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Updated: Oct 23, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Sinus Venosus ASDs: Imaging and Percutaneous Closure
C Batteux1, A Azarine2, C Karsenty3
1Hôpital Marie Lannelongue, Cardiologie congénitale, chirurgie cardiaque congénitale et cardiologie interventionnelle, Centre de référence M3C cardiopathies congénitales complexes, Groupe Hospitalier Paris Saint Joseph, Paris Saclay University, Le Plessis Robinson, France. c.batteux@ghpsj.fr.
Minimally invasive percutaneous closure of sinus venosus atrial septal defects (ASD) using covered stent implantation is a promising technique. Advanced imaging and 3D modeling are crucial for successful preoperative planning and real-time guidance in these complex cases.
Area of Science:
- Cardiovascular surgery
- Medical imaging
- Interventional cardiology
Background:
- Sinus venosus atrial septal defects (ASD) exhibit diverse anatomical variations.
- Conventional open-heart surgery is the current standard but involves significant recovery time.
Purpose of the Study:
- To describe and analyze recent developments in percutaneous closure of sinus venosus ASDs.
- To highlight the role of advanced imaging in procedural success.
Main Methods:
- Utilizing advanced imaging tools, including 3D technology, for preoperative anatomical characterization.
- Employing multimodal fusion imaging for real-time procedural guidance.
- 3D modeling to understand complex anatomical variations.
Main Results:
- Percutaneous closure is a challenging yet feasible minimally invasive alternative.
- Precise preoperative anatomical study is essential for successful percutaneous closure.
- Multimodal fusion imaging enhances guidance during the procedure.
Conclusions:
- Percutaneous closure of sinus venosus ASDs with covered stent implantation is a novel and promising technique.
- Advanced imaging and 3D modeling are critical for successful percutaneous closure.
- This approach can potentially hasten patient recovery compared to open-heart surgery.
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