Efficacy and follow-up analysis of application of domestic occluder for treatment of atrial septum defect in a single intervention center

SHEN Yejia; WU Xiaoxia; MENG Yuezhi; LU Jing; ZHANG Lu; YANGYong; and MA Dongxing

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Medical Journal of the Chinese People Armed Police Forces ›› 2016, Vol. 27 ›› Issue (5) : 486-489.

Efficacy and follow-up analysis of application of domestic occluder for treatment of atrial septum defect in a single intervention center

SHEN Yejia^1,2,WU Xiaoxia³,MENG Yuezhi^1,2,LU Jing²,ZHANG Lu²,YANGYong²,and MA Dongxing^1,2

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Abstract

Objective To assess the curative effect and complications of adopting domestic sealing device for the treatment of atrial septum defect (ASD)in this center.Methods From September 2002 to December 2013, this center recruited 712 patients with ostium secundum defect with domestic sealing device, among whom 247 were males.Their age was from 3 to 67 and the body quality was from 12 to 70 kg.Results The surgical success rate was 99.0% (705/712). 5 cases failed due to the diameter of the defect or insufficient edge, so they had to choose surgical repair treatment. The occluders in 2 cases shifted after release, so we immediately asked cardiac surgery for thoracotomy;the diameter of occluders inserted in was from 10 to 44 mm with a mean of 28 mm. Special cases were: 20 cases of porous ASD, 1 case of atrial septal aneurysm;12 cases of ventricular septal defect and 6 patients with combined PDA were cured by interventional therapy.Recent complications included occluder shift (2 cases), cardiac arrhythmia (3 cases) and no cerebral infarction or air embolism.After following-up for an average of 2.2 years (1-4 years of follow-up) only 1 case was found with Ⅲ degree atrioventricular block (AVB).Conclusions Transcatheter interventional treatment adopting domestic sealing device of ASD has high success rate and satisfactory curative effect.

Key words

atrial septal defect / interventional therapy / congenital heart disease / complications

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SHEN Yejia,WU Xiaoxia,MENG Yuezhi,LU Jing,ZHANG Lu,YANGYong,and MA Dongxing. Efficacy and follow-up analysis of application of domestic occluder for treatment of atrial septum defect in a single intervention center[J]. Medical Journal of the Chinese People Armed Police Forces. 2016, 27(5): 486-489

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