IMR Press / RCM / Volume 25 / Issue 5 / DOI: 10.31083/j.rcm2505159
Open Access Review
Recent Development of Biodegradable Occlusion Devices for Intra-Atrial Shunts
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1 Department of Pediatric Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510100 Guangzhou, Guangdong, China
2 Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, 510100 Guangzhou, Guangdong, China
*Correspondence: xymay@126.com (Yu-Mei Xie); drzhangzw@sohu.com (Zhi-Wei Zhang)
Rev. Cardiovasc. Med. 2024, 25(5), 159; https://doi.org/10.31083/j.rcm2505159
Submitted: 28 September 2023 | Revised: 26 November 2023 | Accepted: 18 December 2023 | Published: 8 May 2024
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Atrial septal defect (ASD) is the third most common type of structural congenital heart defect. Patent foramen ovale (PFO) is an anatomical anomaly in up to 25% of the general population. With the innovation of occlusion devices and improvement of transcatheter techniques, percutaneous closure has become a first-line therapeutic alternative for treatment of ASD and PFO. During the past few decades, the development of biodegradable occlusion devices has become a promising direction for transcatheter closure of ASD/PFO due to their biodegradability and improved biocompatibility. The purpose of this review is to comprehensively summarize biodegradable ASD/PFO occlusion devices, regarding device design, materials, biodegradability, and evaluation of animal or clinical experiments (if available). The current challenges and the research direction for the development of biodegradable occluders for congenital heart defects are also discussed.

Keywords
biodegradable
atrial septal defect
patent ovale foramen
occlusion device
Funding
2023A04J0485/Guangzhou Science and Technology Project
2020B1111170011/Guangdong Provincial Clinical Research Center for Cardiovascular Disease
Figures
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