DEVICE CLOSURE OF ATRIAL SEPTAL DEFECT WITH AMPLATZER SEPTAL OCCLUDER IN ADULTS- SAFETY AND OUTCOME

Authors

  • Zahoor Aslam Khan
  • Raja Adnan Arif
  • Maad ullah
  • Mehboob Sultan

Abstract

Background:Secundum atrial septal defect is a common congenital heart disease. Amplatzer septal occluder has become the most commonly used device for its closure. This study was conducted to determine the safety and outcome of atrial septal defect closure with the Amplatzer septal occlude (ASO). Methods: This Case-series was conducted at Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi from July 2010–11, on a total of 41 patients, out of these 41 patients, 18 (44%) patients underwent general anaesthesia while 23 (56%) patients were given local anaesthesia for the procedure. Trans-esophageal echocardiogram was done in all patients before procedure. Results:In 37 patients, ASD device closure was successfully done and size of ASD devices were 14–36 mm. Trans-oesophageal echocardiography guided ASD Device closure was done in 16 patients and rest of them done under transthoracic echocardiography. Size of ASD ranged from 11–36 mm (mean 22 mm). Mean floro time was 10 minutes. Four (10%) patients did not undergo the procedure due to inadequate rim. Conclusion: Device closure of Atrial Septal Defect with amplatzer septal occluder is convenient and safe.Keywords: Atrial septal defect, amplatzer septal occluder, patent foramen ovale

References

Dickinson DF, Arnold R, Wilkinson JL. Congenital heart disease among 160, 480 live-born children in Liverpool 1960–1969. Implications for surgical treatment. Br Heart J 1981;46:55–62.

King TD, Thompson SL, Steiner C, Mills NL. Secundum atrial septal defect. Nonoperative closure during cardiac catheterization. JAMA 1976;235:2506–9.

Masura J, Gavora P, Formanek A, Hijazi ZM. Transcatheter closure of secundum atrial septal defects using the new self-centering Amplatzer septal occluder: initial human experience. Cathet Cardiovasc Diagn 1997;42:388–93.

Thanopoulos BD, Laskari CV, Tsaousis GS, Zarayelyan A, Vekiou A, Papadopoulos GS. Closure of atrial septal defects with the Amplatzer occlusion device: preliminary results. J Am Coll Cardiol 1998;31:1110–16.

Hijazi ZM, Cao Q, Patel HT, Rhodes J, Hanlon KM. Transesophageal echocardiographic results of catheter closure of atrial septal defect in children and adults using the Amplatzer device. Am J Cardiol 2000;85:1387–90.

Cao QL, Radtke W, Berger F, Zhu W, Hijazi ZM. Transcatheter closure of multiple atrial septal defects. Initial results and value of two- and three-dimensional transoesophageal echocardiography. Eur Heart J 2000;21:941–47.

Du ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntz K; Amplatzer Investigators. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol 2002;39:1836–44.

Berger F, Vogel M, Alexi-Meskishvili V, Lange PE. Comparison of results and complications of surgical and Amplatzer device closure of atrial septal defects. J Thorac Cardiovasc Surg 1999;118:674–8.

Kim JJ, Hijazi ZM. Clinical outcomes and costs of Amplatzer transcatheter closure as compared with surgical closure of ostium secundum atrial septal defects. Med Sci Monit 2002;8:CR787–91.

Phillips SJ, Okies JE, Henken D, Sunderland CO, Starr A. Complex of secundum atrial septal defect and congestive heart failure in infants. J Thorac Cardiovasc Surg 1975;70:696–700.

Hunt CE, Lucas RV Jr. Symptomatic atrial septal defect in infancy. Circulation 1973;47:1042–48.

Dimich I, Steinfeld L, Park SC. Symptomatic atrial septal defect in infants. Am Heart J 1973;85:601–4.

Murphy JG, Gersh BJ, McGoon, MD, Mair DD, Porter CJ, Ilstrup DM, et al. Long-term outcome after surgical repair of isolated atrial septal defect. Follow-up at 27 to 32 years. N Engl J Med 1990;323:1645–50.

Black MD, Freedom RM. Minimally invasive repair of atrial septal defects. Ann Thorac Surg 1998;65:765–7.

Helgason H, Jonsdottir G. Spontaneous closure of atrial septal defects. Pediatr Cardiol 1999;20:195–9.

Radzik D, Davignon A, van Doesburg N, Fournier A, Marchand T, Ducharme G. Predictive factors for spontaneous closure of atrial septal defects diagnosed in the first 3 months of life. J Am Coll Cardiol 1993;22:851–53.

McMahon CJ, Feltes TF, Fraley JK, Bricker JT, Grifka RG, Tortoriello TA, et al. Natural history of growth of secundum atrial septal defects and implications for transcatheter closure. Heart 2002;87:256–5.

Published

2013-07-01

Issue

Vol. 25 No. 3-4 (2013): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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