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Interatrial shunt devices for heart failure

Unloading left atrial hypertension by catheter-based, transvenous creation of atrial shunts is being explored to treat heart failure. So far, trials including sham control have demonstrated safety and efficacy in lowering left-sided cardiac filling pressures. Ongoing trials will determine the effect on clinical outcomes.

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Correspondence to Finn Gustafsson.

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Competing interests

F.G. has been an unpaid advisor to Corvia and an investigator in the REDUCE LAP-HF II trial. F.G. is also an advisor to Abbott, AdjuCor, Alnylam, AstraZeneca, Bayer, FineHeart, Ionis and Pfizer, and a speaker for Novartis.

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Gustafsson, F. Interatrial shunt devices for heart failure. Nat Rev Cardiol 20, 717–718 (2023). https://doi.org/10.1038/s41569-023-00923-w

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