Atrial septal defect percutaneous closure benefits: Difference between revisions
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====Disease Related Benefits==== | ====Disease Related Benefits==== | ||
*Fewer complications compared to [[Atrial septal defect surgical closure | surgical closure]] | *Fewer complications compared to [[Atrial septal defect surgical closure | surgical closure]]. | ||
*Reduced need for [[blood transfusion]]s | *Reduced need for [[blood transfusion]]s. | ||
*Symptomatic improvement | *Symptomatic improvement. | ||
*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 <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 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 | **Improved left ventricular myocardial performance index. | ||
**Improved right | **Improved right ventricular myocardial performance index. | ||
**Improved peak oxygen uptake | **Improved peak oxygen uptake. | ||
====Other Benefits==== | ====Other Benefits==== |
Revision as of 19:18, 9 January 2013
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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.