Incidence and Causes of 30-day Readmissions after Surgical Versus Percutaneous Secundum Atrial Septal Defect Closure: A United States Nationwide Analysis

Mojadidi, Mohammad K.; Mahmoud, Ahmed; Mahtta, Dhruv; Zaman, Muhammad Omer; Elgendy, Islam Y.; Elgendy, Akram Y.; Agarwal, Nayan; Patel, Nimesh; Gertz, Zachary M.; Wayangankar, Siddharth A.; Lew, David; Jneid, Hani; Don, Creighton W.; Meier, Bernhard; Tobis, Jonathan M.

doi:10.1080/24748706.2018.1559963

Cited by 4 publications

(2 citation statements)

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“…73 Since then, the percutaneous techniques have substantially improved with lower risk of morbidity, shorter hospital stay, and faster recovery than the open surgical approach. 74 CLOSURE I was the first open-label, multicenter RCT to evaluate percutaneous PFO closure in addition to medical therapy (aspirin, warfarin, or both) compared with medical therapy alone. 5 The risk of combined primary outcome (defined as recurrent stroke, TIA, or death) was comparable in both groups at 2-year follow-up (5.5% versus 6.8%, HR, 0.78 [95% CI, 0.45-1.35], P=0.37).…”

Section: Does the Choice Of Device Matter?mentioning

confidence: 99%

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Uncertainties and Controversies in the Management of Ischemic Stroke and Transient Ischemic Attack Patients With Patent Foramen Ovale

Kasner

Lattanzi

Fonseca

et al. 2021

Stroke

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Multiple randomized clinical trials have demonstrated the benefit of patent foramen ovale closure over medical therapy alone for patients who have had a stroke that has been attributed to the patent foramen ovale. Nevertheless, there are many areas of uncertainty and controversy related to patient selection, pathophysiology, diagnosis, and treatment. We summarize the available data on these challenging topics and attempt to provide some clarity and future directions for clinicians and investigators.

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Section: Does the Choice Of Device Matter?mentioning

confidence: 99%

“…73 Since then, the percutaneous techniques have substantially improved with lower risk of morbidity, shorter hospital stay, and faster recovery than the open surgical approach. 74…”

Section: Treatmentmentioning

confidence: 99%

Uncertainties and Controversies in the Management of Ischemic Stroke and Transient Ischemic Attack Patients With Patent Foramen Ovale

Kasner

Lattanzi

Fonseca

et al. 2021

Stroke

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Transcatheter versus surgical closure of atrial septal defects: a systematic review and meta-analysis of clinical outcomes

et al. 2021

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Background: Atrial septal defects are a common form of CHD and dependent on the size and nature of atrial septal defects, closure may be warranted. The paper aims to compare outcomes of transcatheter versus surgical repair of atrial septal defects. Methods: A comprehensive electronic literature search was conducted. Primary studies were included if they compared both closure techniques. Primary outcomes included procedural success, mortality, and reintervention rate. Secondary outcomes included residual defect and mean hospital stay. Results: A total of 33 studies were included in meta-analysis. Mean total hospital stay was significantly shorter in the transcatheter cohort across both the adult (95% confidence interval, mean difference −4.05 (−4.78, −3.32) p < 0.00001) and paediatric populations (95% confidence interval, mean difference −4.78 (−5.97, −3.60) p < 0.00001). There were significantly fewer complications in the transcatheter group across both the adult (odds ratio 0.45, 95% confidence interval, [0.28, 0.72], p < 0.00001) and paediatric cohorts (odds ratio 0.26, 95% confidence interval, [0.14, 0.49], p < 0.00001). No significant difference in overall mortality was found between transcatheter versus surgical closure across the two groups, adult (odds ratio 0.76, 95% confidence interval, [0.40, 1.45], p = 0.41), paediatrics (odds ratio 0.62, 95% confidence interval, [0.21, 1.83], p = 0.39). Conclusion: Both transcatheter and surgical approaches are safe and effective techniques for atrial septal defect closure. Our study has demonstrated the benefits of transcatheter closure in terms of lower complication rates and mean hospital stay. However, surgery still has a place for more complex closure and, as we have demonstrated, shows no difference in mortality.

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As If Percutaneous ASD Closure Needed More Proof

Jones

2019

Structural Heart

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Incidence and Causes of 30-day Readmissions after Surgical Versus Percutaneous Secundum Atrial Septal Defect Closure: A United States Nationwide Analysis

Cited by 4 publications

References 28 publications

Uncertainties and Controversies in the Management of Ischemic Stroke and Transient Ischemic Attack Patients With Patent Foramen Ovale

Uncertainties and Controversies in the Management of Ischemic Stroke and Transient Ischemic Attack Patients With Patent Foramen Ovale

Transcatheter versus surgical closure of atrial septal defects: a systematic review and meta-analysis of clinical outcomes

As If Percutaneous ASD Closure Needed More Proof

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