Transcatheter closure of atrial septal defect in children up to 10 kg of body weight with Amplatzer device

Knop, Mateusz; Szkutnik, Małgorzata; Fiszer, Roland; Bialkowska, Bozena; Głowacki, Jan; Białkowski, Jacek

doi:10.5603/cj.a2013.0120

Cited by 18 publications

(27 citation statements)

References 13 publications

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“…Few patients had reported with recurrent respiratory tract infections and inadequate weight gain. The above pattern of presentation was in concordance with other studies [5,6,7]. When morphologically suitable, transcatheter rather than surgical closure of ostium secundum atrial septal defect is the treatment of choice in many institutions.…”

Section: Discussionsupporting

confidence: 89%

“…The pattern of this involvement was in concordance with what has been reported in the literature. [5,6,7,24] Combined cardiac intervention with ostium secundum atrial septal defect closure and correction of the associated anomaly was done in 25 (30.1%) patients; balloon pulmonary valvuloplasty was the commonest combined intervention done, as has been reported in other studies. [25,26] Balloon coarctoplasty and balloon aortic valvuloplasty along with ostium secundum atrial septal defect closure were done in two patients.…”

Section: Discussionmentioning

confidence: 99%

“…Minor complications were reported in 15.7% of patients in the present study, which is little higher than that reported in literature. [5,6,7,9] However, all these events were transient (except first degree heart block in two cases), with no long term implication. Major complications were reported in four (4.8%) patients.…”

Section: Discussionmentioning

confidence: 99%

“…Although ostium secundum atrial septal defect device closure is generally done in children weighing more than 15 Kg, only few studies have shown its high efficacy and safety in smaller symptomatic children. [5,6,7] However, in most of these studies the procedure has been done under transesophageal echocardiographic guidance. The procedure under transthoracic echocardiographic guidance has also been reported, but in larger patients.…”

Section: Discussionmentioning

confidence: 99%

“…Percutaneous ostium secundum atrial septal defect device closure may be done under transthoracic, transesophageal or intracardiac echocardiographic guidance, latter being done only in adults. All the patients in the present study underwent ostium secundum atrial septal [5,6,7,18] and limited data is available on transcatheter device closure of ostium secundum atrial septal defect in smaller children (< 15 Kg). The drawback of transesophageal echocardiography is the difficult availability, need for anaesthesia and endotracheal intubation, the morbidity associated, and longer procedural time [19,20].…”

Section: Discussionmentioning

confidence: 99%

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Mid-term Safety and Efficacy of Transcatheter Closure of Ostium Secundum Atrial Septal Defect under Transthoracic Echocardiographic Guidance in Children Weighing Less than 15 Kg

Arora

Bharadwaj

Chadha

et al. 2019

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Background: Transcatheter device closure of ostium secundum atrial septal defect is a safe & effective intervention in older children, & is usually done under transesophageal echocardiography guidance. However, the procedure under transthoracic echocardiography guidance, especially in smaller children, is done only at few centers, the data of which is scarce. Methods: A prospective study was undertaken to assess the mid-term efficacy and outcome of transcatheter device closure of ostium secundum atrial septal defect under transthoracic echocardiographic guidance, in children <15 Kg. Results: Eighty three children with ostium secundum atrial septal defect were included in the study. Median age of the study population was 3.5 years (1.9-5.6 years), and median weight of 11.6 Kg (7.6 - 14.9 Kg). The primary and secondary procedural success rates were 94% and 96.4% respectively. Post procedure patients were followed up for 12-30 months. Device related major complications were encountered in 4 (4.8%) cases. The total occlusion rates of the defect at 24 hours, 1 month and 3 months post procedure were 94%, 98.8% and 100% respectively. Conclusion: The transcatheter device closure of ostium secundum atrial septal defect under transthoracic echocardiography guidance, in children <15 Kg, has a high short and mid-term safety and efficacy.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Mid-term Safety and Efficacy of Transcatheter Closure of Ostium Secundum Atrial Septal Defect under Transthoracic Echocardiographic Guidance in Children Weighing Less than 15 Kg

