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
Prof. Ulrich Sigwart, Geneva, Switzerland:
Thank you very much for asking me to reflect on this book proposal. I am trying to answer the questions that you have posed. The outline is comprehensive and logically structured. There might be an interest in having a word on previous devices that are no longer available just to keep it complete (SIDERIS, etc.). Whether such a book should be published is a different issue. Most people get the information already at this moment from existing books or on the internet. I do know Stephen Brecker and his work. Stephen has been working with me at the Brompton. He is very serious and if you want to publish the book he could be the right man. My problem with your project is the rapid turn-over of information involved with these devices. Once such a book is published much of the information is already obsolete. Sorry about not being more enthusiastic. At any rate it was very nice hearing from you.
Marco Costa MD, University of Jacksonville FL:
Do you think the outline is comprehensive and logically structured? Would you add or remove any chapters and if so, which ones?
The outline is comprehensive for such a narrow topic. I would consider adding topics to enhance the book's content and appeal - such as "percutaenous valve therapy" and "Ventricular Septal defect". The book title should be "Percutaneous treatment of Structural heart Disease"
* Do you think such a book should be published? Well, the answer is
always yes, it can be published. But there is not much data available for many of these topics. So, how can you publish a book if there is no randomized data on PFO closure?? It will be mostly based on personal experience and retrospective data, at least for PFO.