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Tytuł oryginału: Transcatheter closure of multiple atrial septal deffects.
Tytuł polski: Przeznaczyniowe zamykanie mnogich ubytków przegrody międzyprzedsionkowej.
Autorzy: Szkutnik Małgorzata, Białkowski Jacek, Banaszak Paweł, Kusa Jacek, Zembala Marian
Źródło: Kardiol. Pol. 2002: 56 (3) s.300-306, il., tab., bibliogr. 20 poz. - Tekst równol. w jęz. pol.
Sygnatura GBL: 313,397

Hasła klasyfikacyjne GBL:
  • kardiologia
  • pediatria

    Typ dokumentu:
  • praca kliniczna

    Wskaźnik treści:
  • ludzie
  • dzieci 2-5 r.ż.
  • dzieci 6-12 r.ż.
  • dzieci 13-18 r.ż.
  • dorośli 19-44 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Bacground. Literature regarding transcathether closure of a single atrial septal defect (ASD) is very rich, however, there are only a few reports showing the possibility of the closure of multiple defects with a single device. Aim. To analyse feasibility and long-term results of closure of the multiple ASD with a single device. Methods. Of 128 patients treated with a transcatheter method, 26 (20 p.c.) had ultiple ASD. Patients were selected for invasive treatment on the basis of the results of transthoracic echocardiography (children) or transoesophageal echocardiography (adults). A significant left-to-right shunt with volume overload of the right ventricle and at least 6 mm rim of the defect were required to undergo transcatheter closure of ASD. Results. The procedure was performed with a single devive in 25 patients (Amplatzer occluder in 22, Starflex in 2, and Cardioseal in 1 patient) whereas in one patint with two distant and hemodynamically significant defects two Amplatzer occluders were implanted. A complete closure of the shunt was achieved in 59 p.c. (13/22) of patients after 24 hours, in 64 p.c. (14/22) - after one month, in 80 p.c. (16/20) - after three months, in 86 p.c. (13/15) - after one year and in 100 p.c. (7/7) - after two years of follow-up. There were no complications during or after the procedures. The follow-up period ranged from one to 48 (mean 19) months. Conclusions. Multiple secundum type atrial septal defects can be efectively closed with a single device. Strategy of transcatheter closure depends on the size and distance between the defects and streching capabilities of the septum.

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