Late-term development of an atrial defect and thrombus formation after device fracture following successful transcatheter closure of an atrial septal defect with a STARFlex device

2016 ◽  
Vol 27 (5) ◽  
pp. 975-977 ◽  
Author(s):  
Molly J. Rose ◽  
Priscila C. Cevallos ◽  
Laura Gellis ◽  
Lisa Bergersen
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Thrombus Formation ◽  
Defect Closure ◽  
Atrial Septal Defect Closure

AbstractDevelopment of a new defect following transcatheter closure of an atrial septal defect has yet to be reported. In this study, we present an acutely successful atrial septal defect closure with a STARFlex device, resulting in surgical explantation after discovery of device fracture, thrombus formation, and a second atrial defect 5 years after catheterisation. This case highlights the need for ongoing device surveillance, even in late follow-up.

scholarly journals The benefit of atrial septal defect closure in the elderly patients

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
P.J Prochownik ◽  
T Przewlocki ◽  
B Sobien ◽  
U Gancarczyk ◽  
M Olszowska ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Color Doppler ◽  
The Elderly ◽  
Atrial Septal Defect Closure ◽  
Exercise Tests ◽  
The Mean

Abstract Objective Closure of the atrial septal defect in the elderly patients is controversial. The aim of the study was to evaluate the outcomes of transcatheter closure of secundum atrial septal defect (ASD) in elderly patients. Methods From a total of 650 pts with ASD who underwent transcatheter closure 120 pts over 60 years (70 F, 50 M) with a mean age of 66.7±18.1 (60–78) were analyzed. All patients had an isolated secundum ASD with a mean Qp:Qs: 2.79±1.8 (1.5–3.9). A symptom-limited treadmill exercise tests with respiratory gas exchange analysis and transthoracic color Doppler echocardiographic study as well as Quality of life (QoL) measured using the SF36 questionnaire (SF36q) were repeated in all pts before procedure and after 12 months of follow-up. Results The device was successfully implanted in all pts (procedure time 30.1±9.9 (10–59) minutes, fluoroscopy time 10.1±7.2 (6–40) minutes). There were no major complications. The defect echo diameter was 19.5±15.4 (12 - 34) mm. The mean balloon stretched diameter of ASD was 22.0±7.8 (14 - 36) mm. The diameter of the implanted devices ranged 16 - 38 mm. After 12 months of ASD closure, all the pts showed a significant improvement of exercise capacity parameters. Seven QoL parameters (except mental health) improved at 12 months follow up compared to their baseline data. The mean SF36q scale increased significantly in 96 (80.2%) pts of mean 41.6±26.1 (4–71). The right ventricular dimension decreased in 101 pts (84.2%) (Table 1). Conclusions Closure of ASD in elderly patients caused a significant clinical and hemodynamic improvement after percutaneous treatment, which is maintained to long-term follow-up what justified this procedure in old age. Funding Acknowledgement Type of funding source: None

NEW-ONSET AND PERSISTENT MIGRAINE EARLY AFTER PERCUTANEOUS ATRIAL SEPTAL DEFECT CLOSURE DISAPPEAR AT FOLLOW-UP

2008 ◽  
Vol 63 (4) ◽  
pp. 262-268 ◽  
Author(s):  
A. Voet ◽  
J.G.L.M. Luermans ◽  
V. Thijs ◽  
L. Herroelen ◽  
M. C. Post ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Defect Closure ◽  
Atrial Septal Defect Closure ◽  
New Onset

Transcatheter closure vs totally endoscopic robotic surgery for atrial septal defect closure: A single‐center experience

2020 ◽  
Vol 35 (4) ◽  
pp. 764-771 ◽  
Author(s):  
Ersin Kadirogullari ◽  
Burak Onan ◽  
Baris Timur ◽  
Ali Birant ◽  
Adem Reyhancan ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Defect Closure ◽  
Single Center ◽  
Atrial Septal Defect Closure ◽  
Single Center Experience

scholarly journals Totally robotic atrial septal defect closure: 7-year single-institution experience and follow-up

