Complications of transcatheter closure of atrial septal defects using the amplatzer septal occluder.
10.3345/kjp.2008.51.4.401
- Author:
Seo Jin JEA
1
;
Hyo Jin KWON
;
Gi Young JANG
;
Jae Young LEE
;
Soo Jin KIM
;
Chang Sung SON
;
Joo Won LEE
Author Information
1. Department of Pediatrics, College of Medicine, Korea University, Ansan, Korea. jgynhg@dreamwiz.com
- Publication Type:Original Article
- Keywords:
Atrial septal defect;
Transcatheter closure;
Complications
- MeSH:
Anemia, Hemolytic;
Aorta;
Arrhythmias, Cardiac;
Echocardiography, Transesophageal;
Female;
Fistula;
Foramen Ovale, Patent;
Heart Septal Defects, Atrial;
Humans;
Male;
Mitral Valve;
Septal Occluder Device;
Vena Cava, Inferior
- From:Korean Journal of Pediatrics
2008;51(4):401-408
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Transcatheter closure of atrial septal defects (ASD) is currently established therapy as an alternative to surgery. But rarely, complications are reported in some studies. We report early and intermediate term complications associated with transcatheter closure of atrial septal defects using the Amplatzer septal occluder (ASO). METHODS: From June 2003 to May 2006, 64 patients underwent transcatheter closure of secundum ASD or patent foramen ovale using the ASO. The ratio of male to female was 1:2.4, the median age was 17 years (range: 2.6-64 years) and their median weight was 47.5 kg (range: 2.6-64 kg). RESULTS: The median diameter of ASD measured with transthoracic or transesophageal echocardiography was 15 mm (range: 6-28 mm), the median balloon stretched diameter was 18 mm (range: 6.5-34 mm), and the median size of device was 19.5 mm (range: 6-36 mm), was little difference with balloon stretched diameter. There were 10 cases of complications: arrhythmia (2), device malformation (2), aorta to right atrial fistula (1), hemolytic anemia (1), mitral valve encroachment (1), malposition (1), residual shunt (1), and inferior vena cava perforation (1). CONCLUSION: Transcatheter closure of ASD using ASO is effective and safe therapy. However, significant complications such as aorta to atrial fistula, atrial erosion, or device embolization can happen, so an appropriate selection of patient and device in relevance to size and anatomy of ASD is important for successful closure.
