Percutaneous trans-jugular vein closure of atrial septal defect with steerable introducer under echocardiographic guidance

Percutaneous transcatheter closure of atrial septal defect (ASD) is one of the main ASD closure approaches (1-3). The percutaneous transcatheter method of ASD closure is performed under X-ray with the potential radial damage. It can be avoided using only the echocardiographic guidance (4,5), but in this method, the patient’s age and the size of the defect were still restricted (6). Transthoracic ASD closure (2,3,7) is a modified method with no radial involvement, no age limit, but wider indications in this decade. However, the transthoracic closure procedure still needs 1-2 cm chest wall incision and operates in the thoracic. So its minimally invasion has been questioned. Since January 2015, the authors have adopted a new method of percutaneous trans-jugular vein closure of ASD with steerable introducer under echocardiographic guidance, which is a good solution to the limitations for above methods and achieved good clinical results