Percutaneous closure of secundum atrial septal defects in pediatric and adult patients: short- and mid-term follow-up results
| Autor: | Yemlihan Ceylan, Mehmet Özkan, Ramazan Akdemir, Yüksel Kaya, Mustafa Bulut, Nihat Söylemez, Yılmaz Güneş, Hasan Öztürk, Bahattin Balcı, Tolga Sinan Güvenç, Ahmet Karakurt, Mustafa Yurtdaş |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Adolescent Septum secundum Pericardial effusion Heart Septal Defects Atrial Atrial septal defects Young Adult Cardiac tamponade Internal medicine medicine Humans Local anesthesia Angioplasty Balloon Coronary Child Aged business.industry Septal Occluder Device Middle Aged medicine.disease Surgery Cardiac surgery Treatment Outcome Child Preschool Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology. 41:705-713 |
| ISSN: | 1016-5169 |
| DOI: | 10.5543/tkda.2013.84031 |
| Popis: | OBJECTIVES We aimed to evaluate the short- and mid-term results of patients with atrial septal defect (ASD) who were treated with percutaneous closure. STUDY DESIGN Seventy-nine patients with secundum ASD (54 female and 25 male; mean age 26.2±17.2; range 3 to 71] years) were included in this study. Patients were evaluated by transthoracic (TTE) and/or transesophageal echocardiography (TEE). Amplatzer septal occluder (ASO) was used in all patients. In 76 patients, the procedure was performed under local anesthesia with TTE, while in the other 3 patients, it was performed with general anesthesia with TEE. Patients were followed up at the 1st, 3rd, 6th and 12th months and annually thereafter. Mean follow-up time was 13.6±6.6 months. RESULTS Mean diameter of ASDs was 18.2±7.5 mm and 20.7±8.04 mm during balloon dilatation, and mean diameter of implanted devices was 22.7±8.5 mm. Procedural time was 40.2±12.6 minutes and fluoroscopy time was 10.9±4.1 minutes. The procedure was successfully performed in all patients (100%). One patient with cardiac tamponade died seven days after cardiac surgery. In two patients, the implanted devices embolized to the pulmonary circulation. Residual flow was found in three patients immediately after the procedure, without residual shunts one month after closure. Mild pericardial effusion in one patient and significant residual shunt due to device malposition in another were discovered during the follow-up at 1 and 6 months, respectively, after the procedure. CONCLUSION Our findings showed that percutaneous closure of ASDs is successful in most patients with a low complication rate, and demonstrated that residual shunts do not develop in the majority of patients in the short- and mid-term. |
| Databáze: | OpenAIRE |
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