Peratrial Device Closure of Atrial Septal Defect Under Transesophageal Echocardiographic Guidance without Fluoroscopy Compared to Conventional On-Pump Surgical Closure

Guo, Zhixin; Zhang, Chengxin; Wang, Huan; Ge, Shuping

doi:10.21470/1678-9741-2016-0021

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…The Peratrial device closure of ASD is very common in Asia (China), and other places [5, 6, 9–12] due to multiple advantages as following. A detailed discussion comparing peratrial device closure to traditional surgical repair and transcatheter occlusion has been done previously [5].…”

Section: Discussionmentioning

confidence: 99%

Device closure of diverse layout of multi-hole secundum atrial septal defect: different techniques and long-term follow-up

Farhaj

Guo

et al. 2019

J Cardiothorac Surg

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Background There are no unanimous reports on different layouts and classifications of multi-hole secundum atrial septal defects (MHASD) and subsequent standardized occlusion techniques. The MHASD can be isolated or cribriform with variable inter-defects distance. In this retrospective study, experience-based classification and two approaches-based occlusion results are presented. Methods We retrospectively collected and analyzed data of 150 MHASD patients from 1320 patients who underwent atrial septal defect occlusion in our institute. The MHASD patients were categorized into 4 types; type A, B, C and D and occluded under exclusive transesophageal echocardiographic guidance. According to different types, 122 patients were occluded using peratrial approach and 28 patients via percutaneous approach. In type A, single device implantation is performed to occlude the large hole and squeeze the small one. For type B single or double-device deployment was performed depending on an inter-defects distance. In type C and D, a patent foramen-ovale (PF) device was selectively positioned to the central defect to occlude the central defect and cover the peripheral ones. In peratrial approach, 8 patients underwent inter-defects septal puncture technique to achieve single-device occlusion. The intracardiac manipulation time, procedural time, double device deployment, redeployment rate, residual shunt, and proportions were analyzed between (and within peratrial technique) two techniques. Results Successful occlusion was achieved in all 150 patients. Single device occlusion was applied in 78/84 type A and 22/37 type B patients ( p < 0.05). Double device occlusion was more applicable to type B than A patients ( p < 0.01). Sixteen of 21 type C and all type D patients used PF device for a satisfactory occlusion. Redeployment of the device occurred frequently in type B patients than A ( p < 0.01). The intracardiac manipulation time and procedural time were shorter in type A than B ( p < 0.05). The intracardiac manipulation time was also shortened in type A peratrial than type A percutaneous group ( p < 0.05). Complete occlusion rate for all patients at discharge was 70% and rose to 82% at 1 year follow up. Conclusions The diverse layouts and classification of MHASDs can help to choose different techniques and proper devices of different kinds to achieve better occlusion results.

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Section: Discussionmentioning

confidence: 99%

Device closure of diverse layout of multi-hole secundum atrial septal defect: different techniques and long-term follow-up

Farhaj

Guo

et al. 2019

J Cardiothorac Surg

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show abstract

“…In the BJCVS [6,7] [www.bjcvs.org], you can read two articles, also from China, in which the authors demonstrate closure of interatrial communications (atrial septal defects) (ASD) [6] with occluders compared to the conventional closure, encouraging surgeons to use the minimally invasive technique.…”

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confidence: 99%

Scientific Transparency: a New Horizon for Scientific Publication and the “New Cardiovascular Surgeon”

Braile

Zanini

Gonçalves³

et al. 2019

Braz J Cardiovasc Surg

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Peratrial Device Closure of Atrial Septal Defect Under Transesophageal Echocardiographic Guidance without Fluoroscopy Compared to Conventional On-Pump Surgical Closure

Cited by 2 publications

References 10 publications

Device closure of diverse layout of multi-hole secundum atrial septal defect: different techniques and long-term follow-up

Device closure of diverse layout of multi-hole secundum atrial septal defect: different techniques and long-term follow-up

Scientific Transparency: a New Horizon for Scientific Publication and the “New Cardiovascular Surgeon”

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