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Title: Transcatheter closure of atrial septal defects in children, middle-aged adults, and older adults: Failure rates, early complications; And balloon sizing effects
Authors: Chodchanok Vijarnsorn
Kritvikrom Durongpisitkul
Prakul Chanthong
Paweena Chungsomprasong
Jarupim Soongswang
Duangmanee Loahaprasitiporn
Apichart Nana
Mahidol University
University of Alberta
Keywords: Medicine
Issue Date: 16-Jul-2012
Citation: Cardiology Research and Practice. Vol.1, No.1 (2012)
Abstract: Objectives. To compare the failure ratio and inhospital complications across three age groups of patients and to investigate the effects of balloon sizing on the success and the device diameter. Methods. This retrospective review was of 665 patients who had been listed for transcatheter-based closure of ASD between 1999 and 2010. The patients were divided into three age groups: children ( < 18 years; n = 183), adults (1850 years; n = 337), and older adults (50 years; n = 145). Procedural outcomes and early complications were reviewed. Use of balloon sizing was explored for its benefits. Results. Overall, failure of closure was 6.6 (n = 44). Use of balloon sizing tended to lead to a smaller device/defect ratio that was comparable to procedures without balloon sizing, though it did not predict the success rate (OR 1.4, 95 CI 0.7-2.3). Seven patients reported device embolization (1). No mortalities were noted. In-hospital complications were 3.4, with common complications, being vascular complications (1.4) and cardiac arrhythmia (1.1). No differences in failure rate or events were found among the three groups. Conclusion. Transcather closure of ASD is feasible and safe, regardless of the patient's age. A low rate of early complications was noted. Balloon sizing does not aggravate an oversizing of the device, but does not predict success. © Copyright 2012 Chodchanok Vijarnsorn et al.
ISSN: 20900597
Appears in Collections:Scopus 2011-2015

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