| Title: |
Percutaneous Interventional Treatment of Atrial Septal Defect Secundum in Macedonia |
| Authors: |
Milev, Ivan; Idrizi, Shpend; Zimbakov, Zan; Ampova-Sokolov, Vilma; Zafirovska, Planinka; Nikolov, Sashko; Angjuseva, Tanja; Mitrev, Zan |
| Source: |
Open Access Macedonian Journal of Medical Sciences; Vol. 2 No. 1 (2014): Mar 15 (OAMJMS); 62-67 ; 1857-9655 |
| Publisher Information: |
Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia |
| Publication Year: |
2014 |
| Subject Terms: |
atrial septal defect; percutaneous intervention; atrial septal occluder; congential heart disease; right ventricle overload |
| Description: |
Background: Atrial septal defect (ASD) is a common congenital heart disorder (CHD). While conventional open surgical treatment is the standard procedure in our country, percutaneous device closure with implantation of an atrial septal defect occluder is a promising alternative with very few peri and post procedural complications.Aim: The aim of the study was to present the rate of success and complications in percutaneous ASD closure with the implantation of an atrial septal defect occluder.Material and Methods: We treated 153 patients (ages 2-76; 65% female) with ASD secundum with percutaneous trans catheter closure using a septal occluder. Follow up was on a 3 month interval and assessment included clinical, electrophysiological and echocardiographic status. Results: The mean diameter of ASD obtained via balloon sizing was 16 ± 16 mm. Multiple ASDs were found in 20 (13%) patients and deficitary aortic and anterior rim (< 5 mm) was present in 16 (10%) patients. Due to inadequate placement and/or sizing, the device was removed and replaced in seven patients (5%). During follow up, trivial shunt was present in 4 (2.6%) patients. The diameter of the right ventricle corrected for age was reduced by an average of 20% by the first month and in 130 (86%) of patients it had normalized by one year of follow up. During follow up, 16 (10%) patients reported transient headaches and 3 (1.9%) patients had transient atrial fibrillation (AF).Conclusion: In conclusion, the implantation of a septal occluder was found to be a safe procedure that resulted in improved hemodynamic parameters that result from right ventricular volume overload with favorable short- and mid-term results. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
https://oamjms.eu/index.php/mjms/article/view//79; https://oamjms.eu/index.php/mjms/article/view/ |
| DOI: |
10.3889/oamjms.2014.011 |
| Availability: |
https://oamjms.eu/index.php/mjms/article/view/; https://doi.org/10.3889/oamjms.2014.011 |
| Accession Number: |
edsbas.BA171BD0 |
| Database: |
BASE |