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曹春辉:Feasibility, Safety, and Long Term Follow-up of Transcatheter Closure of Secundum Atrial Septal Defects with Deficient Rims PPT讲座视频 第18届中国南方国际心血管病学术会议
标题: Feasibility, Safety, and Long Term Follow-up of Transcatheter Closure of Secundum Atrial Septal Defects with Deficient Rims
讲者: 曹春辉
单位: 郴州市第一人民医院中心医院
播放: 1599
论文摘要:

Objective To evaluate the feasibility and safety of transcatheter closure procedures for the treatment of atrial septal defects (ASDs) with insufficient rims. Methods 507 secondary ASDs were divided into two groups based on whether with deficient rims or not (152 vs 355 cases, respectively). Any complications, including residual shunt, heart arrhythmia, occluder translocation, etc. were followed-up for 1 to 3 years. 

Results There were no differences in gender, weight, exposure time, ECG states, pulmonary pressure, the intervention success rate, occurrence of residual shunt, the operation time and occurrence of residual shunt during follow-up between the two groups (P > 0.05). However, the occurrence of rhythm disorders was significantly different between the two groups; ASDs with deficient rims were at an elevated risk (P < 0.05). Specifically, a significantly higher incidence in the occurrence of arrhythmia in the deficient rims groups at 24h postoperation, but no differences in arrhythmia incidence at any of the other follow-up time points (1, 3, 6, 12, and 36 months; P > 0.05). 

Conclusions Patients with deficient rims experience a high success rate of ASD intervention and low rate of complications, when the procedures are performed by experienced operators.

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