for 144 patients (87%) with a mean follow-up of 5.9\u2009\u00b1\u20092.6 years, a total of 814 patient-years. During hospitalization, device embolization occurred in three patients (1.8%) with successful extraction in all. During the long-term follow-up, 15 patients (9.8%) suffered new-onset atrial fibrillation and stroke occurred in 2.1%. There was no residual LRS at 12-month follow-up. No device embolization occurred during the long-term follow-up. <jats:italic>Conclusion<\/jats:italic>. Percutaneous ASD closure using the Occlutech device appears to be safe at long-term follow-up with a high successful closure rate at one year.<\/jats:p>","DOI":"10.1155\/2020\/7136802","type":"journal-article","created":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T18:31:55Z","timestamp":1581705115000},"page":"1-5","source":"Crossref","is-referenced-by-count":13,"title":["Percutaneous Atrial Septal Defect Closure Using the Occlutech Figulla Device in Adults: More than 800 Patient-Years of Follow-Up"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2246-0617","authenticated-orcid":true,"given":"R. J. R.","family":"Snijder","sequence":"first","affiliation":[{"name":"Department of Cardiology, St. Antonius Hospital, Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. E.","family":"Renes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, St. Antonius Hospital, Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Bosshardt","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Antonius Hospital, Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. J.","family":"Suttorp","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Antonius Hospital, Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M.","family":"ten Berg","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Antonius Hospital, Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7400-5996","authenticated-orcid":true,"given":"M. C.","family":"Post","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Antonius Hospital, Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v7.i3.150"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2009.00497.x"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2014.09.005"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-015-1103-y"},{"key":"5","first-page":"418","volume":"8","year":"2013","journal-title":"Congenital Heart Disease"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2010.00619.x"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27984"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12284"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26497"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.02.002"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00380-016-0886-y"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27899"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.4244\/eijv12i2a39"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.4070\/kcj.2018.0278"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1012848"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehi825"}],"container-title":["Journal of Interventional Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2020\/7136802.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2020\/7136802.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2020\/7136802.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T18:31:57Z","timestamp":1581705117000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/jitc\/2020\/7136802\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,14]]},"references-count":16,"alternative-id":["7136802","7136802"],"URL":"https:\/\/doi.org\/10.1155\/2020\/7136802","relation":{},"ISSN":["0896-4327","1540-8183"],"issn-type":[{"value":"0896-4327","type":"print"},{"value":"1540-8183","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,14]]}}}