The closure of atrial septal defects (ASD) is successfully performed in most cardiac and congenital heart disease centers all over the world. Even if most procedures seem to be simple and straight forward, others can become extremely challenging, where all your skills and experience are needed, to bring them to a successful end.

This workshop intends to give you an overview of special, sometimes rare or challenging cases, so that you will be well prepared for unusual cases. Furthermore, we want to introduce you to the characteristics of different old and new closure devices, presented out of the daily practice of experienced colleagues. Finally, we need to talk about possible rescue scenarios that can help you and your patients if the outcome of the ASD closure takes an unexpected turn.  All this, plus discussions and answers for your questions are included in these three sessions.

Invited speakers: Karen McCarthy, Marc Gewillig, Peter Ewert, Nathalie Mini, Waltraud Merz, Nina Wunderlich, Allison Cabalka, Athar Qureshi, Felix Berger, Jens Erik Nielsen-Kudsk, Nikolaus Haas, Sotiria Apostolopoulou, Worakan Promphan, Ahmet Celebi, Kevin Walsh, Oliver Kretschmar, Xiangbin Pan, John Carroll, Alain Fraisse, Bharat Dalvi, Eric Rosenthal, Zahid Amin & John Thomson

The spectrum of interatrial septal defects

Morphology and imaging of various interatrial defects

Usual and unusual indications for closure

Anatomical and physiological limitations for closure

How to close aneurysmal and multifenestrated defects?

ASD and PFO in pregnancy

Guided by Echo/TEE
Guided by IVUS/ICE
Spectrum of devices
Quick fire rounds: “The best ASD Occluder is…”

•    Amplatzer, what else do you need

•    Gore, from Helex to Cardioform

•    Occlutech, the all-rounder

•    CeraFlex ASD device, one for everyone

•    Cocoon Septal Occluder
•    Nit Occlud ASD-R device
Fenestrated devices, little helpers

How do I make a reliable fenestration

What’s to come, the newer and the better ones
•    Biodegradable devices (Carag/atHeart), where are they?
•    Biodegradable ASD occlude: Absnow
•    Snowy device
Spectrum of challenging cases

How to deal with atrial fibrillation before ASD closure?

What would you do next? ASD closure step by step

•    Very large ASD – case-based study

•    Different ways of deploying a device
•    Multiple devices – case-based study

•    Embolized devices – case-based study

•    Embolized devices – when not to retrieve by catheter
•    Embolized devices - a surgeon’s approach
•    ASD closure in the elderly



This workshop is part of CSI Frankfurt 2023, the leading conference on catheter interventions in congenital, structural and valvar heart disease and heart failure, which will take place June 28 - July 1, 2023 in Frankfurt, Germany. Drop in for the day, or join us for the full 4-day program providing a comprehensive overview of the field presented by experts and key opinion leaders from all over the world.