Research Article
Volume 8 Issue 5 - 2021
Transcatheter Closure of Complex Secundum Atrial Septal Defects
Khalid Ahmed Khalid1* and Zayir Hashim Khalid2
1Interventional Pediatric Cardiology, Basrah Medical Collage, Iraq
2Consultant Interventional Pediatric Cardiologist, Ibn Al-Bitar Specialized Center for Cardiac Surgery, Iraq
*Corresponding Author: Khalid Ahmed Khalid, Interventional Pediatric Cardiology, Basrah Medical Collage, Basrah, Iraq.
Received: January 21, 2021; Published: April 30, 2021




Abstract

Introduction: Atrial septal defects (ASD) are congenital cardiac defects, that result in a communication between the left and right atria, and account for 6 - 10% of all congenital hearts disease (CHD). Transcatheter closure of secundum ASD now widely used with global acceptance, closure of atrial septal defect with complex anatomy remain the challenging issue required careful planning and special technique.

Aim of the Study: To prospectively study the outcomes and techniques of transcatheter closure of complex Atrial septal defects.

Methods: An eighty-eight patients with complex atrial septal defects included in a prospective single-center study, from January 2018 till February 2019, at Ibn Albitar center for cardiac surgery, Baghdad, Iraq. Complex atrial septal defect was predefined and inclusion and exclusion criteria are included. All the patients had meticulous echocardiography imaging beforehand. Modifications of the conventional techniques were allowed on a case per case basis according to operator preference.

Results: Out of the 88 patients enrolled, 80 patients had successful device closure (success rate 90.9%) despite challenging anatomy. The closure was failed in 8 cases (9.1%), all of them had a deficient/absent rim, most commonly inferior rim. The most common method used was a conventional technique with or without modifications, followed by dilator assisted method. With no recorded major complication.

Conclusion: Transcatheter closure is safe and feasible in anatomically complex Secundum atrial septal defect. Careful case selection, scrupulous imaging protocol, and expertise in modified techniques are mandatory for successful outcomes.

 

Keyword: Congenital Heart Disease; Echocardiography; Device Closure of Septal Defect

References

  1. Allen HD., et al. “Moss and Adams' heart disease in infants, children, and adolescents: including the fetus and young adult”. Lippincott Williams and Wilkins (2013): 672-690.
  2. Hijazi ZM., et al. “Transcatheter Closure of ASDs and PFOs: A Comprehensive Assessment”. Cardiotext Publishing (2010).
  3. Mills NL and King TD. “Nonoperative closure of left-to-right shunts”. The Journal of Thoracic and Cardiovascular Surgery 3 (1976): 371-378.
  4. Feltes TF., et al. “Indications for cardiac catheterization and intervention in pediatric cardiac disease: a scientific statement from the American Heart Association”. Circulation 22 (2011): 2607-2652.
  5. Shrivastava S and Radhakrishnan S. “Echocardiographic anatomy of atrial septal defect: "nomenclature of the rims". Indian Heart Journal 1 (2003): 88-89.
  6. Amin Z. “Transcatheter closure of secundum atrial septal defects”. Catheterization and Cardiovascular Interventions 5 (2006): 778-787.
  7. Du ZD., et al. “Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial”. Journal of the American College of Cardiology 11 (2002): 1836-1844.
  8. Pillai AA., et al. “Techniques and outcomes of transcatheter closure of complex atrial septal defects–Single center experience”. Indian Heart Journal 1 (2014): 38-44.
  9. Papa M., et al. “Feasibility and safety of transcatheter closure of atrial septal defects with deficient posterior rim”. Catheterization and Cardiovascular Interventions 7 (2013): 1180-1187.
  10. Schwinger ME., et al. “The anatomy of the interatrial septum: a transesophageal echocardiographic study”. American Heart Journal 6 (1990): 1401-1405.
  11. Teo KS., et al. “Assessment of atrial septal defects in adults comparing cardiovascular magnetic resonance with transoesophageal echocardiography”. Journal of Cardiovascular Magnetic Resonance 1 (2010): 44.
  12. Müller M and Kerkhof M. “Secundum atrial septal defects-a review of 75 patients”. Cardiovascular journal of South Africa 5 (2000): 262-264.
  13. Mathewson JW., et al. “Absent posteroinferior and anterosuperior atrial septal defect rims: Factors affecting nonsurgical closure of large secundum defects using the Amplatzer occlude”. Journal Info. American Society of Echocardiography 1 (2004): 62-69.
  14. Lee WC., et al. “The predictors of dislodgement and outcomes of transcatheter closure of complex atrial septal defects in adolescents and adults”. Clinical Trials and Regulatory Science in Cardiology 11 (2015): 1-5.
  15. Santoro G., et al. “Transcatheter closure of complex atrial septal defects: feasibility and mid-term results”. Journal of Cardiovascular Medicine 3 (2006): 176-181.
  16. Assaidi A., et al. “Transcatheter closure of complex atrial septal defects is efficient under intracardiac echocardiographic guidance”. Archives of Cardiovascular Diseases 12 (2014): 646-653.
  17. Berger F., et al. “Percutaneous closure of large atrial septal defects with the Amplatzer Septal Occluder: technical overkill or recommendable alternative treatment?”. Journal of Interventional Cardiology 1 (2001): 63-67.
  18. Suárez de Lezo J., et al. “Transcatheter occlusion of complex atrial septal defects”. Catheterization and Cardiovascular Interventions 1 (2000): 33-41.
  19. Romanelli G., et al. “Transcatheter closure of secundum atrial septal defects: results in patients with large and extreme defects”. Heart, Lung and Circulation 2 (2014): 127-131.
  20. Wahab HA., et al. “Novel technique to prevent prolapse of the Amplatzer septal occluder through large atrial septal defect”. Catheterization and Cardiovascular Interventions 4 (2003): 543-545.
  21. Cao QL., et al. “Transcatheter closure of multiple atrial septal defects. Initial results and value of two-and three-dimensional transoesophageal echocardiography”. European Heart Journal 11 (2000): 941-947.
  22. Mullen MJ., et al. “Intracardiac echocardiography guided device closure of atrial septal defects”. Journal of the American College of Cardiology 2 (2003): 285-292.
  23. Du ZD., et al. “Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial”. Journal of the American College of Cardiology 11 (2002): 1836-1844.
  24. Chessa M., et al. “Early and late complications associated with transcatheter occlusion of secundum atrial septal defect”. Journal of the American College of Cardiology 6 (2002): 1061-1065.
  25. Levi DS and Moore JW. “Embolization and retrieval of the Amplatzer septal occlude”. Catheterization and Cardiovascular Interventions 4 (2004): 543-547.
  26. Koçyildirim E., et al. “Amplatzer device embolization: hazards of multiple attempts at catheter retrieval”. Anatolian Journal of Cardiology 3 (2007): 329-330.
Citation: Khalid Ahmed Khalid and Zayir Hashim Khalid. “Transcatheter Closure of Complex Secundum Atrial Septal Defects”. EC Cardiology 8.5 (2021): 23-33.

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