Device closure of atrial septal defect: immediate and mid-term results

Circulation Journal : Official Journal of the Japanese Circulation Society
Hideaki UedaSeiyo Yasui

Abstract

Transcatheter closure of atrial septal defects (ASDs) has become an alternative to open surgical procedures. The Amplatzer septal occluder (ASO) has been approved since 2005 in Japan, but there are still many concerns about adverse events, and information about outcomes and complications is limited. The objective of this study was to assess the immediate and mid-term outcomes of device closure of secundum ASDs. From August 2005 to July 2011, 208 consecutive patients with a significant secundum ASD underwent percutaneous closure with the ASO [72 males, 136 females; median age, 7.3 years (range, 3.3-21.9 years)]. Follow-up was available for 206 (99%) patients. Device closure was successful in 203 (98%) patients. Device embolization occurred in 1 case within 1h of device implantation, but the device was surgically retrieved without any neurological sequelae. During the follow-up period, complete closure was observed in 202 of 203 patients. There were no cases of erosions, late embolization, thrombus formation, or death. Transcatheter closure of ASDs using the ASO is safe and effective, with excellent results during mid-term follow-up. Appropriate patient selection and accurate device selection is mandatory to avoid serious complic...Continue Reading

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Citations

Sep 24, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Xavier FreixaAnita W Asgar
Nov 17, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Yasufumi KijimaHiroshi Ito
Feb 16, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Adnan AbaciBurak Sezenoz
Sep 26, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Monika KomarPiotr Podolec
Feb 6, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Masaki KodairaKeiichi Fukuda
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Nov 7, 2012·The Korean Journal of Thoracic and Cardiovascular Surgery·Young Hak KimYoung-Hyo Lim
Sep 6, 2013·Circulation Journal : Official Journal of the Japanese Circulation Society·Carmine MustoRoberto Violini

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