Dicle Medical Journal
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Journal Abstract
 
Percutaneous closure of secundum atrial septal defects: Experience of a tertiary referral center
Oktay Ergene 1, Cem Nazlı 1, Uğur Kocabaş 1, Hamza Duygu 1, Nihan Kahya Eren 1, Zehra İlke Akyıldız 1, Ali Hikmet Kırdök 1, Rida Berilgen 1
1 - İzmir Atatürk Eğitim ve Araştırma Hastanesi, II. Kardiyoloji Kliniği, İzmir, Türkiye
Dicle Med J 2012; 39(1):97-101
ICID: 987030
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
 
Objectives: This study was aimed to evaluate our clinical
experiences and investigate results of percutaneous closure
of secundum atrial septal defects (ASD) in our clinic.
Results: We retrospectively included 70 patients (19
male, 51 female) undergoing percutaneous ASD closure
procedure with mean age of 36±14.8 (17-75) in our clinic
between March 2008 and January 2010. Defect diameter
measured by transesophageal echocardiography was
19.7±6.3 mm (6-32 mm). Device size used for percutaneous
closure of ASD was 23.7±6.2 (12-36). Devices used
for percutaneous closure were nitinol-based devices including
Amplatzer (64.7%), Cardiofix (26.7%) and biodegredable
BioStar (8.6%). The percutaneous closure
procedure was successful at 68 of 70 (97%) patients. In
2 patients procedure failed. Failure reason was device
embolization in one patient and device strut fracture in
other; so these 2 patients referred to surgery. During follow
up 2 more patients also referred to surgery because
of device embolization in first day control. In 3 patients
(4.2%) supraventricular arrythmias that are converted to
sinus by cardioversion are observed. Mean follow up interval
was 18.6±9.6 months (1-44) and during this period
peripheral vascular complications, cerebrovascular accidents,
thrombus on devices, device erosion or death is
not observed.
Conclusion: Percutaneous closure of secundum ASD
which started to replace surgical treatment of ASD in last
decades is safe and effective method in short to mid-term
period. However because of potentially serious complication
risks it should be performed in special centers by
operators who are experienced in treating structural heart
diseases.

ICID 987030
 
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