Atrial septal defect closure: indications and contra-indications.
J Thorac Dis
; 10(Suppl 24): S2874-S2881, 2018 Sep.
Article
en En
| MEDLINE
| ID: mdl-30305947
ABSTRACT
Transcatheter closure has become an accepted alternative to surgical repair for ostium secundum atrial septal defects (ASD). However, large ASDs (>38 mm) and defects with deficient rims are usually not offered transcatheter closure but are referred for surgical closure. Transcatheter closure also remains controversial for other complicated ASDs with comorbidities, additional cardiac features and in small children. This article not only provides a comprehensive, up-to-date description of the current indications and contra-indications for ASD device closure, but also further explores the current limits for transcatheter closure in controversial cases. With the devices and technology currently available, several cohort studies have reported successful percutaneous closure in the above-mentioned complex cases. However the feasibility and safety of transcatheter technique needs to be confirmed through larger studies and longer follow-up.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Observational_studies
Idioma:
En
Revista:
J Thorac Dis
Año:
2018
Tipo del documento:
Article
País de afiliación:
Reino Unido
Pais de publicación:
CHINA
/
CN
/
REPUBLIC OF CHINA