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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Practical Therapeutic Management of Percutaneous Atrial Septal Defect Closure

Shuhei Tanaka1, Teruhiko Imamura1, Nikhil Narang2

  • 1Second Department of Internal Medicine, University of Toyama, Japan.

Internal Medicine (Tokyo, Japan)
|February 15, 2021
PubMed

Insights

Percutaneous closure is a safe and effective treatment for secundum atrial septal defects (ASDs) in both children and adults. This minimally invasive approach offers comparable success rates to surgical repair, making it a preferred option for many patients.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Atrial septal defects (ASDs) are common congenital heart disorders.
  • Percutaneous closure is a widely adopted, minimally invasive alternative to surgical repair for secundum ASDs.
  • Treatment decisions require careful consideration of patient comorbidities and defect characteristics.

Purpose of the Study:

  • To review the current approaches to percutaneous closure of secundum atrial septal defects.
  • To highlight the factors influencing the choice between percutaneous and surgical closure.
  • To emphasize the importance of echocardiography in management planning.

Main Methods:

  • Review of current literature and clinical guidelines on percutaneous ASD closure.
  • Assessment of patient comorbidities (pulmonary hypertension, arrhythmias, diastolic dysfunction).
  • Evaluation of anatomical features and defect types via echocardiography.

Main Results:

  • Percutaneous ASD closure demonstrates non-inferiority to surgical repair in both pediatric and adult populations.
  • Echocardiography is crucial for tailoring management strategies based on defect morphology.
  • Patient comorbidities significantly influence the selection of closure technique.

Conclusions:

  • Percutaneous closure is a highly effective and less invasive option for secundum ASDs.
  • Individualized patient assessment, including comorbidities and anatomical details, is essential for optimal outcomes.
  • Minimally invasive percutaneous techniques are increasingly preferred for ASD management.

Keywords:
catheterheart failureintervention

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