Percutaneous Device Closure of the Atrial Septum

The field of device closure of defects of the inter-atrial septum has expanded rapidly over the past ten years, and it is likely that there will be a further sharp increase in numbers of procedures being performed in the near future. With more and more adult patients presenting with this problem, it is imperative that interventional cardiologists know how to deal with it, and yet there is no currently available comprehensive text covering this subject. Addressing this need, Percutaneous Device Closure of the Atrial Septum discusses all aspects of the growing field of transcatheter device closure of defects of the atrial septum. Key areas covered include: issues related to the anatomy of the atrial septum imaging of atrial septal defects and patent foramen ovale the different types of defect that are amenable to percutaneous device closure. With an international team of expert contributors reviewing current imaging techniques and the common techniques used for closure, this unique work gathers together the world leaders in device closure to assess the individual products that are available. Practical, extensive, and full of invaluable insights from experienced practitioners, this text will provide the interventional cardiologist with a useful resource with which to embark upon this important technique.

A. Introduction 1. Anatomy of the Atrial Septum 2. Clinical Presentation of the Atrial Septal Defect in Adults 3. The Patent Foramen Ovale: Clinical Significance in Cerebrovascular Disease 4. The PFO: Clinical Significance in Diving Related Decompression Illness and Migraine 5. Imaging the Atrial Septum: Transthoracic and Transoesophageal Echocardiography and Intra-Cardiac Echocardiography 6. Imaging the Atrial Septum : Intracardiac Echocardiography B. Technique and Devices 7. Technique for Percutaneous Closure 8. The Amplatzer Septal Occluder 9. The Helex Septal Occluder 10. The STARFlex Septal Occluder 11. The Premere PFO Occluder 12. The Cardia-Intrasept PFO Closure Device

Stephen J D Brecker BSc MBBS MD FRCP FESC FACC Consultant Cardiologist and Director of The Cardiac Catheterisation Laboratories, St George’s Hospital, London, England. Senior Lecturer St George’s Hospital Medical School University of London, England.