Atrial Septal Defect Sizing and Transcatheter Closure

Boudoulas, Konstantinos Dean; Marmagkiolis, Konstantinos; Boudoulas, Harisios

doi:10.1159/000496348

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…However, the current analysis of and theory on how device erosion occurs have signi cant limitations. Therefore, we should pay attention to the following points in future transcatheter closure: rst, we should rigorously identify the indications before the operation; second, we must improve transthoracic echocardiography and transesophageal echocardiography before the operation to preoperatively assess the morphology of the ASD with respect to its location, size, shape, and margins and select the appropriate occluder according to the examination results; third, since events are more frequent in the rst year, there should be frequent follow-up in the rst year (e.g., serial echocardiography at 1 week, 1 month, 3 months, and 6 months) and clinical follow-up annually with less frequent follow-up after the rst year [9]; fourth, clinicians must ensure that patients are well informed of the risks/bene ts of transcatheter closure of ASD. Further, su cient communication between clinicians and their patients who have undergone implantation should be occur to educate patients about symptoms without creating fear and anxiety.…”

Section: Discussionmentioning

confidence: 99%

Perforation of the Atrial Wall and Aortic Sinus after Closure of an Atrial Septal Defect with an Atriasept Occluder: A Case Report

Zhang

Ding

2020

Preprint

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Background: While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it's life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976.Case presentation: We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition.Conclusions: With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.

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Section: Discussionmentioning

confidence: 99%

Perforation of the Atrial Wall and Aortic Sinus after Closure of an Atrial Septal Defect with an Atriasept Occluder: A Case Report

Zhang

Ding

2020

Preprint

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“…[ 35 ] Accurate sizing’s significance in transcatheter ASD closure was underscored, particularly guided by echocardiography and imaging techniques to ensure optimal procedural outcomes. [ 36 ] A broader perspective on ASD closure emerged in a commentary, acknowledging transcatheter advancements while emphasizing ongoing research to refine patient selection criteria and improve outcomes. [ 37 ] In addition, transcatheter closure benefits were discussed in a study, highlighting the technique’s minimally invasive advantages.…”

Section: A Trial S Eptal D ...mentioning

confidence: 99%

Echocardiography in Simple Congenital Heart Diseases: Guiding Adult Patient Management

Galzerano,

Pergola,

Eltayeb

et al. 2023

Journal of Cardiovascular Echography

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This article provides comprehensive insights into the evaluation of simple congenital heart diseases (CHDs) in adults, emphasizing the pivotal role of echocardiography. By focusing on conditions such as congenital aortic stenosis, aortic coarctation, patent ductus arteriosus, atrial septal defects (ASDs), and ventricular septal defects (VSDs), the review underscores echocardiography’s intricate contributions to precise clinical decision-making. Echocardiography serves as the primary imaging modality, offering high-resolution visualization of anatomical anomalies and quantification of hemodynamic parameters. It enables tailored therapeutic strategies through its capacity to discern the dimensions, spatial orientation, and dynamic shunt dynamics of defects such as ASDs and VSDs. Moreover, echocardiography’s advanced techniques, such as tissue Doppler imaging and speckle tracking, provide detailed insights into atrial mechanics, diastolic function, and ventricular filling kinetics. Integration of echocardiographic findings into clinical practice empowers clinicians to create personalized interventions based on quantified ventricular function, which spans systolic and diastolic aspects. This approach facilitates risk stratification and therapeutic planning, particularly pertinent in heart failure management within the CHD patient population. In summary, echocardiography transcends its role as an imaging tool, emerging as a precision-guided instrument adept at navigating the complexities of simple CHD in adults. Its ability to expedite diagnosis, quantify hemodynamic impacts, and unravel multifaceted functional dynamics culminates in a comprehensive depiction of these conditions. The fusion of these insights with clinical expertise empowers clinicians to navigate the intricate pathways of CHD, crafting tailored therapeutic strategies characterized by precision and efficacy.

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“…In the final phase of the procedure, a test is performed to check the stability of the implanted clasp. After obtaining a positive test result, the delivery system is detached [11]. The guidelines of the European Society of Cardiology (ESC) from 2020 recommend closure of secondary defects in patients with a significant left-to-right shunt.…”

Section: Therapeutic Managementmentioning

confidence: 99%

A model of nursing care for a patient after percutaneous closure of an atrial septal defect

Tkaczyk¹

2022

ppiel

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Cardiovascular diseases are among the most important challenges of modern medicine after oncological diseases. The aim of the study was to present a model of nursing care for a patient after percutaneous atrial septal defect (ASD) closure. Review method was analysis of literature on ASD and nursing care in invasive cardiology. The data were obtained from a review of the PubMed and Google Scholar electronic databases. Congenital anatomical anomalies of the ASD heart structure, in an advanced degree, lead to numerous accompanying diseases, such as frequent respiratory infections or severe circulatory failure. Summary care of the patient undergoing the ASD treatment procedure is carried out by a qualified interdisciplinary team. The provision of professional nursing care, taking into account the biopsychosocial needs of the patient, is a great professional challenge in the diagnostic and therapeutic process and postoperative recovery.

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Atrial Septal Defect Sizing and Transcatheter Closure

Cited by 7 publications

References 9 publications

Perforation of the Atrial Wall and Aortic Sinus after Closure of an Atrial Septal Defect with an Atriasept Occluder: A Case Report

Perforation of the Atrial Wall and Aortic Sinus after Closure of an Atrial Septal Defect with an Atriasept Occluder: A Case Report

Echocardiography in Simple Congenital Heart Diseases: Guiding Adult Patient Management

A model of nursing care for a patient after percutaneous closure of an atrial septal defect

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