Transcatheter closure of atrial septal defects in adolescents and adults: technique and difficulties
Djer, M.M.; Ramadhina, N.N.; Idris, N.S.; Wilson, D.; Alwi, I.; Yamin, M.; Wijaya, I.P.
Acta Medica Indonesiana 45(3): 180-186
2013
ISSN/ISBN: 0125-9326 PMID: 24045387 Document Number: 671429
to evaluate the results of transcatheter closure of atrial septal defect (ASD) in adolescents and adult. a case series of patients undergoing transcatheter closure of ASD in RS Cipto Mangunkusumo, Jakarta during 2002 -2013. Transesophageal echocardiography, hemodynamic study, and angiography were performed before the procedure. Oxygen test was done if PA pressure was more than 2/3 of aortic pressure, followed by an occlusion test if no response observed to determine whether the device could be released. we enrolled 54 patients, of whom 26% were adolescents and 3% were males. Median body weight was 49 (26-75) kg and ASD size was 21 (9.4-39.6) mm. The procedure was done under general anesthesia in 26% of patients. Oxygen test was applied in 11% patients and occlusion test in 2% of patient. Transcatheter closure of ASD was successful in all patients using common technique (31%), right pulmonary vein-assisted (65%), left pulmonary assisted (2%), and cutting long sheath (2%). There was neither residual ASD nor complications observed. Mean fluoroscopy and procedure time were 29 (SD 18) and 109 (SD 36) minutes, respectively. Median hospital stay was 1 (1-3) day. transcatheter closure of ASD in adolescents and adults is safe and effective.