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Titolo:
TRANSCATHETER CLOSURE OF ATRIAL SEPTAL-DEFECTS WITHIN THE OVAL FOSSA - MEDIUM-TERM RESULTS IN CHILDREN USING THE ASDOS-TECHNIQUE
Autore:
HAUSDORF G; SCHNEIDER M; FINK C; NEUDORF U; FISCHER G; TYNAN M; FRIEDLI B;
Indirizzi:
HANNOVER MED SCH,DEPT PEDIAT & PEDIAT CARDIOL 3,CARL NEUBERG STR 1 D-30625 HANNOVER GERMANY HANNOVER MED SCH,DEPT PEDIAT CARDIOL D-30625 HANNOVER GERMANY CHARITE BERLIN,DEPT PEDIAT CARDIOL BERLIN GERMANY UNIV ESSEN GESAMTHSCH KLINIKUM,DEPT PEDIAT CARDIOL D-4300 ESSEN GERMANY CHRISTIAN ALBRECHTS UNIV KIEL,DEPT PEDIAT CARDIOL D-24098 KIEL GERMANY GUYS HOSP,DEPT PEDIAT CARDIOL LONDON SE1 9RT ENGLAND UNIV HOSP GENEVA,DEPT PEDIAT CARDIOL GENEVA SWITZERLAND
Titolo Testata:
Cardiology in the young
fascicolo: 4, volume: 8, anno: 1998,
pagine: 462 - 471
SICI:
1047-9511(1998)8:4<462:TCOASW>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
BUTTONED DEVICE; ECHOCARDIOGRAPHIC PREDICTORS; CARDIAC-CATHETERIZATION; SURGICAL CLOSURE; OCCLUSION; EXPERIENCE; UMBRELLA; OCCLUDER; SYSTEM;
Keywords:
ATRIAL SEPTAL DEFECT; INTERVENTIONAL CARDIOLOGY; CLOSURE DEVICES; BIOMATERIALS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
29
Recensione:
Indirizzi per estratti:
Citazione:
G. Hausdorf et al., "TRANSCATHETER CLOSURE OF ATRIAL SEPTAL-DEFECTS WITHIN THE OVAL FOSSA - MEDIUM-TERM RESULTS IN CHILDREN USING THE ASDOS-TECHNIQUE", Cardiology in the young, 8(4), 1998, pp. 462-471

Abstract

Objectives: The purpose of this study was to evaluate the safety and efficacy of the ASDOS-technique (Sulzer-Osypka GmbH, Germany) for transcatheter closure of atrial septal defects within the oval fossa. Background: Although several attempts have been made to occlude defects within the oval fossa by transcatheter techniques, none of these has gained general acceptance. Methods: Patients with a defect in the oval fossa measuring equal to or less than 20 mm diameter, with a residual septal rim of 5mm or greater, body weight greater than 10 kg, with clinical indications for surgical closure were considered for transcatheterclosure. Follow-up investigations were performed at discharge, after 1, 3, 6 and 3 months, as well as after 1 and 2 years. Results: Of 78 patients considered for closure, a device was inserted in 41 patients (53%), with success being achieved in 40 patients (98%). The ages ranged from 1.1 to 15 years (7.8 +/- 1.92 years), the 'stretched' diameter of the defect from 10 to 20 mm (14.7 +/- 2.60 mm), and the diameters of the inserted devices from 25 to 45 mm (33.2 +/- 5.43 mm). Transient impairment of atrioventricular conduction occured in 4 patients. During the follow-up of 23.0 +/- 5.6 months elective surgical closure of a residual shunt was performed 26 months after insertion of the devcie in one patient. None of the other patients required surgery, hospitalisation or medical treatment, and none is requiring further treatment ofthe defect within the oval fossa. Fracture of one arn of the device occurred in 4 patients, bur the fractured arms are in an unchanged and stable position after a period of at least 19 months. Conclusions: Ourmedium-term data show that transcatheter closure in children of defects within the oval fossa can be performed with a high efficacy and safety using the ASDOS-device.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 02:58:34