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Outcomes After Transcatheter ASD Closure.

Alejandro Román Peirone1, Simone Fontes Pedra2, Carlos Augusto Cardoso Pedra3

  • 1Pediatric Cardiology Section, Hospital Privado de Córdoba, Naciones Unidas 346, Córdoba 5016, Argentina.

Interventional Cardiology Clinics
|June 6, 2017
PubMed
Summary

Percutaneous closure of ostium secundum atrial septal defects offers a safe and effective alternative to surgery, with excellent long-term outcomes and improved quality of life. Indefinite follow-up is recommended for potential rare complications.

Keywords:
Atrial septal defectComplicationsOutcomesPercutaneous device closure

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • Ostium secundum atrial septal defects (ASD) were traditionally repaired surgically.
  • Surgical closure often required cardiopulmonary bypass and a prolonged hospital stay.

Purpose of the Study:

  • To evaluate the evolution, safety, effectiveness, and long-term outcomes of percutaneous closure for ostium secundum ASD.
  • To compare percutaneous closure with traditional surgical repair.

Main Methods:

  • Review of percutaneous catheter-based closure procedures for ostium secundum ASD.
  • Analysis of reported safety, effectiveness, and complication rates.
  • Assessment of long-term clinical outcomes, including quality of life and ventricular remodeling.

Main Results:

  • Percutaneous closure is a minimally invasive alternative to surgery, typically requiring only an overnight hospital stay.
  • The procedure demonstrates favorable safety and effectiveness compared to surgical repair.
  • Excellent long-term outcomes are observed, including improved quality of life, functional class, and ventricular remodeling.

Conclusions:

  • Percutaneous closure is a safe and effective treatment for ostium secundum ASD with excellent long-term results.
  • While rare, potential complications like device erosion, embolization, malfunction, and arrhythmias necessitate ongoing monitoring.
  • Indefinite follow-up is crucial for managing potential long-term complications after percutaneous ASD closure.