Prediction of early-onset atrial tachyarrhythmia after successful trans-catheter device closure of atrial septal defect

Park, Kyoung-Min; Hwang, Jin Kyung; Chun, Kun–Woo; Park, Seung‐Jung; On, Young Keun; Kim, June Soo; Park, Seung Woo; Kang, I-Seok; Song, Jinyoung; Huh, June

doi:10.1097/md.0000000000004706

Cited by 9 publications

(3 citation statements)

References 30 publications

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“…Most newonset atrial tachyarrhythmias were documented within 6 months of closure. In the multivariate analysis, the risk for new-onset atrial tachyarrhythmia was significant in patients with AF/AFL during the closure, deficient posteroinferior rim, and age of closure over 48 years [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Factors determining occurrence of arrhythmias in patients post-closure of atrial septal defects

Mansour¹,

Sheikh²,

Elsaeid³

et al. 2021

Journal of the Saudi Heart Association

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Objectives This study aimed to determine the risk factors for the occurrence of arrhythmias after either transcatheter or surgical closure of atrial septal defect. Methods This prospective study included 150 patients admitted for transcatheter or surgical closure of atrial septal defect. Transthoracic echocardiography together with a twelve-leads ECG were done during 1 and 3 months follow up. The paired T, chi-square and Logistic regression tests were used to detect any association between any arrhythmias and factors that may affect its occurrence. Results One-hundred and twenty-three patients had percutaneous device closure while the remaining 27 patients had surgical closure. The youngest and oldest of the studied patients being 3 & 50 years old respectively with female (108) over male (42) predominance in incidence. After closure, 8 patients at one month and another 3 patients at three months follow up out of the total 150 patients had supraventricular arrhythmias in the form of frequent premature atrial contractions (6 patients), atrioventricular nodal re-entrant tachycardia (2 patients), and paroxysmal Atrial fibrillation (3 patients). No conduction abnormalities nor ventricular arrhythmias occurred. Multivariate analysis showed that age, P wave dispersion, systolic myocardial velocity of right ventricle, and systolic pulmonary artery pressure were independently associated with the occurrence of atrial arrhythmia after atrial septal defect repair. Conclusion Age, P wave dispersion, Systolic pulmonary artery pressure, and systolic myocardial velocity of the right ventricle are independent risk factors to develop arrythmias in patients after atrial septal defect closure.

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Section: Discussionmentioning

confidence: 99%

Factors determining occurrence of arrhythmias in patients post-closure of atrial septal defects

Mansour¹,

Sheikh²,

Elsaeid³

et al. 2021

Journal of the Saudi Heart Association

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“…In literature, new onset arrhythmias after ASD device are significantly higher. Kyoung-Min Park et al, 24 have reported that 4.4% of the patients suffered with atrial tachyarrhythmia during the follow-up period of 11.4 months. It has been proposed that mechanical irritation caused by the devise could be associated with some arrhythmias (Spies et al 25 In present study, no case of arrhythmias in early, mid-term and long-term follow up was observed.…”

Section: Discussionmentioning

confidence: 99%

Procedural Technicalities and Outcome of Transcatheter Closure of Atrial Septal Defect Using Occlutech Device in Tertiary Care Centre

Kanwal

Shiekh

Azim

et al. 2021

PAFMJ

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Objective: To determine the safety and efficacy of transcatheter closure of atrial septal defects and to evaluate the initial, midterm and long-term results of the treatment. Study Design: Cross sectional study. Place and Duration of Study: Department of Paediatric Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, from Jul 2017 to Jun 2018. Methodology: Sixty-four patients underwent transcatheter closure of atrial septal defect. Size of the defect was measured by Transoesophageal/Transthoracic. Follow up was carried out at twenty-four hours, one month, six months and at twelve months. Early, Midterm and late complications after device occlusion were analysed using SPSS-22 statistical software. Results: Minimum size of atrial septal defect on echocardiography was 7 mm and maximum size was 31 mm with mean of 18.3 ± 5.7 mm. The procedure was successful in 96.8% cases. There was only one device embolization (1.56%). Cobrahead” configuration malformation of the device occurred in one case (1.56%). Mitral valve regurgitation did not occur in any of the case. There was no residual shunt across the device in the present study. ECG abnormalities associated with transcatheter closure did not occur in any of the patient. In intermediate and long-term follow up, no complication like cardiac erosion was seen in all cases under study. Conclusion: Transcatheter occlusion of ASD with device was found effective and safe procedure with minimal complication rate, short hospital stay, good short, intermediate and long-term results.

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“…In the left atria (LA), remodeling is a not common to be accompaniment with LA enlargement in younger patients. Therefore, it is difficult to distinguish predictable factors for development of AF by LA size in ASD patients [6]. The factors associated with LA function and the changes in LA regarding myocardium remodeling after device closure should be defined.…”

Section: Open Accessmentioning

confidence: 99%

Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients

et al. 2022

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Background Atrial fibrillation (AF) is a well-known, long-term complication of atrial septal defect (ASD) in adults, even after device closure. Left atrial (LA) strain rate applied to the analysis of chamber function has been demonstrated to be an important predictor of LA reverse remodeling. This study aimed to determine the changes in chamber function after device closure of ASD. Methods This prospective study enrolled adults with secundum ASD undergoing transcatheter device closure from December 2016 to August 2017. We analyzed the clinical characteristics and LA strain rate before and six months after ASD closure. Results A total of 11 patients were enrolled. The mean age was 42.6 ± 9.9 years, and six (54.5%) were females. There was no significant change of conventional echocardiographic parameters after ASD closure. The mean global LA reservoir strain rate before ASD closure was 1.17 ± 0.34 and 0.85 ± 0.30 after ASD closure (p = 0.030). The median global LA conduit strain rate was 0.68 (0.42–1.16) and 0.41 (0.16–0.79) before and after ASD closure (p = 0.213), respectively. The mean global LA contractile strain rate at the six-month follow-up showed significant improvement compared with pre-procedural strain rate (0.33 ± 0.65 vs. − 0.43 ± 0.38, p = 0.006). Conclusions LA functional changes occurred during the six-month follow-up, while LA and right atrial (RA) geometric changes were not significant. LA reverse remodeling was proved by restoration of LA late diastolic contractile function.

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Prediction of early-onset atrial tachyarrhythmia after successful trans-catheter device closure of atrial septal defect

Cited by 9 publications

References 30 publications

Factors determining occurrence of arrhythmias in patients post-closure of atrial septal defects

Factors determining occurrence of arrhythmias in patients post-closure of atrial septal defects

Procedural Technicalities and Outcome of Transcatheter Closure of Atrial Septal Defect Using Occlutech Device in Tertiary Care Centre

Assessment of left atrial remodeling using speckle tracking echocardiography after percutaneous atrial septal defect closure in adult patients

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