{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T02:02:39Z","timestamp":1782871359257,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T00:00:00Z","timestamp":1641254400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Interventional Cardiology"],"published-print":{"date-parts":[[2022,1,4]]},"abstract":"<jats:p>Objectives. To assess the long-term safety and efficacy of the Occlutech\u00ae ACCELL\u00ae Flex II device used for atrial septal defect (ASD) closure. This device differs from the regular device by having two very thin patches that are made of polyethylene terephthalate (PET). These patches enhance faster sealing of the defect. Background. Transcatheter closure has become the method of choice to manage most patients with secundum ASDs. There are different types of devices. The regular Occlutech device used to close an ASD is called the Occlutech Figulla Flex II. A newer modification of this device (Occlutech\u00ae ACCELL\u00ae Flex II) has been designed to eliminate\/reduce thrombus formation and to enhance faster sealing. Methods. Thirty patients were followed up after occlusion of secundum ASD using the Occlutech\u00ae ACCELL\u00ae Flex II Device. The follow-up period ranged from 5.2\u20135.5 years with median of 5.3 years. Detailed history and full clinical examination, twelve-lead electrocardiogram (ECG), plain chest radiograph, and full 2D transthoracic echocardiography (TTE) were performed at discharge, at one month, six months, and yearly thereafter. Results. The mean age of the study group at the last follow-up was 10.4\u2009\u00b1\u20094.6 years, with 63.3% (nineteen patients) females. There were no residual shunts or complications encountered immediately after the procedure and at the latest follow-up. Conclusion. This study confirmed the transcatheter closure (TCC) of secundum ASDs using the Occlutech\u00ae ACCELL\u00ae Flex II device to be safe and effective with no complications detected in children and adolescents.<\/jats:p>","DOI":"10.1155\/2022\/8886813","type":"journal-article","created":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T18:35:18Z","timestamp":1641321318000},"page":"1-6","source":"Crossref","is-referenced-by-count":3,"title":["Safety of Occlutech Septal Occluder ACCELL Flex II for Transcatheter Closure of Secundum Atrial Septal Defects in Children: A Long-Term Follow-Up"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8275-8090","authenticated-orcid":true,"given":"Amal M.","family":"El-Sisi","sequence":"first","affiliation":[{"name":"Cairo University-Pediatric Department-Cardiology Division, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6992-4242","authenticated-orcid":true,"given":"Sonia A.","family":"El-Saiedi","sequence":"additional","affiliation":[{"name":"Cairo University-Pediatric Department-Cardiology Division, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasha","family":"Ammar","sequence":"additional","affiliation":[{"name":"Cairo University-Pediatric Department-Cardiology Division, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmaa","family":"Abdelhameed","sequence":"additional","affiliation":[{"name":"Ministry of Health Hospitals, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0072-6034","authenticated-orcid":true,"given":"Ziyad M.","family":"Hijazi","sequence":"additional","affiliation":[{"name":"Sidra Heart Center, Sidra Medicine& Weill Cornell Medical College, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6955-0068","authenticated-orcid":true,"given":"Mohammed M.","family":"Soliman","sequence":"additional","affiliation":[{"name":"Cairo University-Pediatric Department-Cardiology Division, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"issue":"2","key":"1","first-page":"166","article-title":"Transcatheter closure of atrial septal defect with amplatzer device in children and adolescents: short and midterm results; an Iranian","volume":"21","author":"M. Behjati","year":"2011","journal-title":"Iranian Journal of Pediatrics"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-5223(99)70013-9"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.06.008"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26881"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21451"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2009.00497.x"},{"key":"7","first-page":"189","article-title":"The efficiency and safety of percutaneous closure of secundum atrial septal defects with the occlutech figulla device: initial clinical experience","volume":"38","author":"E. Ilkay","year":"2010","journal-title":"Turk Kardiyoloji Dernegi Arsivi: Turk Kardiyoloji Derneginin Yayin Organidir"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2012.00734.x"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2010.12.006"},{"key":"10","first-page":"182","article-title":"The occlutech figulla PFO and ASD occluder: a new nitinol wire mesh device for closure of atrial septal defects","volume":"22","author":"F. Krizanic","year":"2010","journal-title":"The Journal of Invasive Cardiology"},{"key":"11","volume-title":"International Standard ISO14155:2011 (E): Clinical Investigation of Medical Devices for Human Subjects\u2014Good Clinical Practice","year":"2011","edition":"2nd"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.10.003"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27899"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.2.199"},{"issue":"2","key":"15","doi-asserted-by":"crossref","first-page":"85","DOI":"10.3329\/cardio.v7i2.22248","article-title":"Short, intermediate and long term follow up of device closure of atrial septal defect (secundum) cases: thirteen years\u2019 experience with special reference to complications","volume":"7","author":"Nurun Nahar Fatema","year":"2015","journal-title":"Cardiovascular Journal"},{"issue":"3","key":"16","first-page":"117","article-title":"Transcatheter closure of secundum atrial septal defects with complex anatomy","volume":"16","author":"C. 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Pedra","year":"2004","journal-title":"The Journal of Invasive Cardiology"}],"container-title":["Journal of Interventional Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2022\/8886813.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2022\/8886813.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jitc\/2022\/8886813.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,4]],"date-time":"2022-01-04T18:35:27Z","timestamp":1641321327000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/jitc\/2022\/8886813\/"}},"subtitle":[],"editor":[{"given":"Thach N.","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2022,1,4]]},"references-count":16,"alternative-id":["8886813","8886813"],"URL":"https:\/\/doi.org\/10.1155\/2022\/8886813","relation":{},"ISSN":["1540-8183","0896-4327"],"issn-type":[{"value":"1540-8183","type":"electronic"},{"value":"0896-4327","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1,4]]}}}