Atrial septal defect percutaneous closure complications: Difference between revisions
New page: {{Template:Atrial septal defect}} {{CMG}} ==Complications== Complications associated with percutaneous closure include: *Device embolization *Malposition of device *Device erosion *Atrial... |
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{{CMG}} | {{Atrial septal defect}} | ||
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{CZ}} '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | |||
==Overview== | |||
As with any invasive treatment, [[Atrial septal defect percutaneous closure | percutaneous closure]] could be associated with potential complications. Common complications include issues with device functional integrity such as [[emboli]]zation around the device or erosion of the materials and malpositioning. Other complications include potential for development of serious circulatory conditions such as [[atrial fibrillation]], [[heart block]], and [[thrombus]] formation.The disadvantages are a thick profile of the device and concerns related to a large amount of '''nitinol''' (a nickel-titanium compound) in the device and consequent potential for [[nickel]] toxicity. | |||
==Complications== | ==Complications== | ||
Complications associated with percutaneous closure include: | The frequency of complications with percutaneous closure is low, manifesting in under 9% of all cases. With experienced, skilled clinicians, the rate of complication may be as low as 1%.<ref name="pmid11897451">{{cite journal| author=Chessa M, Carminati M, Butera G, Bini RM, Drago M, Rosti L et al.| title=Early and late complications associated with transcatheter occlusion of secundum atrial septal defect. | journal=J Am Coll Cardiol | year= 2002 | volume= 39 | issue= 6 | pages= 1061-5 | pmid=11897451 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11897451 }} </ref>. Complications associated with [[Atrial septal defect percutaneous closure | percutaneous closure]] include: | ||
*Device embolization | |||
*Malposition of device | ====Device Related==== | ||
*Device [[embolization]] | |||
*Malposition of the device | |||
*Device erosion | *Device erosion | ||
====Medical Complications==== | |||
*[[Atrial fibrillation]] or [[supraventricular tachycardia]] | |||
*Transient antrioventricular block/[[heart block]] | |||
*[[Pericardial effusion]] | |||
*[[Thrombus]] formation in the [[left atrial appendage]] | |||
*[[Iliac vein dissection]] | |||
*[[Groin hematoma]] | |||
*[[Cardiac perforation]] | |||
*Increased levels of cardiac [[tropnin]] I | |||
*[[Residual shunts]] | |||
*There can be migration or erosion of the device so follow-up is warranted. | |||
===Prognosis=== | |||
The prognosis of percutaneous repair of [[atrial septal defect]] is generally good. However, the prognosis varies and depends on some factors like age at surgery, size of defect, amount of blood shunting and other associated co-morbidities at the time of repair. Some complications like [[pulmonary hypertension]],[[eisenmenger’s syndrome]], [[right sided heart failure]], [[arrhythmia]]s ([[atrial fibrillation]], [[atrial flutter]]) and [[stroke]] can occur after the repair. However, these are common in older patients(>40years) compared to younger patients. | |||
==References== | ==References== | ||
{{reflist}} | {{reflist|2}} | ||
{{WikiDoc Help Menu}} | |||
{{WikiDoc Sources}} | |||
[[CME Category::Cardiology]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Congenital heart disease]] | [[Category:Congenital heart disease]] | ||
Latest revision as of 02:23, 15 March 2016
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Atrial Septal Defect Microchapters | |
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Treatment | |
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Surgery | |
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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
As with any invasive treatment, percutaneous closure could be associated with potential complications. Common complications include issues with device functional integrity such as embolization around the device or erosion of the materials and malpositioning. Other complications include potential for development of serious circulatory conditions such as atrial fibrillation, heart block, and thrombus formation.The disadvantages are a thick profile of the device and concerns related to a large amount of nitinol (a nickel-titanium compound) in the device and consequent potential for nickel toxicity.
Complications
The frequency of complications with percutaneous closure is low, manifesting in under 9% of all cases. With experienced, skilled clinicians, the rate of complication may be as low as 1%.[1]. Complications associated with percutaneous closure include:
Device Related
- Device embolization
- Malposition of the device
- Device erosion
Medical Complications
- Atrial fibrillation or supraventricular tachycardia
- Transient antrioventricular block/heart block
- Pericardial effusion
- Thrombus formation in the left atrial appendage
- Iliac vein dissection
- Groin hematoma
- Cardiac perforation
- Increased levels of cardiac tropnin I
- Residual shunts
- There can be migration or erosion of the device so follow-up is warranted.
Prognosis
The prognosis of percutaneous repair of atrial septal defect is generally good. However, the prognosis varies and depends on some factors like age at surgery, size of defect, amount of blood shunting and other associated co-morbidities at the time of repair. Some complications like pulmonary hypertension,eisenmenger’s syndrome, right sided heart failure, arrhythmias (atrial fibrillation, atrial flutter) and stroke can occur after the repair. However, these are common in older patients(>40years) compared to younger patients.
References
- ↑ Chessa M, Carminati M, Butera G, Bini RM, Drago M, Rosti L; et al. (2002). "Early and late complications associated with transcatheter occlusion of secundum atrial septal defect". J Am Coll Cardiol. 39 (6): 1061–5. PMID 11897451.