Transcatheter device closure of atrial septal defect guided by totally transthoracic echocardiography, a single cardiac center experience on 152 cases

Abstract

Objective:This study aimed to assess the safety and feasibility of transcatheter device closure of atrial septal defects (ASDs) guided completely by transthoracic echocardiography (TTE).Methods:A total of 152 patients underwent transcatheter device closure of ASDs guided completely by TTE in our center from September 2014 to June 2017. We used routine delivery sheaths during the procedure and then closed the ASDs by releasing a domestic occluder.Results:The closure was successful in 150 patients, and surgical repair was required in two patients. The size of the deployed occluder ranged from 10 mm to 38 mm (21.4±8.5 mm), and the procedure duration ranged from 30 to 90 min (38.2±21.4 min). No fatal complications were observed. Minor complications included transient arrhythmias (n=12) during the process of device deployment. The follow-up period was 3 months to 2 years, with no occluder dislodgment, residual fistula, or thrombus-related complications. In our comparative studies, no statistically significant differences were observed in success rates and complications.Conclusion:Transcatheter device closure of ASDs guided completely by TTE may be safe and effective and can be an alternative to traditional methods.

WeChat-Assisted Preoperative Health Education Reduces Burden of Care on Parents of Children with Simple Congenital Heart Disease: a Prospective Randomized Controlled Study

“…Simple congenital heart disease is one of the common congenital structural malformations, and surgical repair and transcatheter device closure are the main treatments. Atrial septal defect (ASD) is responsible for approximately 10-20% of congenital heart diseases, and the long-term results after treatment are satisfactory [ 1 , 2 ] . However, the clinical symptoms of some patients with simple congenital heart disease are not obvious, and they may choose intervention at a certain time rather than when the disease is first diagnosed.…”

Alteration of Pulmonary Venous Flow Doppler Post Transcatheter Closure of Atrial Septal Defect

“…It is safely closed surgically or by transcatheter approach. Indications for intervention include large left-to-right shunt or paradoxical embolization [1].…”

Echogenicity and the Echocardiographic Guidance

“…We have read with great interest the article entitled “Transcatheter device closure of atrial septal defects guided completely by transthoracic echocardiography: A single cardiac center experience with 152 cases” published in Anatol J Cardiol 2018; 20: 330-5 by Chen et al (1). In their study, they reported that lone echocardiographic guidance with transcatheter device closure of atrial septal defects is safe and effective as fluoroscopic and echocardiographic guidance together.…”