Percutaneous closure of atrial septal defects without balloon sizing in adults: Experience of a tertiary referral center
Hasan Kaya 1 * , Faruk Ertaş, Abdulkadir Yıldız, Mustafa Oylumlu, Nihat Polat, Necdet Özaydoğdu, Sait Alan, Mehmet Sıddık Ülgen
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1 Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır, Turkey* Corresponding Author

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.

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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, 2013, Volume 4, Issue 1, 67-72

https://doi.org/10.5799/ahinjs.01.2013.01.0236

Publication date: 14 Mar 2013

Article Views: 2231

Article Downloads: 1427

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