Safety and efficacy of transcatheter closure of atrial septal defect type II under transthoracic echocardiographic guidance : A case control study

BACKGROUND: Transcatheter closure of secundum atrial septal defect is routinely performed under general anesthesia and transesophageal echocardiography guidance. If patients have good echo windows, the procedure could be performed under transthoracic echo guidance

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 31(2019), 1 vom: 15. Jan., Seite 2-8
1. Verfasser: Sharfi, Masroor H (VerfasserIn)
Weitere Verfasser: Al-Ata, Jameel, Al-Kouatli, Amjad, Baho, Haysam, Al-Ghamdi, Lamees, Galal, Mohammed O
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2019
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article 2D echocardiography Atrial septal defect Case control study Transcatheter closure Transesophageal echocardiography
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245 1 0 |a Safety and efficacy of transcatheter closure of atrial septal defect type II under transthoracic echocardiographic guidance  |b A case control study 
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500 |a Date Revised 21.03.2022 
500 |a published: Print-Electronic 
500 |a Citation Status PubMed-not-MEDLINE 
520 |a BACKGROUND: Transcatheter closure of secundum atrial septal defect is routinely performed under general anesthesia and transesophageal echocardiography guidance. If patients have good echo windows, the procedure could be performed under transthoracic echo guidance 
520 |a AIM OF STUDY: To evaluate safety and efficacy of the intervention using fluoroscopy and echo guidance 
520 |a METHODS: In a case control study design, 180 patients underwent atrial septal defect closure between January 2010 and December 2016. In 32 patients, the intervention was performed under fluoroscopy and transthoracic echo guidance. Our study group consisted of 22 out of 32 patients (<13 years old). For the other 10 patients, we could not find a matching pair. The data of the study group were compared with an age, weight, and height matched group (controls), who underwent the procedure under transesophageal echocardiography guidance 
520 |a RESULTS: The diameter of the atrial septal defect, septal length, and most of the rims were comparable. The superior rim and inferior rims were longer in the study group. The devices chosen for the cases were larger than the control group. Procedure time and fluoroscopy times were shorter in the study group. Success rate was comparable. On follow-up, both groups had almost no or minimal incidence of residual shunt 
520 |a CONCLUSION: We conclude that transcatheter closure of atrial septal defect under fluoroscopy and transthoracic echo guidance is safe and successful in selected patients who have single central atrial septal defect with adequate septal lengths and adequate septal rims, with high incidence of complete occlusion rate 
650 4 |a Journal Article 
650 4 |a 2D echocardiography 
650 4 |a Atrial septal defect 
650 4 |a Case control study 
650 4 |a Transcatheter closure 
650 4 |a Transesophageal echocardiography 
700 1 |a Al-Ata, Jameel  |e verfasserin  |4 aut 
700 1 |a Al-Kouatli, Amjad  |e verfasserin  |4 aut 
700 1 |a Baho, Haysam  |e verfasserin  |4 aut 
700 1 |a Al-Ghamdi, Lamees  |e verfasserin  |4 aut 
700 1 |a Galal, Mohammed O  |e verfasserin  |4 aut 
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