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Review

Is combined use of radiofrequency ablation and balloon dilation the future of interatrial communications?

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Pages 895-903 | Received 28 Aug 2022, Accepted 02 Nov 2022, Published online: 10 Nov 2022

References

  • Galiè N, Humbert M, Vachiery JL, ESC Scientific Document Group, et al. ESC/ERS guidelines for the diagnosis and treatment of pulmonary hypertension: the joint task force for the diagnosis and treatment of pulmonary hypertension of the European society of cardiology (ESC) and the European respiratory society (ERS): endorsed by: association for European paediatric and congenital cardiology (AEPC), international society for heart and lung transplantation (ISHLT). Eur Heart J. 2015;37(1):67–119. PMID: 26320113.
  • Khan MS, Memon MM, Amin E, et al. Use of balloon atrial septostomy in patients with advanced pulmonary arterial hypertension: a systematic review and meta-analysis. Chest. 2019;156(1):53–63. PMID: 30910639.
  • Hasenfuß G, Hayward C, Burkhoff D, et al. A transcatheter intracardiac shunt device for heart failure with preserved ejection fraction (REDUCE LAP-HF): a multicentre, open-label, single-arm, phase 1 trial. Lancet. 2016;387(10025):1298–1304. PMID: 27025436.
  • Lauder L, Pereira TV, Degenhardt MC, et al. Feasibility and efficacy of transcatheter interatrial shunt devices for chronic heart failure: a systematic review and meta-analysis. Eur J Heart Fail. 2021;23(11):1960–1970. PMID: 34628706.
  • Rich S, Dodin E, McLaughlin VV, et al. Usefulness of atrial septostomy as a treatment for primary pulmonary hypertension and guidelines for its application. Am J Cardiol. 1997;80(3):369–371. PMID: 9264443.
  • Sandoval J, Gaspar J, Pulido T, et al. Graded balloon dilation atrial septostomy in severe primary pulmonary hypertension. A therapeutic alternative for patients nonresponsive to vasodilator treatment. J Am Coll Cardiol. 1998;32(2):297–304.
  • Park SC, Neches WH, Zuberbuhler JR, et al. Clinical use of blade atrial septostomy. Circulation. 1978;58(4):600–606. PMID: 688569.
  • Park SC, Neches WH, Mullins CE, et al. Blade atrial septostomy: collaborative study. Circulation. 1982;66(2):258–266. PMID: 7094235.
  • Lammers AE, Derrick G, Haworth SG, et al. Efficacy and long-term patency of fenestrated amplatzer devices in children. Catheter Cardiovasc Interv. 2007;70(4):578–584. PMID: 17896406.
  • Althoff TF, Knebel F, Panda A, et al. Long-term follow up of a fenestrated amplatzer atrial septal occluder in pulmonary arterial hypertension. Chest. 2008;133(1):283–285. PMID: 18187754.
  • Danon S, Levi DS, Alejos JC, et al. Reliable atrial septostomy by stenting of the atrial septum. Catheter Cardiovasc Interv. 2005;66(3):408–413. PMID: 16216026.
  • Roy AK, Gaine SP, Walsh KP. Percutaneous atrial septostomy with modified butterfly stent and intracardiac echocardiographic guidance in a patient with syncope and refractory pulmonary arterial hypertension. Heart Lung Circ. 2013;22(8):668–671. PMID: 23402682.
  • Chaturvedi RR, Ryan G, Seed M, et al. Fetal stenting of the atrial septum: technique and initial results in cardiac lesions with left atrial hypertension. Int J Cardiol. 2013;168(3):2029–2036. PMID: 23481911.
  • Coe JY, Chen RP, Timinsky J, et al. A novel method to create atrial septal defect using a cutting balloon in piglets. Am J Cardiol. 1996;78(11):1323–1326. PMID: 8960605.
  • Schneider MBE, Zartner PA, Magee AG. Transseptal approach in children after patch occlusion of atrial septal defect: first experience with the cutting balloon. Cathet Cardiovasc Interv. 1999;48(4):378–381. PMID: 10559818.
