Atrial septal defect percutaneous closure benefits
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3] Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [4]
Overview
Benefits of percutaneous closure
The percutaneous closure of ostium secundum is the method of choice in many centers.[1][2]. The benefits that can be associated with the closure are as follow:
Disease Related Benefits
- Fewer complications compared to surgical closure.
- Reduced need for blood transfusions.
- Symptomatic improvement.
- Regression of positive airway pressure.
- Positive changes in right ventricle performance.
- Improved functional capacity.[3]
- Improved left atrial volume index.
- Improved left ventricular myocardial performance index.
- Improved right ventricular myocardial performance index.
- Improved peak oxygen uptake.
Other Benefits
- Less invasive no need for cardiopulmonary bypass.
- Successful implantation rates of more than 96%.
- Established practice (done in most hospital these days).
- Cost-effective.
- Shorter hospital stays.
References
- ↑ Bjørnstad P (2006). "Is interventional closure the current treatment of choice for selected patients with deficient atrial septation?". Cardiol Young. 16 (1): 3–10. PMID 16454871.
- ↑ Dhillon R, Thanopoulos B, Tsaousis G, Triposkiadis F, Kyriakidis M, Redington A (1999). "Transcatheter closure of atrial septal defects in adults with the Amplatzer septal occluder". Heart. 82 (5): 559–62. PMC 1760778. PMID 10525508.
- ↑ Salehian O, Horlick E, Schwerzmann M, Haberer K, McLaughlin P, Siu SC; et al. (2005). "Improvements in cardiac form and function after transcatheter closure of secundum atrial septal defects". J Am Coll Cardiol. 45 (4): 499–504. doi:10.1016/j.jacc.2004.10.052. PMID 15708694.