Buttoned Device for Atrial Septal Defect Occlusion.

Abstract

This article reviews the most recent results of the latest modification of the buttoned device (Custom Medical Devices, Amarillo, TX), the 4th generation. The latest advances in atrial septal defect (ASD) occlusion with further modifications of the buttoned device--inverted buttoned device, hybrid buttoned device, and centering- on-demand device (COD) (Custom Medical Devices)--that have led to the evolution of wireless and deviceless ASD occlusion are also presented.