  • Amat-Santos IJ, Bergeron S, Bernier M, et al. Left atrial decompression through unidirectional left-to-right interatrial shunt for the treatment of left heart failure: first-in-man experience with the V-Wave device. EuroIntervention. 2015;10(9):1127–1131. PMID: 24832489.
  • Rajeshkumar R, Pavithran S, Sivakumar K, et al. Atrial septostomy with a predefined diameter using a novel occlutech atrial flow regulator improves symptoms and cardiac index in patients with severe pulmonary arterial hypertension. Catheter Cardiovasc Interv. 2017;90(7):1145–1153. PMID: 28862384.
  • Søndergaard L, Reddy V, Kaye D, et al. Transcatheter treatment of heart failure with preserved or mildly reduced ejection fraction using a novel interatrial implant to lower left atrial pressure. Eur J Heart Fail. 2014;16(7):796–801. PMID: 24961390.
  • Simard T, Labinaz M, Zahr F, et al. Percutaneous atriotomy for levoatrial-to-coronary sinus shunting in symptomatic heart failure: first-in-human experience. JACC Cardiovasc Interv. 2020;13(10):1236–1247. PMID: 32438996.
  • Yan C, Niu G, Niu H, et al. Stable interatrial communication combining balloon atrial septostomy and radiofrequency catheter ablation. J Am Coll Cardiol. 2018;72(15):1873–1875. PMID: 30286932.
  • Yan C, Wan L, Li H, et al. First in-human modified atrial septostomy combining radiofrequency ablation and balloon dilation. Heart. 2022 Oct 13 2022. 108(21):1690–1698.
  • Sun W, Zou H, Yong Y, et al. The raise trial: a novel device and first-in-man trial. Circ Heart Fail. 2022;15(4):e008362. PMID: 35378984.
  • Rashkind WJ, Miller WW. Creation of an atrial septal defect without thoracotomy: a palliative approach to complete transposition of the great arteries. JAMA. 1966;196(11):991–992.
  • Parsons CG, Astley R, Burrows FG, et al. Transposition of great arteries. A study of 65 infants followed for 1 to 4 years after balloon septostomy. Br Heart J. 1971;33(5):725–731. PMID: 5115017.
  • Mullins CE, el-Said GM, Neches WH, et al. Balloon atrial septostomy for total anomalous pulmonary venous return. Br Heart J. 1973;35(7):752–757. PMID: 4268891.
  • Ward KE, Mullins CE, Huhta JC, et al. Restrictive interatrial communication in total anomalous pulmonary venous connection. Am J Cardiol. 1986;57(13):1131–1136. PMID: 3706165.
  • Baylen BG, Grzeszczak M, Gleason ME, et al. Role of balloon atrial septostomy before early arterial switch repair of transposition of the great arteries. J Am Coll Cardiol. 1992;19(5):1025–1031. PMID: 1552089.
  • Atz AM, Feinstein JA, Jonas RA, et al. Preoperative management of pulmonary venous hypertension in hypoplastic left heart syndrome with restrictive atrial septal defect. Am J Cardiol. 1999;83(8):1224–1228. PMID: 10215289.
  • Cheatham JP. Intervention in the critically ill neonate and infant with hypoplastic left heart syndrome and intact atrial septum. J Interv Cardiol. 2001;14(3):357–366. PMID: 12053397.
  • Vlahos AP, Lock JE, McElhinney DB, et al. Hypoplastic left heart syndrome with intact or highly restrictive atrial septum: outcome after neonatal transcatheter atrial septostomy. Circulation. 2004;109(19):2326–2330. PMID: 15136496.
  • Gossett JG, Rocchini AP, Lloyd TR, et al. Catheter-based decompression of the left atrium in patients with hypoplastic left heart syndrome and restrictive atrial septum is safe and effective. Catheter Cardiovasc Interv. 2006;67(4):619–624. PMID: 16547929.
  • Pedra CA, Neves JR, Pedra SR, et al. New transcatheter techniques for creation or enlargement of atrial septal defects in infants with complex congenital heart disease. Catheter Cardiovasc Interv. 2007;70(5):731–739. PMID: 17621660.
