Abstract:
AIMS:To assess results of closure of atrial septal defects within the oval fossa by devices delivered by catheterisation in symptomatic infants and children under 2 years of age. METHODS AND RESULTS:The Amplatzer septal occluder was used. Results, and complications of transcatheter device treatment in patients aged below 2 years were compared to previous results from our institution. PATIENTS:We attempted closure in 12 consecutive patients below the age of 2 years who presented with an atrial septal defect between May 1997 and 1999. Symptoms were failure to thrive in 6, frequent chest infections in 5, and the need for treatment of heart failure in the other. All were thought to have a defect suitable for interventional closure. The atrial defects were seen in isolation in 10 children, but 2 had associated pulmonary stenosis which had been treated by balloon dilation prior to placement of the Amplatzer occluder. RESULTS:The Amplatzer septal occluder was implanted at a mean age of 1.4 +/- 0.4, with a range from 0.8 to 1.8 years. Ratios of pulmonary-to-systemic flow had been 2.1 +/- 0.5, with a range from 1.6 and 3.2, and the defect was measured at 12 +/- 4 mms. Fluoroscopy time was 12.8 +/- 10.2 minutes, with a range from 5 to 43 minutes, and the time of the overall procedure was 162 +/- 70 minutes, with a range from 85 to 360 minutes. It proved necessary to remove the device in 2 patients (16%) because of a residual shunt and movement after release. One of these developed transient neurological complications. Both subsequently underwent surgical treatment. CONCLUSION:Symptomatic patients less than 2 years of age can undergo successful closure of an atrial septal defect using the Amplatzer device, but the rates of success are less, and procedure time longer, than in older children or adults.
journal_name
Cardiol Youngjournal_title
Cardiology in the youngauthors
Vogel M,Berger F,Dähnert I,Ewert P,Lange PEdoi
10.1017/s1047951100008234keywords:
subject
Has Abstractpub_date
2000-09-01 00:00:00pages
534-7issue
5eissn
1047-9511issn
1467-1107journal_volume
10pub_type
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journal_title:Cardiology in the young
pub_type: 杂志文章,评审
doi:10.1017/S1047951118001658
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journal_title:Cardiology in the young
pub_type: 杂志文章
doi:10.1017/s1047951100007125
更新日期:1998-10-01 00:00:00
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journal_title:Cardiology in the young
pub_type: 杂志文章
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journal_title:Cardiology in the young
pub_type: 临床试验,杂志文章
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journal_title:Cardiology in the young
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1017/S1047951105000193
更新日期:2005-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-12-14 00:00:00
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更新日期:2016-01-01 00:00:00
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章
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pub_type: 信件
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journal_title:Cardiology in the young
pub_type: 杂志文章
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更新日期:2001-11-01 00:00:00
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journal_title:Cardiology in the young
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