Helex Septal Occluder: Feasibility Study of Closure of Atrial Septal Defect |
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Authors: | Amal Mahmoud El-Sisi Salwa Gendi Mohammed Dilawar Mohamed Numan |
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Institution: | (1) Cardiology, Hamad Medical Corporation, Doha, Qatar |
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Abstract: | Background A variety of transcatheter atrial septal defect (ASD) occluders are currently in use, the most commonly used device is the
Amplatzer Septal Occluder (ASO) yet there is no perfect device. The Helex Septal Occluder is a new device (by W.L. Gore &
Associates, Inc.) designed to improve the results of transcatheter ASD closure. We report our first experience in closing
secundum ASDs with this new device after its recent modifications.
Methods Thirteen patients were selected for Helex device closure with median age of 8 years (2.5–44 years) and median weight 30 Kg
(12–96 Kg). Inclusion criteria were: small to moderate Secundum ASDs with sufficient rims by transthoracic echo (TTE) and
confirmed by transoesophageal echo (TEE). Two cardiologists carried out the decision of device size. One of the five available
Helex ASD device sizes was used (15–35 mm). Follow up TTE was performed the next day, one month, six months and one year later.
Results Twelve patients had successful Helex septal occluder implantation. One patient was switched to Cribriform ASD device during
the procedure because of failure of the locking mechanism. Two patients had trivial residual left to right shunt which disappeared
at one month follow up in one patient. No embolic event, AV block or mortality was observed.
Conclusion This feasibility study of the novel Helex septal occluder after its recent modification showed that it can successfully and
safely close well selected secundum ASDs. There are several advantages over the currently available devices. |
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Keywords: | Helex septal occluder Atrial septal defect |
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