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Titolo:
Feasibility of transcatheter closure of multiple defects within the oval fossa
Autore:
Ewert, P; Berger, F; Kretschmar, O; Abdul-Khaliq, H; Stiller, B; Lange, PE;
Indirizzi:
German Heart Inst, Dept Congenital Heart Dis, D-13353 Berlin, Germany German Heart Inst Berlin Germany D-13353 rt Dis, D-13353 Berlin, Germany
Titolo Testata:
CARDIOLOGY IN THE YOUNG
fascicolo: 3, volume: 11, anno: 2001,
pagine: 314 - 319
SICI:
1047-9511(200105)11:3<314:FOTCOM>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
ATRIAL SEPTAL-DEFECTS; EXPERIENCE; OCCLUDER; DEVICE;
Keywords:
congenital heart disease; interatrial septal defects; interventional catheterisation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
8
Recensione:
Indirizzi per estratti:
Indirizzo: Ewert, P German Heart Inst, Dept Congenital Heart Dis, Augustenburger Pl 1, D-13353Berlin, Germany German Heart Inst Augustenburger Pl 1 Berlin Germany D-13353 any
Citazione:
P. Ewert et al., "Feasibility of transcatheter closure of multiple defects within the oval fossa", CARD YOUNG, 11(3), 2001, pp. 314-319

Abstract

Background: Multiple perforations in the floor of the oval fossa may be anobstacle for transcatheter closure. Thus, we analyzed the interventions in33 patients with more than one interatrial communication in comparison with 370 procedures with a single defect. Methods and Results: A diagnostic catheterization, which included a balloon-sizing maneuver, was performed. We implanted a total of 46 occluders, made up of 42 Amplatzers and 4 CardioSEALs. In 20 patients, the defects were dosed with a single occluder, namely 18 Amplatzer and 2 CardioSEAL devices. Complete closure was achieved in 15 patients, while a tiny residual shunt remained in 5 patients. In 13 patients, two devices were implanted, without any residual shunt being found immediately after implantation. In 3 patients, the occluders did not touch each other. In 10 patients, their rims overlapped. In comparison with the controlgroup, the group with multiple defects did not differ in the distribution of age, gender, and indications for device closure. The mean time of the procedure, and the time required for fluoroscopy, however, were significant longer (P<0.001). These times ranged from 45 to 250 minutes with a median of140 minutes, and from 0.0 to 39.2 minutes, with a median of 12.0 minutes, respectively. Also, the association with an atrial septal aneurysm was significantly more frequent (61 vs. 17%; P<0.001). The times taken during insertion of double devices were also significantly longer than those needed forinsertion of a single device (P<0.001). Conclusions: Transcatheter closureof multiple defects within the oval fossa is feasible with currently available occluders, albeit than, in selected cases it is necessary to implant two devices.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 12:10:46