Transcatheter and intraoperative device closure of atrial septal defect in infants under three years of age.

摘要: Transcatheter and intraoperative device closures have been widely used in the treatment of secundum atrial septal defect (ASD). However, for young infants with ASD, closure remains controversial, such features limited data. We compared clinical data follow-up results percutaneous ASD to evaluate feasibility, safety, efficacy both treatments under 3 years age. From September 2010 2018, 186 children age significant were included this study. A total 88 98 patients divided into groups (transcatheter closure) B (intraoperative closure), respectively. The two analyzed retrospectively. mean weight group significantly higher than those B. proportion complex ASDs (multiples or rims deficiency) device/weight ratio A. Successful was obtained 86 (97.7%) 96 (98.0%) B, respectively, failed cases each (2.3% vs 2%). rate periprocedural complications reached 13.6 26.5% (P = 0.058), durations procedure postoperative hospital stay shorter (P < 0.05). Excellent observed groups. At present, no death nor major occurred. Symptoms either resolved completely improved all symptomatic infants. No residual shunts at 6th month evaluation observed. Patients failure thrive gained appropriately age, structure hemodynamic parameters during follow-up. are feasible, effective, safe methods Considering cosmetic effect short duration stay, transcatheter is preferred appropriate conditions. Intraoperative can be performed as an alternative closure, particularly large, ASDs, low-body weight.