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[Atrial septal defect--catheter-based closure now feasible!]
T Nilsson1, A Olsson, M Olsson
1Avdelningen för fysiologi och thoraxradiologi, Karolinska sjukhuset, Stockholm. tage.nilsson@ks.se
Insights
Closure of hemodynamically significant atrial septal defects (ASD) is crucial. Catheter-based closure offers a safe and effective alternative to surgery for secundum ASD, with faster recovery.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Atrial septal defects (ASD) with hemodynamic significance often require intervention.
- Surgical closure is standard but involves risks and a lengthy recovery.
- Delayed diagnosis in adults necessitates effective treatment options.
Observation:
- Adult patients with hemodynamically significant atrial septal defects present unique challenges.
- Pulmonary hypertension and tachyarrhythmias are risks associated with untreated ASD.
- Surgical intervention carries risks of complications and a two-month convalescence period.
Findings:
- Catheter-based closure is a viable alternative for secundum ASD.
- Minimally invasive devices are self-expanding and simple to deploy.
- This technique demonstrates a high success rate and low complication profile.
Implications:
- Catheter closure provides a less invasive option for ASD treatment.
- Reduced hospitalization and a two-day recovery period significantly improve patient outcomes.
- This approach expands treatment possibilities for adult patients with ASD.
Abstract:
Atrial septal defects (ASD) of hemodynamic significance are usually treated surgically in early childhood. However, many cases will not be detected until the patient has become an adult. As there is a risk of development of pulmonary hypertension and tachyarrythmia in hemodynamically significant defects, closure is necessary. Although surgery is considered a safe procedure with very low perioperative mortality, there is a risk of complications and prolonged hospitalization, and postoperative convalescence is two months. Today we are able to offer patients with ASD of the secundum type an alternative treatment using catheter technique. The devices used are self expanding and easy to deploy, with a high success rate and low complication rate. Post-procedural convalescence is two days.