2014 ◽  
Vol 19 (6) ◽  
pp. 933-937 ◽  
Author(s):  
Cangsong Xiao ◽  
Changqing Gao ◽  
Ming Yang ◽  
Gang Wang ◽  
Yang Wu ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Defect Closure ◽  
Single Institution ◽  
Atrial Septal Defect Closure

Transcatheter closure of atrial septal defect in a patient with absent inferior caval vein connection: a novel technique using a steerable guide catheter

2016 ◽  
Vol 26 (5) ◽  
pp. 1033-1035 ◽  
Author(s):  
Yoichi Takaya ◽  
Teiji Akagi ◽  
Hiroshi Ito
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Defect Closure ◽  
Caval Vein ◽  
Atrial Septal Defect Closure ◽  
Novel Technique ◽  
Inferior Caval Vein ◽  
Guide Catheter ◽  
Alternative Approach

AbstractAn alternative approach for transcatheter closure of atrial septal defect is necessary in patients with absent inferior caval vein connection. In this report, we describe the successful transcatheter atrial septal defect closure via the transjugular approach using a steerable guide catheter.

Transcatheter Atrial Septal Defect Closure Assisted by Intracardiac Echocardiography: 3-Year Follow-Up

2004 ◽  
Vol 17 (2) ◽  
pp. 95-98 ◽  
Author(s):  
MARIO ZANCHETTA ◽  
GIANLUCA RIGATELLI ◽  
LUIGI PEDON ◽  
MARCO ZENNARO ◽  
ANTONIO CARROZZA ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Intracardiac Echocardiography ◽  
Defect Closure ◽  
Atrial Septal Defect Closure

Transcatheter closure of atrial septal defect with deficient posterior-inferior or inferior vena cava rim under echocardiography only: a feasibility and safety analysis

2021 ◽  
pp. 1-8
Author(s):  
Liu Liu Huang ◽  
Ji Wu ◽  
Mai Chen ◽  
Chun Lan Jiang ◽  
De C. Zeng ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Inferior Vena ◽  
Transcatheter Closure ◽  
Vena Cava ◽  
Group Versus ◽  
Atrial Septal Defect Closure ◽  
Significant Difference

Abstract Background: The safe closure of atrial septal defect with deficient posterior-inferior or inferior vena cava rim is a controversial issue. Few studies have been conducted on the closure of atrial septal defect with deficient posterior-inferior or inferior vena cava rim without fluoroscopy. This study evaluated the feasibility and safety of echocardiography-guided transcatheter closure of atrial septal defect with deficient posterior-inferior or inferior vena cava rim. Methods: The data of 136 patients who underwent transcatheter atrial septal defect closure without fluoroscopy from March 2017 to March 2020 were retrospectively analysed. The patients were classified into the deficient (n = 45) and sufficient (n = 91) posterior-inferior or inferior vena cava rim groups. Procedure and the follow-up results were compared between the two groups. Results: Atrial septal defect indexed diameter and the device indexed diameter in the deficient rim group were both larger than that in the sufficient rim group (22.12 versus 17.38 mm/m2, p < 0.001; 24.77 versus 21.21 mm/m2, p = 0.003, respectively). There was no significant difference in the success rate of occlusion between two groups (97.78% in the deficient rim group versus 98.90% in the sufficient rim group, p = 1.000). During follow-up, the incidence of severe adverse cardiac events was not statistically significant (p = 0.551). Conclusions: Atrial septal defect with deficient posterior-inferior or inferior vena cava rim can safely undergo transcatheter closure under echocardiography alone if precisely evaluated with transesophageal or transthoracic echocardiography and the size of the occluder is appropriate. The mid-term results after closure are similar to that for an atrial septal defect with sufficient rim.

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