  • Holzer RJ, Wood A, Chisolm JL, et al. Atrial septal interventions in patients with hypoplastic left heart syndrome. Catheter Cardiovasc Interv. 2008;72(5):696–704. PMID: 18942130.
  • Al Senaidi K, Al Mesned A, Coe JY. Percutaneous transhepatic stenting of a restrictive atrial septal communication in hypoplastic left heart syndrome. Catheter Cardiovasc Interv. 2014;83(7):E269–71. PMID: 24532371.
  • Gopalakrishnan A, Sasidharan B, Krishnamoorthy KM, et al. Left ventricular regression after balloon atrial septostomy in d-transposition of the great arteries. Eur J Cardiothorac Surg. 2016;50(6):1096–1101. PMID: 27307481.
  • Rozkovec A, Montanes P, Oakley CM. Factors that influence the outcome of primary pulmonary hypertension. Br Heart J. 1986;55(5):449–458. PMID: 3707785.
  • D’Alonzo GE, Barst RJ, Ayres SM, et al. Survival in patients with primary pulmonary hypertension. results from a national prospective registry. Ann Intern Med. 1991;115(5):343–349. PMID: 1863023.
  • Hopkins WE, Ochoa LL, Richardson GW, et al. Comparison of the hemodynamics and survival of adults with severe primary pulmonary hypertension or Eisenmenger syndrome. J Heart Lung Transplant. 1996;15(1):100–105. PMID: 8820089.
  • Austen WG, Morrow AG, Berry WB. Experimental studies of the surgical treatment of primary pulmonary hypertension. J Thorac Cardiovasc Surg. 1964;48:448–455. PMID: 14218643.
  • Rich S, Lam W. Atrial septostomy as palliative therapy for refractory primary pulmonary hypertension. Am J Cardiol. 1983;51(9):1580–1581.
  • Law MA, Grifka RG, Mullins CE, et al. Atrial septostomy improves survival in select patients with pulmonary hypertension. Am Heart J. 2007;153(5):779–784.
  • Ciarka A, Vachièry JL, Houssière A, et al. Atrial septostomy decreases sympathetic overactivity in pulmonary arterial hypertension. Chest. 2007;131(6):1831–1837.
  • Sandoval J, Gaspar J, Peña H, et al. Effect of atrial septostomy on the survival of patients with severe pulmonary arterial hypertension. Eur Respir J. 2011;38(6):1343–1348. PMID: 21349914.
  • Koeken Y, Kuijpers NH, Lumens J, et al. Atrial septostomy benefits severe pulmonary hypertension patients by increase of left ventricular preload reserve. Am J Physiol Heart Circ Physiol. 2012;302(12)):H2654–62. PMID: 22523252.
  • Chiu JS, Zuckerman WA, Turner ME, et al. Balloon atrial septostomy in pulmonary arterial hypertension: effect on survival and associated outcomes. J Heart Lung Transplant. 2015;34(3):376–380. PMID: 25813766.
  • Allcock RJ. Atrial septostomy for pulmonary arterial hypertension. Heart. 2003;89(11):1344–1347. PMID: 14594898.
  • Kurzyna M, Dabrowski M, Bielecki D, et al. Atrial septostomy in treatment of end-stage right heart failure in patients with pulmonary hypertension. Chest. 2007;131(4):977–983. PMID: 17426198.
  • Rothman A, Sklansky MS, Lucas VW, et al. Atrial septostomy as a bridge to lung transplantation in patients with severe pulmonary hypertension. Am J Cardiol. 1999;84(6):682–686. PMID: 10498139.
  • Micheletti A, Hislop AA, Lammers A, et al. Role of atrial septostomy in the treatment of children with pulmonary arterial hypertension. Heart. 2006;92(7):969–972. PMID: 16278272.
  • Kuhn BT, Javed U, Armstrong EJ, et al. Balloon dilation atrial septostomy for advanced pulmonary hypertension in patients on prostanoid therapy. Catheter Cardiovasc Interv. 2015;85(6):1066–1072. PMID: 25413481.
