Atrial function after percutaneous occluder device and suture-mediated patent fossa ovalis closure.

Autor:	Tarsia C; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy., Gaspardone C; Unit of Clinical Cardiology, Vita-Salute San Raffaele University, Via Olgettina, 58, Milan 20132, Italy., De Santis A; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy., D'Ascoli E; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy., Piccioni F; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy., Sgueglia GA; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy., Iamele M; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy., Leonetti S; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy., Giannico MB; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy., Gaspardone A; Division of Cardiology, Sant'Eugenio Hospital, Piazzale dell'Umanesimo 10, Rome 00144, Italy.
Jazyk:	angličtina
Zdroj:	European heart journal. Imaging methods and practice [Eur Heart J Imaging Methods Pract] 2024 Feb 13; Vol. 2 (1), pp. qyae008. Date of Electronic Publication: 2024 Feb 13 (Print Publication: 2024).
DOI:	10.1093/ehjimp/qyae008
Abstrakt:	Aims: Suture-mediated patent fossa ovalis (PFO) closure is a recent technique, achieving closure by means of a simple suture. The differences between traditional occluders and suture might have different impacts on atrial function. The aim of this study was to evaluate atrial function after PFO closure by direct suture and traditional occluders. Methods and Results: We prospectively studied 40 patients, 20 undergoing PFO closure by occluder and 20 by suture. Trans-thoracic echocardiography was carried out the day before and 1 year after the procedure. Left atrial (LA) and right atrial (RA) function was evaluated by using speckle-tracking analysis assessing the strain values of the reservoir (st-RES), conduit (st-CD), and contraction phase (st-CT). Compared with values baseline PFO closure, at 1-year follow-up, patients with occluder implantation had significantly worse indices of LA and RA reservoir (LA st-RES P < 0.001; RA st-RES P < 0.001), conduit (LA st-CD P < 0.001; RA st-CD P < 0.001), and contraction function (LA st-CT P < 0.05; RA st-CT P < 0.05). In patients with suture-mediated PFO closure, no significant differences were observed in the same indices of reservoir (LA st-RES P = 0.848; RA st-RES P = 0.183), conduit (LA st-CD P = 0.156; RA st-CD P = 0.419), and contraction function (LA st-CT P = 0.193; RA st-CT P = 0.375). Conclusion: Suture-mediated PFO closure does not alter atrial function. Conversely, PFO closure by metallic occluders is associated with a deterioration of atrial function. This detrimental effect on atrial function could favour the development of atrial arrhythmias. Competing Interests: Conflict of interest: None declared. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.)
Databáze:	MEDLINE
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