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Transcatheter treatment of atrial septal defect versus *** rate of suitable defects

中国介入心脏病学杂志 1998年第4期6卷 163-163页

作者： P.Gavora V.Hraska j.Siman j.masura Cardiology and Cardiac Surgery Center BratislavaSlovakia

Introduction: A transcatheter closure of atrial septal defect(ASD)with the Amplatzer septal occluder(ASO)is a newperspective non-surgical method of treatment of this congenitalheart *** aim of the study was to determine the rate of suitable defectsfur this new non-surgical *** and methods:From9/95-9/97,77 patients with secundum ASD underwent an attemptat transcatheter closure;.at a median age of 9.3 yr.(range,2.1-43.5 yr.)and meaian weight of 32 kg(range,13-68kg).The most important echocardiograghic criteria for successfulctosure are sufficient rims around the defect,diameter ot medefect and total length of atrial septum.3 pts which not fulfilcriteria were excluded from transthoracic echocardiograpny(TTE).11 pts were excluded from transesophageal TTE,2 ptswere excluded during *** evaluate this results anacompare it with the values frrom perioperative morphomethry otASD’s in 353 patients who underwent surgety(years-90).Results:The medlian ASD size measured by TEE was 11.7 mm(range,5-23 mm)and the median stretched diameter was 13.9mm(range,5-24 mm).All devices were placed *** no complication related to the *** a median follow-up interval of 8.5 months(range 0.4-2.2 yr)there has been noepisodes of endocarditis,thromboembofism or wire fracture and58/61 pts(95%)had complete closure,as assessed by *** From 77 patiehts 61 fulfil criteria and successfullyunderwent a transcathter closure of ASD,which represents 79%.In 353 patients who underwent surgery authors compare the areaof the defect and the septal area.278 pts(78%)had suitabledefect for transcatheter *** conclude that a new selfexpandable,repositionable ASO is affording a safe and defectivemethod to close small-large secundum ASD’*** defectsfor this procedure are in the majority(up to 80%)of patients withsecundum ASD.

关键词： septal transcatheter closure excluded endocarditis Amplatzer versus assessed transthoracic median

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