Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Transcatheter closure or secundum atrial septal defects with the Amplatzerseptal occluder: Early experience
Autore:
Matitiau, A; Birk, E; Kachko, L; Blieden, LC; Bruckheimer, E;
Indirizzi:
Schneider Childrens Med Ctr Israel, Pediat Cardiol Sect, IL-49292 Petah Tiqwa, Israel Schneider Childrens Med Ctr Israel Petah Tiqwa Israel IL-49292 a, Israel Kaplan Med Ctr, Rehovot, Israel Kaplan Med Ctr Rehovot IsraelKaplan Med Ctr, Rehovot, Israel
Titolo Testata:
ISRAEL MEDICAL ASSOCIATION JOURNAL
fascicolo: 1, volume: 3, anno: 2001,
pagine: 32 - 35
SICI:
1565-1088(200101)3:1<32:TCOSAS>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
SHAPE-MEMORY; BIOCOMPATIBILITY;
Keywords:
congenital heart defect; atrial septal defect; Amplatzer septal occluder; interventional catheterization; transcatheter closure;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Matitiau, A Schneider Childrens Med Ctr Israel, Pediat Cardiol Sect, 14 Kaplan St, IL-49292 Petah Tiqwa, Israel Schneider Childrens Med Ctr Israel 14Kaplan St Petah Tiqwa Israel IL-49292
Citazione:
A. Matitiau et al., "Transcatheter closure or secundum atrial septal defects with the Amplatzerseptal occluder: Early experience", ISR MED ASS, 3(1), 2001, pp. 32-35

Abstract

Background: Secundum atrial septal defect is a common congenital heart defect that causes right heart volume overload and produces symptoms usually after the third decade of life. Treatment until the last few years has been open heart surgery. Objectives: To review our early experience with transcatheter closure of ASD2 using the Amplatzer septal occluder. Methods: Between November 1999 and February 2000, 20 children and young adults with a median age of 9.1 years (4.2-35.1 years) were referred for transcatheter closure of ASD2. Diagnosis was established by transthoracic echocardiography. Implantation was performed under general anesthesia through the femoral vein with the guidance of transesophageal echocardiography and fluoroscopy. Femoral arterial puncture was performed for blood pressure monitoring during the procedure, The device size chosen was similar to the balloon-stretched diameter of the ASD2. Results: Implantation was completed successfully in 18 patients. Two patients were referred for elective surgery: one had an unsuitable anatomy for transcatheter closure by TEE in the catheterization laboratory and the device could not be implanted properly, the other patient had a large multi-perforated septal aneurysm that was retrieved. Mean ASD2 diameter by TTE and TEE was similar (13.9 +/- 3 mm, 13.4 +/- 3.5 mm) and mean stretched diameter was 18.3 +/- 4.3 mm. Mean Op:Qs (pulmonary flow:systemic flow) was 2.2 +/- 0.6. Mean fluoroscopy time for the procedure was 14.8 +/- 4.8 minutes. The patients were discharged the day after the procedure. Four patients had a tiny leak immediately post-procedure, and none had a leak at one month follow-up. The only complication was a small pseudoaneurysm of the femoral artery in one patient, that resolved spontaneously. Conclusions: Transcatheter closure of ASD2 with the Amplatzer septal occluder is a safe and effective alternative to surgical closure. Long-term outcome has to be evaluated.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 07:32:19