Is interventional closure the current treatment of choice for selected patients with deficient atrial septation?

@article{Bjrnstad2006IsIC,
  title={Is interventional closure the current treatment of choice for selected patients with deficient atrial septation?},
  author={Per G. Bj{\o}rnstad},
  journal={Cardiology in the Young},
  year={2006},
  volume={16},
  pages={3 - 10}
}
  • P. Bjørnstad
  • Published 1 January 2006
  • Medicine
  • Cardiology in the Young
INTERVENTIONAL TREATMENT OF CONGENITAL cardiac malformations has become a major part of the work in the catheterisation laboratory. In many institutions, it now accounts for around half the procedures undertaken. A part of this is the closure of atrial septal defects located in the oval fossa. Such treatment was first published 30 years ago,1 and a number of techniques have been suggested over the years which have followed.2–9 

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References

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Late cardiac tamponade after transcatheter closure of atrial septal defect with Cardioseal® device

TLDR
Cardiac tamponade occurring late after interventional closure of defects within the oval fossa is a very rare but life-threatening complication after use of a Cardioseal device to close an interatrial communication.

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TLDR
The experience shows that the Amplatzer® device is reliable, easy to implant, and presents very clearly on transoesophageal echocardiography and fluoroscopy, which makes implantation a controlled procedure.

Transcatheter closure of atrial septal defects in the oval fossa: is the method applicable in small children?

TLDR
Early experience demonstrates that an experienced interventional team can use the Amplatzer occluder successfully to close atrial septal defects in patients of all ages and sizes, at least from 7.8 kg and up.

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TLDR
Outcomes including reintervention, late failure, and the need for long-term follow-up must be considered and compared to those of a current surgical series.
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