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Atrial septal defect (ASD) device trans-catheter closure: limitations
Alessia Faccini1, Gianfranco Butera1
1Department of Congenital Cardiology and Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Journal of Thoracic Disease
|October 12, 2018
Summary
Transcatheter closure is a common, less invasive treatment for secundum atrial septal defects (ASDs). Physicians must understand its limitations for successful percutaneous ASD closure.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Device Technology
Background:
- Transcatheter closure is a prevalent, minimally invasive technique for secundum atrial septal defects (ASDs).
- It offers advantages over surgical repair, including faster recovery and reduced patient impact.
- Current transcatheter methods successfully treat 85-90% of secundum ASD cases.
Purpose of the Study:
- To outline the limitations impacting the feasibility and success of percutaneous ASD closure.
- To inform physicians about potential challenges in transcatheter ASD treatment.
Main Methods:
- Review and categorization of limitations associated with transcatheter ASD closure.
- Analysis of anatomical, device-related, physiological, and complication-based factors.
Main Results:
- Limitations significantly affect percutaneous ASD closure success rates.
- Key limitations include anatomical constraints, device issues, associated defects, physiological factors, and potential complications.
Conclusions:
- Physicians must be cognizant of the multifaceted limitations of percutaneous ASD closure.
- Awareness of these limits is crucial for optimizing patient outcomes in transcatheter ASD treatment.
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