Full Text (PDF)
Abstract
Objective: We aimed to evaluate our clinical experience and short-term results of percutaneous closure of secundum type atrial septal defects (ASD) in adults.
Methods: We studied 71 patients (49 female, 22 male, mean age 35±14 years) undergoing percutaneous closure of ASD between January 2010-October 2012 in our clinic. All procedures were performed under sedoanalgesia without balloon sizing. Clinical characteristics of patients, properties of percutaneous closure intervention, complications and short-term results are evaluated.
Results: Defect diameter measured by transesophageal echocardiographic examination was 19.8±6.4 mm. Device size used for percutaneous closure was 24.7±6.7 mm. Procedure was successfully performed in 67 patients (94%). Four patients were referred for surgery because of procedural failure. During procedure, a patient developed transient 2nd degree AV block, and another developed device thrombosis. Residual shunt was detected in three patients at first day control echocardiographic examination. In the follow-up of 13±8 months, no residual shunt, embolic or arrhythmic complications were observed.
Conclusion: Percutaneous closure of secundum ASD is a safe and effective method with high success and low complication rates in experienced centers.
License
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Article Type: Research Article
J Clin Exp Invest, Volume 4, Issue 1, March 2013, 67-72
https://doi.org/10.5799/ahinjs.01.2013.01.0236
Publication date: 14 Mar 2013
Article Views: 2442
Article Downloads: 1644
Open Access References How to cite this article