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D G Ioseliani1, I A Kovalchuk, T R Rafaeli

  • 1Sechenov First Moscow State Medical University (Sechenov University).. fake@neicon.ru.

Kardiologiia
|March 12, 2019
PubMed
Summary

Simultaneous coronary artery stenting and atrial septal defect closure is a safe and effective combined endovascular procedure. This approach reduces hospital stay without increasing patient risk.

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • Atrial septal defect (ASD) and coronary artery disease (CAD) can coexist.
  • Combined surgical or percutaneous treatment is complex.
  • Assessing combined endovascular approaches is crucial.

Purpose of the Study:

  • To evaluate the clinical efficacy and appropriateness of a single-stage, combined endovascular approach for coronary artery stenting and ASD closure.
  • To determine the safety and feasibility of this combined procedure.

Main Methods:

  • A retrospective analysis of 6 patients who underwent combined endovascular procedures.
  • Procedures involved coronary stenting followed by ASD closure with an occluder.
  • Transesophageal echocardiography and coronary angiography were used for assessment.

Main Results:

  • Technical success rate was 100% for both coronary stenting and ASD closure.
  • Complete ASD closure was achieved in 5 out of 6 patients immediately post-procedure.
  • Significant reductions in right heart chamber volumes and pulmonary artery pressure were observed post-procedure.
  • Exercise tolerance improved, and long-term defect closure was maintained.

Conclusions:

  • Simultaneous coronary artery stenting and endovascular ASD closure is a safe and effective strategy.
  • This combined approach does not increase patient risk and shortens hospital stay.
  • It offers a viable option for patients with concomitant CAD and ASD.

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