Arora

Bharadwaj

Chadha

et al. 2019

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Transcatheter Closure of Atrial Septal Defects using the GORE® Septal Occluder in Children Less Than 10 kg of Body Weight

Abu-Tair¹,

Wiethoff²,

Kehr³

et al. 2016

Pediatr Cardiol

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The GORE(®) Septal Occluder (GSO) is a well-evaluated device for interventional ASD closure with closure rates comparable to the Amplatzer(®) Septal Occluder (ASO), but there are no published reports of its use in small children weighing less than 10 kg. This may be due to the necessity of a large-sized introducing sheath of at least 10 Fr and therefore the assumed risk of complications in vascular access. The GSO is an alternative option for interventional ASD closure in children weighing less than 10 kg. Fourteen infants and children with a median body weight 8900 g (range 6350-9650 g) underwent successful ASD closure using the GSO. The closure was performed under fluoroscopic and transthoracic echocardiographic guidance. Postprocedure, the vessels passed by the occluder and delivery catheter were examined by duplex sonography. The median ASD diameter was 11 mm (5-17 mm), and the median GSO size was 22.5 mm (15-30 mm), whereas the median ASO left disc size that would have been recommended was 25 mm (17-31 mm). All ASDs were successfully closed. During a median follow-up of 1.57 years (range 0.5-4.2), no complications like erosion, embolization, arrhythmias, or vascular injuries occurred. Although using a 10-Fr introducer sheath, no vascular complications were detected. Our data suggest that the small usable size as well as the soft and flexible design of the device allows successful use of the GSO in young children.

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Early Complications After Percutaneous Closure of Atrial Septal Defect in Infants with Procedural Weight Less than 15 kg

et al. 2016

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Atrial septal defect (ASD) is the most common congenital cardiac lesion accounting for 10–15% of all cardiac malformations. In the majority of cases, the secundum type of the ASD is closed percutaneously in the catheterization laboratory. Although transcatheter closure of ASD is considered safe and effective in pediatric patients, there are limited data regarding the efficacy and safety of device ASD closure in smaller infants. The aim of this study was to determine risk of complications within 72 h following device closure of ASD in children of body weight <15 kg compared to larger children. Overall 252 children who underwent transcatheter closure of ASD at Children’s Heart Centre in Lund, Sweden, between 1998 and 2015 were included. Data regarding demographics, comorbidity and complications occurring during and after device procedure until discharge were retrieved from the hospital’s databases. Echocardiographic data were obtained from the digital and videotape recordings. Nearly half of the study cohort (n = 112; 44%) had a procedural weight <15 (median 11.3) kg with a median procedural age of 2.02 years. Among this study group, 22 (9%) children had post-procedural in-hospital complications, of which 16 (7%) were considered as major and six (2%) considered as minor. No deaths occurred. There was no significant difference in of the occurrence of major or minor complications between the two groups (p = 0.32). Larger ASD was more often associated with minor complications, OR 1.37 (95% CI 0.99–1.89), which most often consisted of transient arrhythmias during or after the procedure. Percutaneous ASD device closure can be performed safely in low-weight infants with a risk of post-procedural in-hospital complications comparable to larger/older children. Nevertheless, careful considerations of the indications to device closure is needed, particularly in children with larger ASD, as recommended by the current international guidelines for ASD closure.

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Transcatheter closure of atrial septal defect in children up to 10 kg of body weight with Amplatzer device

Abstract: (Cardiol J 2014; 21, 3: 279-283)

Cited by 18 publications

References 13 publications

Mid-term Safety and Efficacy of Transcatheter Closure of Ostium Secundum Atrial Septal Defect under Transthoracic Echocardiographic Guidance in Children Weighing Less than 15 Kg

Mid-term Safety and Efficacy of Transcatheter Closure of Ostium Secundum Atrial Septal Defect under Transthoracic Echocardiographic Guidance in Children Weighing Less than 15 Kg

Transcatheter Closure of Atrial Septal Defects using the GORE® Septal Occluder in Children Less Than 10 kg of Body Weight

Early Complications After Percutaneous Closure of Atrial Septal Defect in Infants with Procedural Weight Less than 15 kg

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