Atrial septal defect percutaneous closure complications: Difference between revisions
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==Complications== | ==Complications== | ||
Complications associated with percutaneous closure include | |||
Complications associated with percutaneous closure include | |||
'''Device related''' | |||
*Device embolization | *Device embolization | ||
*Malposition of device | *Malposition of device | ||
*Device erosion | *Device erosion | ||
*Atrial fibrillation or supraventricular tachycardia | |||
*Transient antrioventricular block/heart block | '''Medical complications''' | ||
*Pericardial effusion | |||
*Thrombus formation (on the left atrial appendage) | *[[Atrial fibrillation]] or [[supraventricular tachycardia]] | ||
*Iliac vein dissection | *Transient antrioventricular block/[[heart block]] | ||
*Groin hematoma | *[[Pericardial effusion]] | ||
*Cardiac perforation | *[[Thrombus]] formation (on the left atrial appendage) | ||
*Increased levels of cardiac tropnin I | *[[Iliac vein dissection]] | ||
*Residual shunts | *[[Groin hematoma]] | ||
*[[Cardiac perforation]] | |||
*Increased levels of cardiac [[tropnin]] I | |||
*[[Residual shunts]] | |||
Frequency of complications 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> | Frequency of complications 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> | ||
Revision as of 15:57, 3 September 2011
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Atrial Septal Defect Microchapters | |
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Treatment | |
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Surgery | |
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Special Scenarios | |
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Case Studies | |
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Atrial septal defect percutaneous closure complications On the Web | |
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FDA on Atrial septal defect percutaneous closure complications | |
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Atrial septal defect percutaneous closure complications in the news | |
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Risk calculators and risk factors for Atrial septal defect percutaneous closure complications | |
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
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
Complications associated with percutaneous closure include Device related
- Device embolization
- Malposition of device
- Device erosion
Medical complications
- Atrial fibrillation or supraventricular tachycardia
- Transient antrioventricular block/heart block
- Pericardial effusion
- Thrombus formation (on the left atrial appendage)
- Iliac vein dissection
- Groin hematoma
- Cardiac perforation
- Increased levels of cardiac tropnin I
- Residual shunts
Frequency of complications is low, manifesting in under 9% of all cases. With experienced, skilled clinicians, the rate of complication may be as low as 1%.[1]
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.