Evaluation of morphological characteristics of septal rims affecting successful transcatheter atrial septal defect closure in children and adults
| Autor: | Mehmet Burhan Oflaz, Feyza Ayşenur Paç, Sevket Balli, İbrahim Ece, Ayse Esin Kibar |
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| Přispěvatelé: | [Oflaz, Mehmet Burhan] Cumhuriyet Univ, Sch Med, Dept Pediat Cardiol, TR-58140 Sivas, Turkey -- [Pac, Feyza Aysenur] Yuksek Ihtisas Educ & Res Hosp, Dept Pediat Cardiol, Ankara, Turkey -- [Kibar, Ayse Esin] Mersin Children Hosp, Dept Pediat Cardiol, Mersin, Turkey -- [Balli, Sevket] Ataturk Hosp, Dept Pediat Cardiol, Balikesir, Turkey -- [Ece, Ibrahim] Yuzuncu Yil Univ, Sch Med, Dept Pediat Cardiol, Van, Turkey, Oflaz, Mehmet Burhan -- 0000-0003-1515-4654 |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Adult patients genetic structures business.industry Septum secundum Atrial septal defect closure behavioral disciplines and activities Original Papers Atrial septum Surgery Defect closure echocardiographic predictors mental disorders medicine transcatheter closure Defect size cardiovascular diseases atrial septal defect Cardiology and Cardiovascular Medicine business |
| Zdroj: | Postępy w Kardiologii Interwencyjnej = Advances in Interventional Cardiology |
| ISSN: | 1897-4295 1734-9338 |
| Popis: | WOS: 000324967000002 PubMed ID: 24570720 Introduction: Determining other echocardiographic predictors along with the measured atrial septal defect (ASD) size and evaluating the closure together with these predictors would increase the chance of success for transcatheter closure of ASD. Aim: To evaluate echocardiographic parameters affecting defect closure in children and adult patients with secundum ASD. Material and methods: In all patients, size of ASD, total length of atrial septum (TS), superior-posterior, inferior-posterior, superior-anterior and inferior-anterior rims surrounding the defect were measured by transesophageal echocardiography (TEE), and several measurement ratios were derived on the basis of TEE parameters. Results: A total 216 patients with secundum ASD were included in this study. The device was successfully implanted in 65 children and 65 adults. Both in pediatric and adult cases, the ratio of successful closure was found to be significantly higher when the ratio of defect size to TS was 0.75 and the ratio of inferior-posterior (IP) rim to the defect size was > 1.0. It was found that having more than one of these predictors in a single case increased the chance of closure success significantly (p < 0.001). Conclusions: We concluded that a ratio of the defect size to TS 0.75 and a ratio of IP rim to defect size > 1.0 were found to be echocardiographic predictors that could be used in successful transcatheter ASD closure both in children and adults. |
| Databáze: | OpenAIRE |
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