Atrial septal defect percutaneous closure benefits: Difference between revisions

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*Regression of positive airway pressure
*Regression of positive airway pressure
*Positive changes in right ventricle performance
*Positive changes in right ventricle performance
*Improved functional capacity
*Improved functional capacity <ref name="pmid15708694">{{cite journal| author=Salehian O, Horlick E, Schwerzmann M, Haberer K, McLaughlin P, Siu SC et al.| title=Improvements in cardiac form and function after transcatheter closure of secundum atrial septal defects. | journal=J Am Coll Cardiol | year= 2005 | volume= 45 | issue= 4 | pages= 499-504 | pmid=15708694 | doi=10.1016/j.jacc.2004.10.052 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15708694  }} </ref>
**Improved left atrial volume index
**Improved left atrial volume index
**Improved left ventricular myocardial performance index
**Improved left ventricular myocardial performance index

Revision as of 14:57, 31 August 2011

Atrial Septal Defect Microchapters

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Patient Information

Overview

Anatomy

Classification

Ostium Secundum Atrial Septal Defect
Ostium Primum Atrial Septal Defect
Sinus Venosus Atrial Septal Defect
Coronary Sinus
Patent Foramen Ovale
Common or Single Atrium

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [[2]]; Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [[4]]

Overview

Among treatment options, percutaneous closure is the method of choice for ostium secundum patients. Many patients experience positive improvements in quality of life such as fewer compliations, shorter hospital stays, and overall symptomatic improvement.

Benefits of percutaneous closure

Percutaneous closure is the method of choice in most centers.[1], [2] Closure is associated with:

  • Fewer complications
  • Shorter hospital stays
  • 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
  • Cost-effectiv
  • Successful implantation rates of more than 96%.
  • Established practice(done in most hospital these days)

References

  1. 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.
  2. 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.
  3. 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.

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