Atrial septal defect percutaneous closure benefits: Difference between revisions

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{{Atrial septal defect}}
{{Atrial septal defect}}
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, MBBS]] [[mailto:psingh@perfuse.org]]; {{CZ}}; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [[mailto:kfeeney@perfuse.org]]
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{CZ}} '''Assistant Editor(s)-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu]


==Overview==
==Overview==
Among treatment options, percutaneous closure is the method of choice for ostium secundum patients. Many patients experience positive improvements in quality of life such as fewer compliations, shorter hospital stays, and overall symptomatic improvement.
==Benefits of percutaneous closure==
The percutaneous closure of [[Atrial septal defect ostium secundum|ostium secundum]] is the method of choice in many centers.<ref>{{cite journal | author = Bjørnstad P | title = Is interventional closure the current treatment of choice for selected patients with deficient atrial septation? | journal = Cardiol Young | volume = 16 | issue = 1 | pages = 3-10 | year = 2006 | id = PMID 16454871}}</ref><ref name="pmid10525508">{{cite journal| author=Dhillon R, Thanopoulos B, Tsaousis G, Triposkiadis F, Kyriakidis M, Redington A| title=Transcatheter closure of atrial septal defects in adults with the Amplatzer septal occluder. | journal=Heart | year= 1999 | volume= 82 | issue= 5 | pages= 559-62 | pmid=10525508 | doi= | pmc=PMC1760778 | url= }} </ref>. The benefits that can be associated with the closure are as follow:
====Disease Related Benefits====
 
*Fewer complications compared to [[Atrial septal defect surgical closure | surgical closure]].
*Reduced need for [[blood transfusion]]s.
*Symptomatic improvement.
*Regression of [[positive airway pressure]].
*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 left atrial volume index.
**Improved left ventricular myocardial performance index.
**Improved right ventricular myocardial performance index.
**Improved peak oxygen uptake.
 
====Other Benefits====


==Benefits of percutaneous closure==
* Less invasive no need for [[cardiopulmonary bypass]].
Percutaneous closure is the method of choice in most centers.<!--
  --><ref>{{cite journal | author = Bjørnstad P | title = Is interventional closure the current treatment of choice for selected patients with deficient atrial septation? | journal = Cardiol Young | volume = 16 | issue = 1 | pages = 3-10 | year = 2006 | id = PMID 16454871}}</ref>, <ref name="pmid10525508">{{cite journal| author=Dhillon R, Thanopoulos B, Tsaousis G, Triposkiadis F, Kyriakidis M, Redington A| title=Transcatheter closure of atrial septal defects in adults with the Amplatzer septal occluder. | journal=Heart | year= 1999 | volume= 82 | issue= 5 | pages= 559-62 | pmid=10525508 | doi= | pmc=PMC1760778 | url= }} </ref> Closure is associated with:
*Fewer complications
*Shorter hospital stays
*Reduced need for blood transfusions
*Symptomatic improvement
*Regression of positive airway pressure
*Positive changes in right ventricle performance
*Improved functional capacity
**Improved left atrial volume index
**Improved left ventricular myocardial performance index
**Improved right ventricular myocardial performance index
**Improved peak oxygen uptake
* Cost-effectiv
* Successful implantation rates of more than 96%.  
* Successful implantation rates of more than 96%.  
* Established practice(done in most hospital these days)
* Established practice (done in most hospital these days).
* Cost-effective.
* Shorter hospital stays.


==References==
==References==
{{reflist}}
{{reflist|2}}
 
==See also==
*[[Atrioventricular septal defect]]
*[[Congenital heart disease]]
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Latest revision as of 02:22, 15 March 2016

Atrial Septal Defect Microchapters

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Patient Information

Overview

Anatomy

Classification

Ostium Secundum Atrial Septal Defect
Ostium Primum Atrial Septal Defect
Sinus Venosus Atrial Septal Defect
Coronary Sinus
Patent Foramen Ovale
Common or Single Atrium

Pathophysiology

Epidemiology and Demographics

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Treatment

Medical Therapy

Surgery

Indications for Surgical Repair
Surgical Closure
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Robotic ASD Repair
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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

  1. 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.
  2. 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.
  3. 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.

See also

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