2013
DOI: 10.5935/abc.20130059 View full text |Buy / Rent full text
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Rodrigo Nieckel da Costa,
Marcelo Silva Ribeiro,
Fabricio Leite Pereira
et al.
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“…This observation, together with those obtained from this and other trials, show the importance of proper patient selection for the percutaneous procedure, espe cially regarding the stringent selection of the size and type of device for the underlying anatomy. 34 The use of balloons to assess the stretched ASD diameter did not involve complications resulting from the technique in this selected group of young children, demonstrating safety when well indicated. As for the cases in which it was decided not to use them (50%), there were no complications secondary to prosthesis under -or overestimation.…”
Section: Safety In This Populationmentioning
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“…This observation, together with those obtained from this and other trials, show the importance of proper patient selection for the percutaneous procedure, espe cially regarding the stringent selection of the size and type of device for the underlying anatomy. 34 The use of balloons to assess the stretched ASD diameter did not involve complications resulting from the technique in this selected group of young children, demonstrating safety when well indicated. As for the cases in which it was decided not to use them (50%), there were no complications secondary to prosthesis under -or overestimation.…”
Section: Safety In This Populationmentioning
“…A oclusão completa foi verificada tanto nas comunicações pequenas, quanto nas moderadas e grandes, similarmente ao publicado com a utilização de próteses com duplo disco de nitinol. [8][9][10][11][12][13] Acredita-se que a ausência de complicações deva-se aos seguintes fatores: flexibilidade da prótese, facilidade do implante e seleção rigorosa dos pacientes. Todos apresentavam características anatômicas ideais para implante com bordos de espessura adequada e tamanho > 5 mm, com exceção do bordo anterossuperior, em que a prótese pode se ancorar, "abraçando" a face posterior da aorta.…”
Section: Discussionunclassified
“…6 In recent years, percutaneous transcatheter device closure of ASD became the method of choice, because of lower morbidity, shorter hospital stay, lower risk of infection, and shorter postoperative immobilization. [7][8][9] Hemodynamic significant ASDs undergo device closure in general in early childhood approximately at the age of 2-4 years. Common practice and recommendations suggest a body weight of more than 15 kg to technically simplify the procedure.…”
Section: Introductionmentioning