ORIGINAL ARTICLE
TRANSCATHETER CLOSURE OF ATRIAL SEPTAL DEFECTS: EXPERIENCE OF A PEDIATRIC HEART CENTER
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Children`s Heart Center, Justus-Liebig University Giessen, Cincinnati, OH, USA
Online publication date: 2004-07-15
Publication date: 2004-07-15
Corresponding author
Volkan Tuzcu
Cincinnati Children`s Hospital, University of Cincinnati
Divison of Cardiology, 3333 Burnet Ave, Cincinnati,
45229, OH, USA
Eur J Gen Med 2004;1(3):33-36
KEYWORDS
ABSTRACT
Transcatheter closure of the ASDs has become the procedure of choice for most centers. In
this article, we report our experience in 129 children who have undergone transcatheter closure
of their ASDs. The balloon stretched diameter of the ASDs ranged between 6 and 28 mm. The
immediate success rate for device closure was 92% and closure success rate was 98% at one
year follow-up. There was no significant relationship between the ASD size and the initial implant
success rate (p =NS). Multifenestrated ASDs were present in 18% of patients. Significant
complications, including device embolization, aortic root erosion, thrombus formation, and 1st
degree AV block, occurred in 6% of patients. There were no procedure related deaths, and there
were no residual adverse effects in patients who required removal of their devices. Transcatheter
device closure of ASDs is an effective and safe procedure with elimination of intraatrial shunts
in vast majority of patients, and this should be the procedure of choice for the closure of ASDs
which are amenable to device closure.