Comparison of Transcatheter Atrial Septal Defect Closure in Children, Adolescents and adults: Differences, Challenges and Short-, Mid- and Long-Term Results

Sarıtaş, Türkay; Yücel, İlker Kemal; Demir, İbrahim; Demir, Fadli; Erdem, Abdullah; Çelebi, Ahmet

doi:10.4070/kcj.2016.46.6.851

Cited by 8 publications

(6 citation statements)

References 26 publications

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“… 9) 10) The prevalence rate of complications is favorable, as it is 1% in the case of transcatheter ASD closure. 11) 12) 13) Accordingly, transcatheter secundum ASD closure is preferred over surgery and is being attempted at a younger age; 2) 14) 15) 16) however, recent studies reported both lower periprocedural success rates and an increased risk of periprocedural and long-term complications with the use of transcatheter closure either when body weight is ≤15 kg or in the presence of a large secundum ASD (≥20 mm/m 2 ). 11) 17) 18) Therefore, for improved procedural success rates and reduced complication rates, it is reasonable to delay the procedure until the weight is approximately 15 kg.…”

Section: Discussionmentioning

confidence: 99%

Association between the Use of Diuretics and Size Reduction in Pediatric Atrial Septal Defect

et al. 2021

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Author's summary The effect of diuretics on ASD size reduction remains unclear. In pediatric patients with a large secundum ASD (≥10 mm), diuretic administration seemed to be associated with changes in ASD size. There seemed to be a little possibility of ASD size reduction in case of rim deficiency other than the aortic rim. The patients receiving diuretics may have a lower possibility to undergo surgical closure. The diuretics administration may be associated with the use of smaller ASD devices.

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Section: Discussionmentioning

confidence: 99%

Association between the Use of Diuretics and Size Reduction in Pediatric Atrial Septal Defect

et al. 2021

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“…Transcatheter closure of the intra cardiac shunt and defects is a safe and effective therapy [6]; however, hemolysis might occur after device implantation, which is mostly due to incomplete closure and residual flow [8, 9].…”

Section: Discussionmentioning

confidence: 99%

“…Similar results were reported early after device closure of VSD and ASD, which emphasize the exact selection of the device size and type. If hemolysis and hemoglobin drop is persistent and does not resolve spontaneously, the device must be removed via intervention or operation [6, 7]. Here, we described incidence and outcome of hemolysis after transcatheter closure of these defects in our center.…”

Section: Introductionmentioning

confidence: 99%

Hemolysis and its outcome following percutaneous closure of cardiac defects among children and adolescents: a prospective study

et al. 2019

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Background Transcatheter closure of intracardiac defects might be complicated by intravascular hemolysis. We evaluated hemolysis and its outcome after transcatheter closure of these defects. Methods and patients All patients who underwent transcatheter closure of patent ductus arteriosus, ventricular septal defect and atrial septal defect were included in this prospective study. Clinical data were obtained before and after the catheterization. Results One hundred and thirty-eight patients were enrolled; and four (3%) patients developed intravascular hemolysis; while two cases had residual shunt and two other cases had not residual flow. Although residual shunt occurred in ten patients, only 2 of these cases developed hemolysis. Patent ductus arteriosus closure was done for one of these cases and the other one, underwent perimembranous ventricular septal defect closure. Moreover, hemolysis occurred after device closure of patent ductus arteriosus in 2 of the other patients with no residual shunt. In this study the hemolysis was eliminated by conservative management within 2 weeks although residual shunt continued in this time. We observed a decline in lactate dehydrogenase value after catheterization in comparison with precatheterization, which was mainly among ventricular septal defect patients that might be due to mild chronic hemolysis in these patients. Conclusion Incidence of hemolysis after device closure was low, and occurred with and without residual flow and was eliminated by conservative management in 2 weeks, without the need for surgery, although the residual shunt was continued.

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“…Percutaneous retrieval is successful in 50-75% cases, pulmonary artery and aorta being the easiest sites from which to retrieve. Another database reported 77.2% cases of surgical retrieval and 16.7% by percutaneous technique [9,10].…”

Section: Discussionmentioning

confidence: 99%

Impacted Cera Septal Occluder Device in Right Ventricular Outflow Tract (RVOT): A Potential Challenge for the Anesthesiologist

Malik¹,

M²,

Soumyadip³

et al. 2017

J Perioper Med

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Ostium secundum atrial septal defects (OS-ASDs) are one of the commonest congenital heart defects (CHD); with an estimated prevalence of 75/100,000 live births [1]. In 1976, the first transcatheter (TC) closure of ASD, using a double umbrella device in human beings was reported [2]. Although it is a simple procedure and avoids the need for cardiopulmonary bypass (CPB), it has its share of complications; device embolization (DE) being the commonest reason for emergent surgical intervention which often presents a challenge for the anaesthesiologist [1]. Here, we report the case of a patient who underwent successful surgical retrieval of an ASD occluder device embolized to the right ventricular outflow tract (RVOT) four months after placement. A 9-years-old girl was diagnosed as a case of OS ASD (28 mm) with left to right (L→R) shunt and underwent ASD closure with Cera ASD occluder (LT-ASD-30). After the procedure, chest infections subsided but palpitation persisted; transthoracic echocardiography (TTE) revealed that the device had embolized to the RVOT which was confirmed in right ventricle (RV) angiogram. Fluoroscopy guided retrieval with 20 mm snare was unsuccessfully attempted. She was asymptomatic and haemodynamically stable; physical examination revealed no abnormal findings. Since the device seemed impacted and risk of RVOT obstruction or perforation was significant, she was referred to cardiothoracic operating room (CTVS OR) for further management.

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Comparison of Transcatheter Atrial Septal Defect Closure in Children, Adolescents and adults: Differences, Challenges and Short-, Mid- and Long-Term Results

Cited by 8 publications

References 26 publications

Association between the Use of Diuretics and Size Reduction in Pediatric Atrial Septal Defect

Association between the Use of Diuretics and Size Reduction in Pediatric Atrial Septal Defect

Hemolysis and its outcome following percutaneous closure of cardiac defects among children and adolescents: a prospective study

Impacted Cera Septal Occluder Device in Right Ventricular Outflow Tract (RVOT): A Potential Challenge for the Anesthesiologist

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