[Late complications of percutaneous closure of atrial septal defects with the Sideris occluder]
| Autor: | Lambert V, Losay J, Jd, Piot, Chevalier B, Bourdin T, Loic MACE, Angel C, Brenot P, Jy, Neveux |
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| Jazyk: | francouzština |
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Cardiac Catheterization Adolescent Middle Aged Radiology Interventional Heart Septal Defects Atrial Catheterization Treatment Outcome Foreign-Body Migration Actuarial Analysis Child Preschool Thromboembolism Humans Equipment Failure Female Heart Atria Child Echocardiography Transesophageal Aged Follow-Up Studies |
| Zdroj: | Europe PubMed Central |
| ISSN: | 0003-9683 |
| Popis: | Between June 1992 and January 1996, 27 patients aged 3.9 to 74 years with an ostium secundum (22 patients) or patent foramen ovale with right-to-left shunts (5 patients) underwent percutaneous closure of their atrial septal defects with the Sideris occluder. After a thromboembolic complication, transesophageal echocardiography was performed routinely after the procedure in 15 patients between 1 month and 2 years, and in 6 patients on the 15th day. Two patients died, on the 2nd day and 21st month, of non-related causes. After an average follow-up of 33 months, 59% of patients had complete occlusion of the atrial septal defects or only a minimal residual shunt. Displacement of the prosthesis was defects or only a minimal residual shunt. Displacement of the prosthesis was observed in 7 cases with no relationship to size: 4 parallel to the septum with reappearance or increase in shunt, 3 with tilting of the prosthesis. All of these patients had a large residual defect compared with 20% with a normally positioned prosthesis (p0.05). Tilting of the occluder was associated with left atrial thrombosis (present in 40% of these patients), complicated by systemic embolism in one case: there were no cases of left atrial thrombus in the 9 with complete occlusion and the 5 patients with an isolated residual defect (p0.05). Occlusion of atrial septal defect with the Sideris device is effective and a safe method in the majority of cases. However, a badly positioned prosthesis with a residual shunt should be extracted as seen as possible or within three weeks if displacement is observed at control echocardiography. |
| Databáze: | OpenAIRE |
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