Transcatheter closure of atrial septal defects using the Cardio-Seal implant

OBJECTIVE To review the outcomes of transcatheter closure of atrial septal defects using the Cardio-Seal implant. DESIGN A prospective interventional study. SETTING Tertiary referral centre. PATIENTS The first 50 patients (median age 9.7 years) who underwent attempted percutaneous occlusion. INTERVE...

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Bibliographic Details
Published in:British heart journal 2000-09, Vol.84 (3), p.320-326
Main Authors: Pedra, C A C, Pihkala, J, Lee, K-J, Boutin, C, Nykanen, D G, McLaughlin, P R, Harrison, D A, Freedom, R M, Benson, L
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
atrial septal defects
Biological and medical sciences
Cardiac Catheterization
Cardiology. Vascular system
Catheters
Child
Child, Preschool
congenital heart disease
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Defects
Echocardiography, Three-Dimensional
Echocardiography, Transesophageal
Female
Follow-Up Studies
Heart
Heart Septal Defects, Atrial - diagnosis
Heart Septal Defects, Atrial - therapy
Hospitals
Humans
Interventional Cardiology Surgery
interventional catheterisation
Male
Medical sciences
Middle Aged
Patients
Prospective Studies
Prostheses and Implants - adverse effects
Prosthesis Implantation
Veins & arteries
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Description
Summary:OBJECTIVE To review the outcomes of transcatheter closure of atrial septal defects using the Cardio-Seal implant. DESIGN A prospective interventional study. SETTING Tertiary referral centre. PATIENTS The first 50 patients (median age 9.7 years) who underwent attempted percutaneous occlusion. INTERVENTIONS Procedures were done under general anaesthesia and transoesophageal guidance between December 1996 and July 1998. MAIN OUTCOME MEASURES Success of deployment, complications, and assessment of right ventricular end diastolic diameter, septal wall motion, and occlusion status by echocardiography. RESULTS The median balloon stretched diameter was 14 mm. Multiple atrial septal defects were present in 11 patients (22%) and a deficient atrial rim (
ISSN:1355-6037
0007-0769
1468-201X
DOI:10.1136/heart.84.3.320