Fenestrated ASD device “angioplasty”: How to adjust a “pop-off” mechanism when needed

Vincenzo Tufaro, Gianfranco Butera

Research output: Contribution to journalArticlepeer-review


We report on three cases of atrial septal defect (ASD) closure where a handmade fenestration had to be modified after device implantation. Two patients suffered from left ventricular diastolic dysfunction and one had severe pulmonary arterial hypertension. Amplatzer ASD occluder fenestration was created in all patients. Devices were implanted using an “over-the-wire” implantation technique. Due to a sub-optimal hemodynamic result, fenestration was upsized by using a new technique.

Original languageEnglish
Pages (from-to)1329-1333
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Issue number7
Publication statusPublished - Dec 1 2018


  • angioplasty
  • fenestration
  • interventional cardiology
  • percutaneous atrial septal defect closure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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