  • Bauer A, Khalil M, Schmidt D, et al. Creation of a restrictive atrial communication in pulmonary arterial hypertension (PAH): effective palliation of syncope and end-stage heart failure. Pulm Circ. 2018;8(2):2045894018776518. PMID: 29693479.
  • Del Trigo M, Bergeron S, Bernier M, et al. Unidirectional left-to-right interatrial shunting for treatment of patients with heart failure with reduced ejection fraction: a safety and proof-of-principle cohort study. Lancet. 2016;387(10025):1290–1297. PMID: 27025435.
  • Wessler J, Kaye D, Gustafsson F, et al. REDUCE-LAP-HF trial investigators and advisors. Impact of baseline hemodynamics on the effects of a transcatheter interatrial shunt device in heart failure with preserved ejection fraction. Circ Heart Fail. 2018;11(8):e004540. PMID: 30354556.
  • Feldman T, Mauri L, Kahwash R, et al. REDUCE LAP-HF I investigators and study coordinators. transcatheter interatrial shunt device for the treatment of heart failure with preserved ejection fraction (REDUCE LAP-HF I [reduce elevated left atrial pressure in patients with heart failure]): a phase 2, Randomized, Sham-Controlled Trial. Circulation. 2018;137(4):364–375. PMID: 29142012.
  • Obokata M, Reddy YNV, Shah SJ, et al. Effects of interatrial shunt on pulmonary vascular function in heart failure with preserved ejection fraction. J Am Coll Cardiol. 2019;74(21):2539–2550. PMID: 31753198.
  • Volpe M, Liuzzo G. Unloading left heart with a shunt device shows no benefits in heart failure with preserved ejection fraction but supports the importance of phenotyping patients in clinical trials. Eur Heart J. 2022;43(18):1700–1701. PMID: 35325080.
  • Saunders A, Michelakis E. Atrial shunt devices in patients with heart failure and preserved or mildly reduced ejection fraction and the pulmonary circulation: promises and concerns. Circulation. 2022;145(21):1605–1608. PMID: 35605032.
  • Shah SJ, Borlaug BA, Chung ES, et al. REDUCE LAP-HF II investigators. Atrial shunt device for heart failure with preserved and mildly reduced ejection fraction (REDUCE LAP-HF II): a randomised, multicentre, blinded, sham-controlled trial. Lancet. 2022;399(10330):1130–1140. PMID: 35120593.
  • Borlaug BA, Blair J, Bergmann MW, et al. REDUCE LAP-HF-II investigators. latent pulmonary vascular disease may alter the response to therapeutic atrial shunt device in heart failure. Circulation. 2022;145(21):1592–1604. Epub 2022 Mar 31. [PMID: 35354306].
  • Paitazoglou C, Özdemir R, Pfister R, et al. The AFR-PRELIEVE trial: a prospective, non-randomised, pilot study to assess the atrial flow regulator (AFR) in heart failure patients with either preserved or reduced ejection fraction. EuroIntervention. 2019;15(5):403–410. PMID: 31130524.
  • Guimarães L, Bergeron S, Bernier M, et al. Interatrial shunt with the second-generation V-Wave system for patients with advanced chronic heart failure. EuroIntervention. 2020;15(16):1426–1428. PMID: 31422927.
  • Paitazoglou C, Bergmann MW, Özdemir R, et al. AFR-PRELIEVE investigators. One-year results of the first-in-man study investigating the atrial flow regulator for left atrial shunting in symptomatic heart failure patients: the PRELIEVE study. Eur J Heart Fail. 2021;23(5):800–810. PMID: 33555114.
  • Kuhn MA, Larsen RL, Mulla NF, et al. Outcome of infants with hypoplastic left heart syndrome who undergo atrial septostomy before heart transplantation. Am J Cardiol. 2000;85(1):124–7, A9. PMID: 11078255.
