Use of atrial flow regulator device in children and patients with CHD: a literature review
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Updated: Jan 18, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Fausto Frazzetto1, Enrico Piccinelli1,2, Mara Pilati1
1Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Abstract:
The Occlutech Atrial Flow Regulator is a self-expandable double-disc nitinol device with a central fenestration designed to create a calibrated communication across the interatrial septum. It has been used in adult patients with heart failure and pulmonary hypertension. Its use in the paediatric population or adults with CHD has been published in several case reports and case series. This study aims to review the potential, efficacy, and safety of this device in the paediatric and adult populations living with CHD, as well as in paediatric patients with pulmonary hypertension or advanced heart failure.
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