{"doi":"10.1093/ejcts/ezs684","title":"Reply to Durukan et al.","abstract":null,"journal":"European Journal of Cardio-Thoracic Surgery","year":2013,"id":632864,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1640603,"name":"A. Guler","orcid":null,"position":1,"is_corresponding":false},{"id":1640601,"name":"M. Tavlasoglu","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Reply to Durukan et al.","abstract":"We would like to thank Durukan et al. [1] for their contribution to our paper further elucidating our position on transapical or transfemoral paravalvular leakage closure. Moreover, it is better to explain the procedure in more detail. The Amplatzer duct occluder II (ADO II) is a self-expanding nitinol mesh device specifically designed to occlude a tube connecting two larger chambers, e.g. in patent ductus arteriosus, where the aorta and pulmonary arteries are connected. There are many different families of Amplatzer occluders that used to close different anatomical defects, and each of them has defect-specific technical properties. For example, the Amplatzer septal occluder (ASO) device used to occlude single atrial septal defects has two discs connected by a waist. However, the connection point between waist and both discs is designed in a different manner from the ADO II. The connection between the waist and discs is a cylindrical-shaped continuation with the same diameter as the waist in the ASO, whereas in ADO II, the diameter of the waist gradually decreases and connects to discs with a smaller diameter than the waist [2]. This feature prevents disc deformation and provides conformism for both discs according to the shape of both ends of the paravalvular defect, if a device of appropriate length is chosen, while the waist accommodates the defect. The ADO II is available in eight sizes with four waist diameters (3, 4, 5, and 6 mm) and there are two length options for each waist diameter (4 or 6 mm). In our case, [3] the device length was 4 mm and the waist diameter was 6 mm (with a circumference of ∼18.84 mm). However, the height of the mechanical valve was standard and was ∼5 mm, and its sewing cuff height was almost 4 mm with the suture and endothelial cover. The paravalvular defect width was 5 mm [3]. Although not mentioned in the article, the lateral diameter was ∼3 mm, and the circular length ∼16 mm, which was smaller than the waist circumference of the device. We think that the defect circumference should be a little bit smaller than the waist circumference of the device and the maximum length of the device should be up to the length of the defect. If a device with a larger waist circumference is chosen, it will fit the shape of the paravalvular defect perfectly with the help of its self-expanding property, while its length increases and both discs prevent embolization. The self-expandability, a slightly larger waist circumference, localized convergence at each disc and appropriate device length allow device fixation and conformism within the paravalvular anatomical defect, provide protection from embolization and prevent the occurrence of new paravalvular leakages under 3D-TEE and fluoroscopic guidance.","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"23324793","pmcid":null,"openalex_id":"https://openalex.org/W2170423518","authors":[],"funders":[],"total_grants":0,"fwci":null,"citation_percentile":null,"influential_citations":0,"citation_trend":[],"oa_status":"bronze","license":null,"oa_locations":[{"url":"https://academic.oup.com/ejcts/article-pdf/44/1/186/1178401/ezs684.pdf","host_type":"journal"},{"url":"https://academic.oup.com/ejcts/article-pdf/44/1/186/1178401/ezs684.pdf","host_type":"publisher"},{"url":"http://academic.oup.com/ejcts/article-pdf/44/1/186/1178401/ezs684.pdf","host_type":"publisher"},{"url":"https://doi.org/10.1093/ejcts/ezs684","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/23324793","host_type":"repository"}],"fields_of_study":["Cardiac Valve Diseases and Treatments","Cardiovascular Conditions and Treatments","Congenital Heart Disease Studies"],"mesh_terms":["Cardiac Surgical Procedures","Humans","Male","Mitral Valve","Mitral Valve Insufficiency","Postoperative Complications","Heart Valve Prosthesis Implantation"],"keywords":["Circumference","Waist","Embolization","Fixation (population genetics)","Medicine","Materials science","Anatomy","Surgery","Geometry","Mathematics","Internal medicine","Mitral valve replacement","Amplatzer Duct Occluder Ii","Paravalvular Leakage","Transapical Approach"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-06T10:28:45.245082Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}