  • Seib PM, Faulkner SC, Erickson CC, et al. Blade and balloon atrial septostomy for left heart decompression in patients with severe ventricular dysfunction on extracorporeal membrane oxygenation. Catheter Cardiovasc Interv. 1999;46(2):179–186. PMID: 10348539.
  • Johnston TA, Jaggers J, McGovern JJ, et al. Bedside transseptal balloon dilation atrial septostomy for decompression of the left heart during extracorporeal membrane oxygenation. Catheter Cardiovasc Interv. 1999;46(2):197–199. PMID: 10348543.
  • Abraham BP, Gilliam E, Kim DW, et al. Early catheterization after initiation of extracorporeal membrane oxygenation support in children is associated with improved survival. Catheter Cardiovasc Interv. 2016;88(4):592–599. PMID: 27037743.
  • Baruteau AE, Barnetche T, Morin L, et al. Percutaneous balloon atrial septostomy on top of venoarterial extracorporeal membrane oxygenation results in safe and effective left heart decompression. Eur Heart J Acute Cardiovasc Care. 2018;7(1):70–79. PMID: 27742755.
  • Piliero N, Bedague D, Fournel E, et al. The atrial flow regulator: a novel device for left ventricular unloading in patients receiving venoarterial extracorporeal membrane oxygenation support? Chest. 2021;160(2):e165–7. PMID: 34366037.
  • Aregullin EO, Samuel BP, Girgis R, et al. Emergency use of occlutech® atrial flow regulator device facilitates weaning from veno-arterial extracorporeal membrane oxygenation in a patient with severe pulmonary arterial hypertension. J Intensive Care Med. 2021;36(6):726–728. PMID: 33853402.
  • Kloeckner M, Guihaire J, Hascoet S. Congestive pulmonary oedema during venoarterial extracorporeal membrane oxygenation support: a plea for balloon atrial septostomy. Eur Heart J. 2021;42(32):3103–3104. PMID: 33675638.
  • Chandrashekar P, Park JY, Al-Hijji MA, et al. Atrial septostomy to treat stiff left atrium syndrome. Circ Heart Fail. 2017;10(7):e004160. PMID: 28694356.
  • Zaidi D, Williams D, Zhao D, et al. Interatrial stent to treat stiff left atrium syndrome. Cardiovasc Revasc Med. 2022;40S:337–340. PMID: 35105508.
  • Kernis SJ, Goldstein J, Yerkey M, et al. Percutaneous atrial septostomy for urgent palliative treatment of severe refractory cardiogenic shock due to right ventricular infarction. Catheter Cardiovasc Interv. 2003;59(1):44–48. PMID: 12720239.
  • Vyas H, Driscoll DJ, Cabalka AK, et al. Results of transcatheter fontan fenestration to treat protein losing enteropathy. Catheter Cardiovasc Interv. 2007;69(4):584–589. PMID: 17323361.
  • Kerstein D, Levy PS, Hsu DT, et al. Blade balloon atrial septostomy in patients with severe primary pulmonary hypertension. Circulation. 1995;91(7):2028–2035. PMID: 7534664.
  • Hill SL, Mizelle KM, Vellucci SM, et al. Radiofrequency peroration and cutting balloon septoplasty in a newborn with hypoplastic left heart syndrome using transesophageal ICE probe guidance. Cathet Cardiovasc Interv. 2005;64(2):214–217. PMID: 15678458.
  • Bauer F, Besnier E, Aludaat C, et al. Left atrial unloading with an 8 mm septal cutting balloon to treat postcapillary pulmonary hypertension: a case report. ESC Heart Fail. 2022;9(1):782–785. PMID: 34766440.
  • Guerrero M, Cajigas H, Awdish R, et al. First-in-man experience with cryoplasty during graded balloon atrial septostomy to reduce spontaneous closure in a patient with severe pulmonary arterial hypertension. EuroIntervention. 2014;9(10):1235–1236. PMID: 24561738]. First in-human use of cryoplasty during balloon atrial septostomy.
