Long-term outcome of atrial septal defect (ASD) repair by the figulla flex II ASD occluder: A retrospective cohort study at a referral heart center in Iran

A. Firouzi, A. Siraj, A. Jafari, H. Sanati, Zahra Khajail, A. Zahedmehr, F. Noohi, Seddighe Saeidi, H. Basiri, M. Momtahen, A. Mohebbi, Farshad Shakerian, B. Mohebbi, M. Madani, M. Kiavar, R. Kiani, N. Salehi
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引用次数: 2

Abstract

Atrial Septal Defect (ASD) is now identified as the most frequent congenital heart diseases (CHDs).1 Due to its asymptomatic nature, it is also the most common important CHDs finding in adults.2 As there were significant mortality and morbidity related to ASD and its associated repair procedures, the therapeutic strategy of ASD repair has been modified over the last decades. In this regard and to minimize disease-related adverse events, various techniques and devices, particularly minimal invasive types, such as trans-catheter procedures, have been developed to close the defect appropriately. These changes lead to an excellent post-procedural outcome as compared to invasive surgeries.3,4 The efficacy and safety of each selected procedure may be dependent on several baseline factors such as patient’s selection, preprocedural characteristics like size, number of defects and potential cardiovascular risk profile, peri-procedural assessments along with the type of techniques. In other words, preoperative hemodynamic stability, morphologic features of the defect, and the quality of the equipment that will be used, such as type and size of the device, can all affect the outcome of repairing procedure at any age.5–7 In addition to baseline risk, the safety of the methods of the procedure base on procedural principles, characteristic features of available devices are essential to be determined.8
心房间隔缺损(ASD)修复的长期结果:伊朗转诊心脏中心的回顾性队列研究
房间隔缺损(ASD)是目前公认的最常见的先天性心脏病(CHDs)由于其无症状性,它也是成人中最常见的重要冠心病由于与ASD及其相关修复程序相关的死亡率和发病率很高,在过去的几十年里,ASD修复的治疗策略已经发生了变化。在这方面,为了尽量减少与疾病有关的不良事件,已经开发了各种技术和设备,特别是最小侵入型,如经导管手术,以适当地关闭缺陷。与侵入性手术相比,这些改变带来了良好的术后结果。3,4每种选择的手术的有效性和安全性可能取决于几个基线因素,如患者的选择,手术前的特征,如大小,缺陷数量和潜在的心血管风险概况,术中评估以及技术类型。换句话说,术前血流动力学稳定性,缺损的形态学特征,以及将要使用的设备的质量,如设备的类型和尺寸,都会影响任何年龄的修复手术的结果。除了基线风险外,基于程序原则的程序方法的安全性、可用设备的特征特征也是必须确定的
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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