TY - JOUR
AU - Sideris, Eleftherios B.
AB -  When Wilson et al. brought to our attention the possible aortic perforation, use of the infant buttoned device was suspended. Data from 41 infant PDA device implantations were collected from 7 investigators in different countries. The PDA diameter varied from 2 to 5 mm (median 3 mm). The full occlusion rate was 80% in 24 hr. Most of the residual shunts were trivial and disappeared on follow-up. There was no serious complication reported including clinical and subclinical perforation. There were two patients with residual shunts who underwent a second device implantation; no perforations were seen on follow-up angiography. There was a patient with an associated aortic coarctation who had a computed tomographic (CT) scan performed without evidence of perforation. We continue collecting follow-up data to thoroughly investigate this issue, and we intend to publish these results. Since the regular buttoned device (with square-shaped occluder) with a folding plug is more effective in larger PDAs [8] and has not been implicated in any subclinical perforations, we are pursuing its use in FDA-approved U.S. and international clinical trials. We are also very active in the development of wireless occluders and transcatheter patches to totally abolish the various wire problems, which 
TI - Infant buttoned device
JF - Catheterization and Cardiovascular Interventions
DO - 10.1002/(SICI)1522-726X(200005)50:1<125::AID-CCD27>3.0.CO;2-L
DA - 2000-05-01
UR - https://www.deepdyve.com/lp/wiley/infant-buttoned-device-m1QCBBuXlt
SP - 125
EP - 126
VL - 50
IS - 1
DP - DeepDyve
ER -