Transcatheter closure of complex atrial septal defects: feasibility and mid-term results

Journal of Cardiovascular Medicine
G SantoroR Calabrò

Abstract

Transcatheter closure of atrial septal defects (ASDs) is currently a reliable alternative to surgery, even though challenging in the case of complex septal anatomy. The aim of this study was to evaluate the feasibility and mid-term results of percutaneous closure of complex ASDs in a tertiary referral centre compared with simple ASD closure. Between April 2000 and November 2004, 209 patients were submitted to transcatheter ASD closure; 83 patients (39.7%) presented with a complex defect (large ASDs with a deficient rim or a multifenestrated/aneurysmal septum) and were treated using different devices tailored to the atrial septal anatomy. The transcatheter procedure was successful in 72 patients (86.8%), using a single device in 69 patients and two devices in the remaining three patients. Overall, 71 Amplatzer septal occluders, two multifenestrated Amplatzer septal occluders and two Cardioseal/Starflex devices were used. Procedural and fluoroscopy times were 141 +/- 45 min and 28 +/- 22 min, respectively (P < 0.0001 vs. simple ASD closure for both comparisons). Procedure-related complications were recorded in nine patients (12.5%) (P < 0.01 vs. simple ASD closure). One patient required surgical repair of a femoral arteriovenous ...Continue Reading

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Citations

Jan 13, 2012·Interactive Cardiovascular and Thoracic Surgery·Kadir YilmazChristof Stamm
Mar 4, 2014·Indian Heart Journal·Ajith Ananthakrishna PillaiBalachander Jayaraman
May 28, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Athar M QureshiLarry A Latson
Aug 22, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Johannes MasseliHorst Sievert
Jan 21, 2020·International Heart Journal·Chenyu ZhaoKexiang Liu
Oct 16, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Giuseppe SantoroMassimiliano Cantinotti
Aug 10, 2021·Journal of Cardiovascular Medicine·Heba Talat MahmoudGiuseppe Santoro

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