Percutaneous closure of interatrial communication with the amplatzer device. Initial experience at the Instituto Nacional de Salud del Niño
DOI:
https://doi.org/10.61651/rped.2009v62n2p62-67Keywords:
Heart Septal Defects, Atrial, Heart Defects, Congenital, Septal Occluder DeviceAbstract
Objective: Describe the evolution of 5 to 16 years old patients who underwent a percutaneous closure of type Ostium Secundum Interatrial Communication (OS-IAC) with the Amplatzer device at the Instituto Nacional de Salud del Niño.
Material and methods: From 2006 July to 2007 December, 15 patients with OS-IAC, defined by transthoracic echocardiogram (TTE), underwent a transoesophageal echocardiogram (TEE) and 8 patients with criteria for percutaneous closure were selected and also underwent a cardiac catheterism. An informed consent was obtained in all cases.
Results: Most of the patients (7/8) were girls, with ages between 5 to 16 years, and I and II functional class. All the procedures were carried out in a hemodynamic ward, under general anesthesia; the average time average was 75 minutes. The interauricular communication average size was 15.4 mm, and the more used Amplatzer device was Number 20. Success rate was 87.5% (7/8).
The average stay hospital was 1.5 days. There were not any complications. At 6-month follow-up all patients were asyntomatic.
Conclusions: Percutaneous closure of the auricular communication with the amplatzer device is a safety procedure, with short hospital stay and no complications.
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Copyright (c) 2009 Carlos Mariño Vigo, César Salinas Mondragón, María Lapoint Montes, Manuel Laura, Fredy Prada, Carlos Pedra, Teresa Velazco, Isabel Zárate, Samia Sánchez
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