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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

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The benefit of atrial septal defect closure in elderly patients

Monika Komar1, Tadeusz Przewlocki1, Maria Olszowska1

  • 1Department of Cardiac and Vascular Diseases, Institute of Cardiology, Jagiellonian University, Krakow, Poland.

Clinical Interventions in Aging
|July 31, 2014
PubMed

Insights

Transcatheter closure of atrial septal defects (ASDs) in patients over 60 significantly improves exercise capacity and quality of life. This percutaneous treatment is safe and effective, offering long-term clinical and hemodynamic benefits in the elderly.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Geriatric Cardiology

Background:

  • Atrial septal defects (ASDs) in elderly patients present a controversial treatment scenario.
  • Transcatheter closure is an alternative to surgical repair for ASDs.

Purpose of the Study:

  • To evaluate the outcomes of transcatheter closure for secundum ASDs in patients aged 60 years and older.
  • To assess improvements in exercise capacity, quality of life, and hemodynamic parameters post-procedure.

Main Methods:

  • Analysis of 75 patients (mean age 65.3 years) with isolated secundum ASDs undergoing transcatheter closure.
  • Pre- and post-procedure assessments included exercise tests, echocardiography, and the SF-36 Health Survey at 12 months.

Main Results:

  • Successful device implantation in all patients with no major complications.
  • Significant improvements in exercise time (P<0.001) and oxygen consumption (P<0.001) at 6 and 12 months.
  • Marked improvement in 7 of 8 SF-36 quality of life parameters and significant reduction in right heart dimensions.

Conclusions:

  • Transcatheter closure of ASDs in elderly patients leads to significant clinical and hemodynamic improvements.
  • These benefits are maintained during long-term follow-up, supporting the procedure's efficacy in older individuals.
Abstract

Keywords:
atrial septal defectcardiopulmonary exercise testelderlyquality of lifetranscatheter closure

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