What is a Amplatzer?
Device Description The AMPLATZER PFO Occluder is a self-expandable, double disc device made from a Nitinol wire mesh. The two discs are linked together by a short, connecting waist, allowing free motion of each disc. In order to increase its closing ability, the discs contain thin polyester fabric.
How do you perform a PFO closure?
After a small incision is made in the groin and a long, thin tube called a catheter is inserted into a vein. The PFO closure device is then guided through the catheter to the heart. Once there the device is implanted, or anchored, and then adjusts to the unique anatomy of your heart.
How long does a PFO closure device last?
Observational studies and meta-analyses suggest that closure is associated with a benefit but evidence from randomized trials, remained inconclusive, with most analyses based on only moderate durations of follow-up, averaging 2 to 4 years.
How long is recovery from PFO closure?
This is very common about 2 weeks to 6 weeks post closure; usually treatment is NOT required. Prior to discharge, you will be given instructions and a person to contact with questions or concerns.
How much does PFO surgery cost?
The incremental costs and QALYs for the PFO closure device are $8,653 and 0.41, which is cost-effective compared with standard medical management, with a cost/QALY of $21,049 (Table 2). The PFO closure device reaches cost-effectiveness compared with standard medical management at 2.3 years.
Can a PFO closure device move?
Migration of the closure device is a reported side effect in patients undergoing transcatheter closure; embolization of the device to the aorta is rare. Managing the migration of a PFO occluder can be challenging: it usually requires surgical retrieval of the foreign body.
Who makes the Amplatzer device?
Abbott offers two percutaneous, transcatheter occluders for different types of atrial septal defects.
What vein is used for PFO closure?
The femoral venous site is the easiest, safest, and therefore the most used to perform PFO closure. It allows insertion of the occluder vertically from the inferior right atrium to the superior left atrium.