{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T05:55:54Z","timestamp":1790834154906,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":272,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003062","name":"Erciyes \u00dcniversitesi","doi-asserted-by":"publisher","award":["TSG-2019-8336"],"award-info":[{"award-number":["TSG-2019-8336"]}],"id":[{"id":"10.13039\/501100003062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiology Research and Practice"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Accurate sizing of atrial septal defects (ASDs) is crucial for appropriate device selection during percutaneous transcatheter closure. Despite the availability of multiple imaging and sizing techniques, no consensus exists on the optimal method for determining device size. This study aimed to compare preprocedural ASD measurements obtained using different techniques with the final device waist diameter and to identify the measurement method demonstrating the most favorable agreement and reproducibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included 149 pediatric patients (64 males, 85 females) who underwent percutaneous transcatheter ASD closure. Preprocedural defect sizing was performed using transthoracic echocardiography (TTE), balloon sizing, and transesophageal echocardiography (TEE). TEE measurements were obtained in the four\u2010chamber, aortic, and bicaval views. In addition to individual diameters, the arithmetic mean, cube root\u2013derived diameter, and maximal TEE\u2010measured diameter were calculated and compared with the final device waist diameter. The final device waist diameter, measured fluoroscopically after deployment, was used as the reference comparator, reflecting operator\u2010selected device sizing rather than true anatomical defect dimensions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among TEE\u2010based measurements, both the cube root\u2013derived diameter and the arithmetic mean of TEE measurements demonstrated high reproducibility and favorable agreement with the final device waist diameter, with only marginal numerical differences between the two methods. Bland\u2013Altman analysis supported these findings by showing minimal bias and narrow limits of agreement, whereas TTE and balloon sizing demonstrated lower, though statistically significant, concordance with the final device waist diameter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Combining multiple measurement techniques improves agreement with the operator\u2010selected device size during percutaneous ASD closure. While TTE alone may be sufficient in patients with simple defects and adequate acoustic windows, integrated approaches incorporating TEE and multiaxis measurements showed favorable agreement characteristics, particularly in anatomically heterogeneous defects or resource\u2010limited settings. These findings should be interpreted as reflecting agreement with operator\u2010selected device sizing rather than anatomical sizing accuracy, given the inherent circularity of using implanted device size as a reference standard.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crp\/1663610","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T04:59:49Z","timestamp":1790830789000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Sizing Methods to Optimize Device Selection for Percutaneous Closure of Atrial Septal Defects"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2734-0972","authenticated-orcid":false,"given":"\u00c7a\u011fda\u015f","family":"Vural","sequence":"first","affiliation":[{"name":"Pediatric Cardiology Department Medical Faculty Mustafa Eraslan Children Hospital Erciyes University  Melikgazi Kayseri 38030 Turkey  erciyes.edu.tr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6760-3936","authenticated-orcid":false,"given":"Ali","family":"Baykan","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Department Medical Faculty Mustafa Eraslan Children Hospital Erciyes University  Melikgazi Kayseri 38030 Turkey  erciyes.edu.tr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5735-9255","authenticated-orcid":false,"given":"Alper","family":"Do\u011fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7089-0585","authenticated-orcid":false,"given":"Yunus Emre","family":"Kum","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Department Aksaray University Training and Research Hospital  Aksaray 68000 Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3321-2387","authenticated-orcid":false,"given":"\u00d6zge Pamuk\u00e7u","family":"Akay","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Department Medical Faculty Marmara University Pendik Training and Research Hospital Marmara University  Pendik \u0130stanbul Turkey  marmara.edu.tr"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8194-6444","authenticated-orcid":false,"given":"Kaz\u0131m","family":"\u00dcz\u00fcm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2713-364X","authenticated-orcid":false,"given":"Nazmi","family":"Narin","sequence":"additional","affiliation":[{"name":"Pediatric Cardiology Department Medical Faculty \u0130zmir K\u00e2tip \u00c7elebi University  \u00c7i\u011fli \u0130zmir 35620 Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.025"},{"key":"e_1_2_10_2_2","doi-asserted-by":"crossref","first-page":"e143","DOI":"10.1016\/j.jacc.2008.10.001","article-title":"ACC\/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults with Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons","volume":"52","author":"Warnes C. A.","year":"2008","journal-title":"Journal of the American College of Cardiology"},{"key":"e_1_2_10_3_2","first-page":"383","article-title":"Nonoperative Closure of Atrial Septal Defects","volume":"75","author":"King T. 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