@Article{CHD.2020.011338,
AUTHOR = {Maria Drakopoulou, George Oikonomou, Stergios Soulaidopoulos, Basil Thanopoulos, Konstantina Aggeli, Dimitrios Tousoulis, Konstantinos Toutouzas},
TITLE = {Successful Percutaneous Closure of Atrial Septal Defect via Transjugular  Approach with the Cocoon Septal Occluder},
JOURNAL = {Structural and Congenital Heart Disease},
VOLUME = {15},
YEAR = {2020},
NUMBER = {3},
PAGES = {147--151},
URL = {http://www.techscience.com/schd/v15n3/39525},
ISSN = {3071-1738},
ABSTRACT = {The percutaneous closure of ostium secundum atrial septal defects 
(ASD) is a well-established procedure. Currently available devices and delivery 
systems are designed to be used via the femoral venous route. However, an 
alternative approach needs to be considered in cases of congenital or acquired 
caval obstruction. We describe a successful transjugular closure of a moderate 
sized secundum ASD with the Cocoon Septal Occluder in a 37-year-old 
symptomatic woman with inferior vena cava (IVC) thrombosis, using a novel 
deployment technique to overcome difficulties, namely maintaining stable sheath 
position in the left atrium. Percutaneous closure of secundum ASDs via the 
transjugular approach is safe, feasible and effective and can be a reasonable 
alternative to surgical closure in patients with failed femoral venous access and 
not anatomically complex atrial septal defects.},
DOI = {10.32604/CHD.2020.011338}
}