Postepy Kardiol Interwencyjnej. 2013;9(3):205-11. doi: 10.5114/pwki.2013.37497. Epub 2013 Sep 16.
Evaluation of morphological characteristics of septal rims affecting successful transcatheter atrial septal defect closure in children and adults.
Postepy w kardiologii interwencyjnej = Advances in interventional cardiology
Mehmet Burhan Oflaz, Feyza Aysenur Pac, Ayse Esin Kibar, Sevket Balli, Ibrahim Ece
Affiliations
Affiliations
- Department of Pediatric Cardiology, Cumhuriyet University, School of Medicine, Sivas, Turkey.
- Department of Pediatric Cardiology, Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey.
- Department of Pediatric Cardiology, Mersin Children Hospital, Mersin, Turkey.
- Department of Pediatric Cardiology, Ataturk Hospital, Balikesir, Turkey.
- Department of Pediatric Cardiology, Yuzuncu Yil University, School of Medicine, Van, Turkey.
PMID: 24570720
PMCID: PMC3915979 DOI: 10.5114/pwki.2013.37497
Abstract
INTRODUCTION: Determining other echocardiographic predictors along with the measured atrial septal defect (ASD) size and evaluating the closure together with these predictors would increase the chance of success for transcatheter closure of ASD.
AIM: To evaluate echocardiographic parameters affecting defect closure in children and adult patients with secundum ASD.
MATERIAL AND METHODS: In all patients, size of ASD, total length of atrial septum (TS), superior-posterior, inferior-posterior, superior-anterior and inferior-anterior rims surrounding the defect were measured by transesophageal echocardiography (TEE), and several measurement ratios were derived on the basis of TEE parameters.
RESULTS: A total 216 patients with secundum ASD were included in this study. The device was successfully implanted in 65 children and 65 adults. Both in pediatric and adult cases, the ratio of successful closure was found to be significantly higher when the ratio of defect size to TS was ≤ 0.35, the ratio of superior-anterior (SA) rim to the defect size was > 0.75 and the ratio of inferior-posterior (IP) rim to the defect size was > 1.0. It was found that having more than one of these predictors in a single case increased the chance of closure success significantly (p < 0.001).
CONCLUSIONS: We concluded that a ratio of the defect size to TS ≤ 0.35, a ratio of SA rim to defect size > 0.75 and a ratio of IP rim to defect size > 1.0 were found to be echocardiographic predictors that could be used in successful transcatheter ASD closure both in children and adults.
Keywords: atrial septal defect; echocardiographic predictors; transcatheter closure
References
- Eur Heart J. 2000 Apr;21(7):573-81 - PubMed
- Pediatr Cardiol. 2005 Mar-Apr;26(2):128-34 - PubMed
- Catheter Cardiovasc Interv. 2001 Jul;53(3):386-91 - PubMed
- Circulation. 2003 Jun 24;107(24):e217 - PubMed
- Cathet Cardiovasc Diagn. 1995 Jan;34(1):29-34 - PubMed
- J Am Soc Echocardiogr. 2004 Nov;17(11):1167-72 - PubMed
- Am Heart J. 1995 Jan;129(1):76-82 - PubMed
- Am J Cardiol. 2004 Jul 15;94(2):256-60 - PubMed
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