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Published on: December 23, 2022
Amplatzer Device closure of Atrial Septal Defects and Patent Ductus Arteriosus: Initial Experience
J S Dugal1, V Jetley1, Charanjit Singh2
1Classified Specialist (Medicine and Cardiology), Military Hospital (Cardiothoracic Centre), CTC, Pune - 411 040.
Insights
Transcatheter closure of Atrial Septal Defects (ASD) and Patent Ductus Arteriosus (PDA) offers a less invasive alternative to surgery. This study reports initial experiences using Amplatzer devices for these cardiac defects.
Area of Science:
- Cardiology
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Surgical closure of Atrial Septal Defects (ASD) and Patent Ductus Arteriosus (PDA) is effective but associated with significant morbidity, including general anesthesia, thoracotomy, cardiopulmonary bypass, and prolonged hospital stays.
- Surgical interventions also incur considerable costs, leave operative scars, and can cause psychologic trauma to patients and families.
Purpose of the Study:
- To evaluate the initial clinical experience with transcatheter closure of secundum Atrial Septal Defects (ASD) and large Patent Ductus Arteriosus (PDA) using Amplatzer devices.
- To present preliminary data on the safety and efficacy of these devices in a clinical setting.
Main Methods:
- Transcatheter closure of secundum ASDs and large PDAs was performed using the Amplatzer Septal Occluder and Amplatzer Duct Occluder, respectively.
- The study reports on the initial cohort of patients treated with these devices at the center.
Main Results:
- The study focuses on the initial experience, implying a preliminary assessment of outcomes.
- Specific quantitative results regarding success rates, complications, and device performance are detailed in the full study.
Conclusions:
- Transcatheter device closure represents a promising alternative to surgical repair for secundum ASDs and large PDAs.
- Further evaluation and long-term follow-up are warranted to fully establish the benefits of this approach.
Abstract:
Surgical closure of Atrial Septal Defects (ASD) and Patent Ductus Arteriosus (PDA) can be performed successfully with low mortality. However, the morbidity associated with general anaesthesia, thoracotomy, cardiopulmonary bypass, postoperative monitoring in the intensive care unit, several days of hospital stay and the requirement of blood products is considerable. The expense associated with this morbidity, operative scar and the psychologic trauma to the patient and parents are additional disadvantages of surgery. Hence, the closure of these defects by transcatheter methods with various devices has been evaluated worldwide. We report the initial experience at our centre with closure of secundum ASDs and large PDAs with the Amplatzer Septal Occluder and Amplatzer Duct Occluder.
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