Transcatheter versus surgical treatment for isolated superior sinus venosus atrial septal defect

被引：9

作者：

Brancato, Federica ^{[1
,2
,3
]}

Stephenson, Natasha ^{[1
]}

Rosenthal, Eric ^{[1
]}

Hansen, Jan H. ^{[1
,4
]}

Jones, Matthew I. ^{[1
]}

Qureshi, Shakeel ^{[1
]}

Austin, Conal ^{[1
]}

Speggiorin, Simone ^{[1
]}

Caner, Salih ^{[1
]}

Butera, Gianfranco ^{[1
,5
,6
,7
,8
]}

机构：

[1] Evelina London Childrens Hosp, Guys & St Thomas NHS Fdn Trust, Dept Congenital Cardiol, London, England

[2] Fdn Policlin A Gemelli IRCCS, Dept Pediat, Dept Woman Child Hlth & Publ Hlth, Rome, Italy

[3] San Jacopo Hosp, Pediat Unit, Pistoia, Italy

[4] Univ Hosp Schleswig Holstein, Dept Congenital Heart Dis & Paediat Cardiol, Kiel, Germany

[5] Imaging Sci Kings Coll, Sch Biomed Engn, London, England

[6] IRCCS, ERN GUARD Heart Bambino Gesu Hosp & Res Inst, Cardiol, Cardiac Surg & Heart Lung Transplantat, Rome, Italy

[7] ERN GUARD Heart Bambin Gesu Hosp, Dept Pediat Cardiol, Cardiac Surg & Heart Lung Transplantat, Largo S Onofrio 4, I-00165 Rome, Italy

[8] Res Inst Rome, Largo S Onofrio 4, I-00165 Rome, Italy

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2023年 / 101卷 / 06期

关键词：

atrial septal defects; cardiac surgery; catheterization; congenital; LONG-TERM; CLOSURE; DRAINAGE;

D O I：

10.1002/ccd.30650

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BackgroundThe superior sinus venosus atrial septal defect is a congenital communication between the left and right atria. Open surgical approach by patch closure has historically been the only treatment option. Recently, a transcatheter approach has been developed. This study aims to compare the efficacy and safety of surgical and transcatheter approach in treatment of sinus venosus atrial septal defect. MethodsBetween March 2010 and December 2020, 58 patients (median age: 45.4, range 14.8-73.8) underwent either surgical or transcatheter correction of superior sinus venosus atrial septal defect with partial anomalous pulmonary venous drainage. ResultsTwenty-four patients (median age: 35.4, range 14.8-66.8) underwent surgery while 34 patients (median age: 46.8, range 15.5-73.8) had a transcatheter treatment. During the catheterization era, 41 patients was considered suitable for a transcatheter closure. In 5 patients, surgery was the patient's or referring physician's choice. In 2 cases, the procedure was unsuccessful; the remaining 34 were successfully closed (94.4% of cases). Intensive care unit stay (median of 1 day, range 0.5-4, vs. 0, range 0-2, p < 0.0001) and hospital stay (median 7 days, range 2-15 vs. 2 days, range 1-12, p < 0.0001), were significantly longer in the surgery group. Total early complication rate, consisted on procedural and in-hospital complication, were higher in the surgical group (62.5% vs. 23.5%; p = 0.005). However, complications in both groups were clinically mild. At follow-up, a small residual shunt was present in 6 patients (surgery group: 2 pts; catheterization group: 4 pts; p: NS). Imaging studies showed significant improvement of right ventricular size and unobstructed pulmonary venous return in all patients. No late complications occurred at follow-up. ConclusionsTranscatheter correction of sinus venosus atrial septal defect is effective and safe in selected patients and may be considered as a valid alternative to surgery.

引用

页码：1098 / 1107

页数：10

共 22 条

[11] Comparative study of single- and double-patch techniques for sinus venosus atrial septal defect with partial anomalous pulmonary venous connection [J].