Comparative study on closure of atrial septa! defect by transcatheter domestic occluder and by surgery
10.3760/cma.j.issn.1008-6315.2010.06.022
- VernacularTitle:国产封堵器与外科手术治疗房间隔缺损的对比研究
- Author:
Bin LI
;
Jianhua ZHANG
;
Hua GAO
;
Yunjiu GOU
;
Yongzhu YANG
;
Bingren GAO
- Publication Type:Journal Article
- Keywords:
Septal defect atrial;
Transcatheter closure;
Cardiac surgical procedure
- From:
Clinical Medicine of China
2010;26(6):617-620
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effectiveness of transcatheter domestic occluder with those of surgical closure of atrial septal defect (ASD) , and to evaluate the feasibility of transcatheter ASD closure using domestic occluder. Methods From January 2002 to December 2007,69 patients underwent transcatheter ASD closure using domestic occluder, and 123 patients underwent surgical closure were observed. The technical success rate,residual shunt rate,total complication rate,operative time,blood transfusion volume,length of hospital stay and clinical long-term results were compared. Results The technical success rate was 98. 6% in domestic occluder group,and the one unsuccessful patients underwent surgical closure in the other day. Complication included cardiac tamponade in 1 patient (1. 4%) , residual shunt in 1 patient (1.4%). All patients in surgical group were treated successfully, residual shunt in 2 patient (1. 6%), total complications were progressive hemothorax in 1, cerebral embolism in 1,pulmonitis in 2 patient,pulmonary atelectasis in 1 patient,hydrothorax in 2,and incisional infection in 5, the total complication rate were 9.8% . Long-term follow up shows that both groups had good clinical results. Conclusions Transcatheter closure of ASD using domestic occluder is an ideal procedure owing to its reliability and safety, with less complication than and same long-term results with the surgical group. It is an alternative to surgery within acceptable limits.