  • O’Loughlin AJ, Keogh A, Muller DW. Insertion of a fenestrated amplatzer atrial septostomy device for severe pulmonary hypertension. Heart Lung Circ. 2006;15(4):275–277. PMID: 16857426.
  • Prieto LR, Latson LA, Jennings C. Atrial septostomy using a butterfly stent in a patient with severe pulmonary arterial hypertension. Catheter Cardiovasc Interv. 2006;68(4):642–647. PMID: 16969857.
  • Girona J, Gran F, García B, et al. Percutaneus double stent atrial septostomy. Catheter Cardiovasc Interv. 2007;69(2):227–230. PMID: 17253606.
  • Troost E, Delcroix M, Gewillig M, et al. A modified technique of stent fenestration of the interatrial septum improves patients with pulmonary hypertension. Catheter Cardiovasc Interv. 2009;73(2):173–179. PMID: 19085938.
  • Yadlapati A, Wax D, Rich S, et al. Novel shunt modification with an adjustable stent-embedded “fenestrated” septal occluder in a patient with pulmonary hypertension. Catheter Cardiovasc Interv. 2019;93(7):1382–1384. PMID: 30838741.
  • Kaye DM, Petrie MC, McKenzie S, et al. REDUCE LAP-HF study investigators. Impact of an interatrial shunt device on survival and heart failure hospitalization in patients with preserved ejection fraction. ESC Heart Fail. 2019;6(1):62–69. PMID: 30311437.
  • Shah SJ, Feldman T, Ricciardi MJ, et al. One-year safety and clinical outcomes of a transcatheter interatrial shunt device for the treatment of heart failure with preserved ejection fraction in the reduce elevated left atrial pressure in patients with heart failure (Reduce Lap-HFI) trial: a randomized clinical trial. JAMA Cardiol. 2018;3(10):968–977. PMID: 30167646.
  • Amat-Santos IJ, Del Trigo M, Bergeron S, et al. Left atrial decompression using unidirectional left-to-right interatrial shunt: initial experience in treating symptomatic heart failure with preserved ejection fraction with the W-wave device. JACC Cardiovasc Interv. 2015;8(6):870–872. PMID: 25999114.
  • Rodés-Cabau J, Bernier M, Amat-Santos IJ, et al. Interatrial shunting for heart failure: early and late results from the first-in-human experience with the V-wave system. JACC Cardiovasc Interv. 2018;11(22):2300–2310. PMID: 30391390.
  • Patel MB, Samuel BP, Girgis RE, et al. Implantable atrial flow regulator for severe, irreversible pulmonary arterial hypertension. EuroIntervention. 2015;11(6):706–709. PMID: 26477643.
  • Guimarães L, Del Val D, Rodés-Cabau J. The atrial flow regulator device: expanding the field of interatrial shunting for treating heart failure patients. EuroIntervention. 2019;15(5):398–400. PMID: 31456571.
  • Bakhshaliyev N, Çelikkale İ, Enhoş A, et al. Impact of atrial flow regulator (AFR) implantation on 12-month mortality in heart failure: insights from a single site in the PRELIEVE study. Herz. 2022;47(4):366–373. PMID: 34459929.
  • Shang X, Liu M, Zhong Y, et al. Clinical study on the treatment of chronic heart failure with a novel D-shant atrium shunt device. ESC Heart Fail. 2022;9(3):1713–1720. PMID: 35179320.
  • Kaye D, Shah SJ, Borlaug BA, et al. Effects of an interatrial shunt on rest and exercise hemodynamics: results of a computer simulation in heart failure. J Card Fail. 2014;20(3):212–221. PMID: 24487087.
  • Nies RJ, Guthoff H, Mader N, et al. Clinical deterioration after implantation of an interatrial shunt device: case report of an unexpected aetiology. Eur Heart J Case Rep. 2021;5(2):ytab009. PMID: 34268470.
  • Wakamatsu Y, Nakahara S, Nagashima K, et al. Hot balloon versus cryoballoon ablation for persistent atrial fibrillation: lesion area, efficacy, and safety. J Cardiovasc Electrophysiol. 2020;31(9):2310–2318. PMID: 32613693

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