Clinical application of transcatheter closure of secundum atrial septum defect with Amplatzer occluder in patients over 50 years of age
- VernacularTitle:50岁以上继发孔型房间隔缺损Amplatzer封堵器介入治疗的临床分析
- Author:
Xin PAN
;
Shaofeng GUAN
;
Kejian CUI
;
Weihua WU
;
Weiyi FANG
- Publication Type:Journal Article
- Keywords:
Atrial septel defect;
Transcatheter closure;
Elderly people
- From:Journal of Interventional Radiology
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To elucidate the efficacy and safety of transcatheter closure of secondary atrial septal defect (ASD) with Amplatzer septal occluder (ASO) in people over 50 years of age. Methods Retrospective comparison of 41 patients (14 males, 27 females) with ASD over 50 years of age ranging from 50 to 75(mean age 55.5?7.6, elder group) was conducted with 132 patients younger than 50 years(control group). After diagnosis of ASDs and evaluation of pulmonary artery systolic pressure and right atrial and ventricular dimensions by transthoracic echocardiography (TTE), all patients underwent transesophageal echocardiography (TEE) for complete assessment of ASD size, margins and anatomic relationship of the defect before closure of ASD. Each case was treated with ASO through the percutaneous transcatheter procedure under fluoroscopy and TTE or TEE. Early follow up(3 months) by echo was taken after the intervention. Results There was no difference of mean defect diameter measured by TEE and the balloon-stretched defect diameter of the ASDs between 2 groups. Pulmonary artery pressures in elder group were higher than those in younger group(P
