TITLE

Transcatheter Closure of Atrial Septal Defect with Amplatzer Device in Children and Adolescents: Short and Midterm results; an Iranian Experience

AUTHOR(S)
Behjati, Mostafa; Mirhosseini, Sayed-Jalil; Hosseini, Saiyed-Habibollah; Rajaei, Shahrokh
PUB. DATE
June 2011
SOURCE
Iranian Journal of Pediatrics;Jun2011, Vol. 21 Issue 2, p166
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: Transcatheter closure of secundum atrial septal defect (ASD) with Amplatzer device is an alternative procedure to surgical repair, with some limitations. The aim of this study was to assess the initial and mid-term results of the treatment of ASD with Amplatzer septal occluder in children and adolescents. Methods: From May 2003 to January 2008 sixty three consecutive children and adolescent patients underwent transcatheter closure of ASD at a mean±SD age of 8.5±4.8 years (range 2.2 to 18 years). All procedures were performed under local anesthesia and moderate sedation or general anesthesia with transthoracic echocardiography and fluoroscopic guidance. Stretch diameter of ASD was determined by balloon sizing catheter. Device selection was based on and matched to the standard diameter of the septal defect. Follow up at 24 hours, 1 month, 6 months, 12 months and yearly thereafter included physical examination, electrocardiography and transthoracic echocardiography. I Findings: The mean ASD diameter, measured with transthoracic echocardiography and balloon catheter were 19.5± 5.5 mm and 20.9± 6.2 mm, respectively. The mean follow up period was ¦ 32.4+18.8 months. Deployment of the device was successful in 57 (90.5%) and failed in 6 (9.5%) patients. The major complication included dislodgement of device in 1 patient and device embolization to right ventricular inlet (surgically removed) in 1 patient. The minor complication included transient atrial tachycardia in 10 patients, paroxysmal supraventricular tachycardia in 2 patients during procedure, successfully terminated with medication. At 24 hour, 1 month, 6 month and 1 year follow up, total occlusion rates were 73.6 %, 91%, 94.7%, and 94.7%, respectively. Conclusion: Transcatheter occlusion of ASD with Amplatzer device is an effective and safe procedure with minimal complication rate and short hospital stay, as well as excellent short and intermediate outcome in children and adolescents.
ACCESSION #
67194886

 

Related Articles

  • Percutaneous Closure of Atrial Septal Defects with Deficient Rims. Krishnamoorthy, K.M.; Gopalakrishnan, A.; Sivasankaran, S.S. // Cardiology;Aug2016, Vol. 135 Issue 1, p48 

    A letter to the editor is presented in response to the article "Feasibility, safety and long-term follow-up of transcatheter closure of secundum atrial septal defects with deficient rims" by C. Cao and colleagues which was published in the previous issue.

  • Sizing of Atrial Septal Defects. El-Said, Howaida G.; Bezold, Louis I.; Grifka, Ronald G.; Pignatelli, Ricardo H.; McMahon, Colin J.; Schutte, Deborah A.; Smith, E. O'Brian; Mullins, Charles E. // Texas Heart Institute Journal;2001, Vol. 28 Issue 3, p177 

    Presents information on a retrospective study to compare methods of measuring atrial septal defects and to identify factors affecting echocardiographic measurement of such defects before transcatheter closure with CardioSEALâ„¢ Septal Occluder. Research methods; Results and discussion;...

  • Secundum atrial septal defects: time to close them all? Sharp, Andrew; Malik, Iqbal // Heart;Sep2008, Vol. 94 Issue 9, p1120 

    The authors reflect on a study on catheter-based closure as the first-line treatment strategy for secundum atrial septal defects. They tackle the benefits of transcatheter closure of secundum atrial septal defects. They examine a potential benefit of catheter closure over surgery in arrhythmia....

  • INTRACARDIAC ECHOCARDIOGRAPHIC ATRIAL SEPTAL DEFECT CLOSURE. Balzer, David // Methodist DeBakey Cardiovascular Journal;Apr-Jun2014, Vol. 10 Issue 2, p88 

    Intracardiac echocardiography (ICE) is an excellent ultrasound modality that can be used to guide atrial septal defect (ASD) closure. Compared with transesophageal echocardiography, ICE offers better imaging of the posterior inferior septum, it does not require deep or general anesthesia, and it...

  • Multiplanar transesophageal echocardiography for the evaluation and percutaneous management of ostium secundum atrial septal defects in the adult. Sobrino, Ayax; Basmadjian, Arsène J.; Ducharme, Anique; Ibrahim, Reda; Mercier, Lise-Andrée; Pelletier, Guy B.; Marcotte, François; Garceau, Patrick; Burelle, Denis; O'Meara, Eileen; Dore, Annie // Archivos de Cardiología de México;ene-mar2012, Vol. 82 Issue 1, p37 

    The purpose of this paper is to review the usefulness of multiplanar transesophageal echocardiography before, during and after percutaneous transcatheter closure of secundum atrial septal defects. Transesophageal echocardiography imaging techniques,including their role in patient selection,...

  • Single Centre Experience with GORE-HELEX Septal Occluder for Closure of PFO Ponnuthurai, Francis A.; van Gaal, William J.; Burchell, Amy; Mitchell, Andrew; Wilson, Neil; Ormerod, Oliver // Heart, Lung & Circulation;Apr2009, Vol. 18 Issue 2, p140 

    Several devices are available for percutaneous patent foramen ovale (PFO) closure. Over the past 3 years our planned treatment strategy of PFO closure has been routine use of the GORE-HELEX septal occluder device, followed by 6 months of aspirin therapy. We present the safety and feasibility of...

  • Lutembacherov sindrom: prikaz slučaja. Biočić, Stanko; Rudan, Diana; Vincelj, Josip // Cardiologia Croatica;Oct/Nov2013, Vol. 8 Issue 10/11, p352 

    Lutembacher's syndrome refers to a congenital atrial septal defect (ASD) complicated by aquired mitral stenosis (MS). It was first described by Lutembacher, a French physician, in 1916. This syndrome is a very rare disease, it is found that the incidence of Lutembacher's syndrom is...

  • Largest ASD device closure. Sugaonkar, Pankaj; Ganguly, Debasree; Chattopadhyaya, Amitabha; Bandyopadyaya, Biswajit // Annals of Pediatric Cardiology;Jul-Dec2011, Vol. 4 Issue 2, p218 

    A letter to the editor about a large ostium secundum transcatheter atrial septal defect (ASD) closure is presented.

  • Partially unroofed coronary sinus with persistent left superior vena cava: the utility of two and three-dimensional transesophageal echocardiography. Hiroshi Yonekura; Shinya Kanazawa; Ikuko Miyawaki; Kazuo Yamazaki // Korean Journal of Anesthesiology;Jul2014, Vol. 67 Issue 1, p52 

    Unroofed coronary sinus (URCS) is a rare cardiac anomaly, in which communication occurs between the coronary sinus (CS) and the left atrium (LA) because of partial or complete absence of the CS roof. A 30-year-old woman was scheduled for surgical closure of atrial septal defect, mitral valve...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics