Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients

Jun FANG; Yang WEI; Xudong CHEN; Xuefeng WANG; Han XIA

doi:10.16016/j.1000-5404.201804053

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Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients

Clinical Medicine | 更新时间：2026-01-09

- Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients
- Journal of Third Military Medical University Vol. 40, Issue 19, Pages: 1788-1791(2018)
- 作者机构：
  
  400045 重庆，重庆市康华众联心血管病医院心外科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201804053
  CLC： R654.2;R726.5
- Received：10 April 2018，
  
  Revised：2018-07-05，
  
  Published：15 October 2018
- 稿件说明：
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Jun FANG, Yang WEI, Xudong CHEN, et al. Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients[J]. Journal of Third Military Medical University, 2018, 40(19): 1788-1791.
DOI：

Jun FANG, Yang WEI, Xudong CHEN, et al. Clinical analysis of ultrasound-guided minimally invasive transcatheter closure for atrial septal defect: report of 52 patients[J]. Journal of Third Military Medical University, 2018, 40(19): 1788-1791. DOI： 10.16016/j.1000-5404.201804053.

摘要

目的

探讨超声引导下胸部微创房间隔缺损封堵术的临床应用价值。

方法

收集2015年3月至2018年1月超声引导下胸部微创行房间隔缺损封堵术的继发孔房间隔缺损(atrial septal defect，ASD)52例患者为封堵组。对照组为同期40例体外循环下行传统房间隔缺损修补术的继发孔房间隔缺损(ASD)患者。采用统计学方法比较两组病例术前ASD大小、输血情况、手术时间、气管插管时间、住院时间，以及不同时相的右心房大小、肺动脉压力、三尖瓣反流情况。

结果

两组患者手术均获成功。术后无并发症，无残余分流。术后复查心脏彩超右心大小较术前明显减小(

0.05)。封堵组在手术时间、气管插管时间、住院时间均明显低于对照组(

0.05)。

结论

胸部微创超声引导下房间隔缺损封堵术安全、可靠、微创、手术时间短、患者恢复快，优于传统房间隔缺损修补术。

Abstract

Objective

To investigate the clinical value of ultrasound-guided chest minimally invasive closure in treatment of atrial septal defect (ASD).

Methods

A total of 92 patients with ostium secundum ASD (66 cases from Second Affiliated Hospital of Army Medical University and 26 cases from Chongqing Kanghua Zhonglian Cardiovascular Hospital) during March 2015 and January 2018 were retrospectively recruited in this study. Among them

52 patients (the closure group) underwent ultrasound guided chest minimally invasive closure

while the other 40 patients (the control group) received the repair with extracorporeal circulation. Statistical analyses were used to compare the size of ASD

blood transfusion

operation time

tracheal intubation time

time of hospitalization

including the different stages of the right atrium size

pulmonary artery pressure and tricuspid regurgitation.

Results

The operations were all successful in the 2 groups of patients. There were no complications and residual shunts after operation. Echocardiography identified the size of right heart was decreased significantly between before and after operations (

0.05). The time of operation

tracheal intubation and length of hospital stay were significantly shorter in the closure group than the control group (

0.05).

Conclusion

Ultrasound guided minimally invasive transcatheter closure is safe

reliable and minimally invasive in treatment of ASD

with shorter operation time and faster recovery time

superior to the traditional repair operation.

关键词

Keywords

references

AKAGI T. Current concept of transcatheter closure of atrial septal defect in adults[J]. J Cardiol, 2015, 65(1):17-25. DOI: 10.1016/j.jjcc.2014.09.002.

RIGATELLI G. Should we consider patent foramen ovale and secundum atrial septal defect as different steps of a single anatomo-clinical continuum?[J]. J Geriatr Cardiol, 2014, 11(3):177-179. DOI: 10.11909/j.issn.1671-5411. 2014.03.004.

KUIJPERS J M, MULDER B J, BOUMA B J. Secundum atrial septal defect in adults: a practical review and recent developments[J]. Neth Heart J, 2015, 23(4):205-211. DOI:10.1007/s12471-015-0663-z.

NYBOE C, OLSEN M S, NIELSEN-KUDSK J E, et al . Atrial fibrillation and stroke in adult patients with atrial septal defect and the long-term effect of closure[J ] .Heart, 2015, 101(9):706-711.DOI: 10.1136/heartjnl-2014-306552.

PETIT C J, JUSTINO H, PIGNATELLI R H, et al . Percutaneous atrial septal defect closure in infants and toddlers:predictors of Success[J ] . Pediatr Cardiol, 2013, 34(2):220-225. DOI: 10.1007/s00246-012-0413-6.

ABACI A, UNLU S, ALSANCAK Y, et al . Short and long term complications of device closure of atrial septal defect and patent foramen ovale:meta-analysis of 28, 142 patients from 203 studies[J ] . Catheter Cardiovasc Interv, 2013, 82(7):1123-1138. DOI: 10.1002/ccd.24875.

MALLULA K, AMIN Z. Recent changes in instructions for use for the Amplatzer atrial septal defect occluder: how to incorporate these changes while using transesophageal echocardiography or intracardiac echocardiography[J]. Pediatr Cardiol, 2012, 33(7):995-1000. DOI: 10.1007/s00246-012-0323-7.

GHELANI S J, GLATZ A C, DAVID S, et al . Radiation dose benchmarks during cardiac catheterization for congenital heart disease in the United States[J ] . JACC Cardiovasc Interv, 2014, 7(9):1060-1069. DOI:10.1016/j.jcin.2014.04. 013.

KEFER J, SLUYSMANS T, HERMANS C, et al . Percutaneous transcatheter closure of interatrial septal defect in adults: procedural outcome and long-term results[J ] . Catheter Cardiovasc Interv, 2012, 79(2):322-330. DOI:10.1002/ccd.23119.

BASARAN M, KOCAILIK A, OZBEK C, et al . Comparison of 3 different incisions used for atrial-septal defect closure[J ] . Heart Surg Forum, 2008,11(5): E2 90-E294. DOI: 10.1532/HSF98.20081060.

WALTHER T, BINNER C, RASTAN A, et al . Surgical atrial septal defect closure after interventional occluder placement: incidence and outcome[J ] . J Thorac Cardiova Surg, 2007, 134(3):731-737. DOI: 10.1016/j.jtcvs.2007.04.041.

SCHOEN S P, BOSCHERI A, LANGE S A, et al . Incidence of aortic valve regurgitation and outcome after percutaneous closure of atrial septal defects and patent foramen ovale[J ] . Heart, 2008, 94(7): 844-847. DOI: 10.1136/hrt.2007.132662.

ZHOU D, PAN W, GUAN L, et al . Transcatheter closure of perimembranous and intracristal ventricular septal defects with the SHSMA occluder[J ] . Catheter Cardiovasc Interv, 2012, 79(4):666-674. DOI:10.1002/ccd.23344.

LEE W C, FANG C Y, HUANG C F, et al . Predictors of atrial septal defect occluder dislodgement[J ] . Int Heart J, 2015, 56(4):428-431. DOI:10.1536/ihj.15-065.

YANG Y, GAO L, XU X, et al . Echocardiographic assessment and guidance in minimally invasive surgical device closure of perimembranous ventricular septal defects[J ] . Heart Surg Forum, 2014, 17(4):E206-E211. DOI:10.1532/HSF98.2014340.

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