The immediate haemodynamic response and right and left cardiac remodelling after percutaneous transcatheter closure of secundum atrial septal defect in children: a longitudinal cohort study

被引:5
作者
Sezer, Sadettin [1 ]
Ozyurt, Abdullah [2 ]
Narin, Nazmi [2 ]
Pamukcu, Ozge [2 ]
Sunkak, Suleyman [2 ]
Argun, Mustafa [2 ]
Baykan, Ali [2 ]
Uzum, Kazim [2 ]
机构
[1] Gaziantep Cengiz Gokcek Matern & Childrens Hosp, Dept Pediat Cardiol Clin, Gaziantep, Turkey
[2] Erciyes Univ, Dept Pediat Cardiol, Fac Med, Kayseri, Turkey
关键词
Cardiac remodelling; percutaneous transcatheter closure; atrial septal defect; invasive haemodynamics; congenital heart disease; RIGHT VENTRICLE; DEVICE; ECHOCARDIOGRAPHY; OUTCOMES; ASD;
D O I
10.1017/S1047951121000500
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: We aimed to assess the immediate haemodynamic response and the timing of cardiac remodelling in paediatric secundum atrial septal defect patients who underwent percutaneous transcatheter closure. Methods: In this longitudinal cohort study with 41 paediatric secundum ASD patients who underwent PTC with Amplatzer Occluder device were assessed for immediate post-interventional haemodynamic response measured by catheterisation and was evaluated for right and left cardiac remodelling during a follow-up period of 12 months by transthoracic echocardiography. SPSS 20.0 was used for statistical analyses of pre- and post-interventional invasive haemodynamic parameters of the patients, and pre- and post-interventional TTE data compared with the values of the control group consisted of 39 healthy children. Results: The mean diameter of ASD was 13.9 +/- 4.7 mm. PTC intervention in all patients completed with 100% success and 0% complication rates. All invasive haemodynamic data, except the ratio of pulmonary resistance to systemic resistance, significantly reduced after PTC (p < 0.05). TTE and PW Doppler revealed that right and left cardiac remodelling started as soon as the post-interventional 24th hour and completed in the 12th month. Conclusions: This study with a very high interventional success rate can be counted as the first example of research on the haemodynamic response and timing of cardiac remodelling after PTC of secundum ASD in children. We suggest that future multicentric studies with larger cohorts and a comprehensive methodology like ours with longer follow-up periods would better serve to further assess the cardiac remodelling in children after PTC of secundum ASD.
引用
收藏
页码:1476 / 1483
页数:8
相关论文
共 30 条
  • [1] Incomplete RV Remodeling After Transcatheter ASD Closure in Pediatric Age
    Agha, Hala M.
    El-Saiedi, Sonia A.
    Shaltout, Mohamed F.
    Hamza, Hala S.
    Nassar, Hayat H.
    Abdel-aziz, Doaa M.
    El Tantawy, Amira Esmat
    [J]. PEDIATRIC CARDIOLOGY, 2015, 36 (07) : 1523 - 1531
  • [2] Right Ventricle before and after Atrial Septal Defect Device Closure
    Akula, Vidya Sagar
    Durgaprasad, Rajasekhar
    Velam, Vanajakshamma
    Kasala, Latheef
    Rodda, Madhavi
    Erathi, Harsha Vardhan
    [J]. ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2016, 33 (09): : 1381 - 1388
  • [3] Ammar A, 2016, J Cardiol Curr Res, V6
  • [4] Usefulness of right ventricular fractional area change to predict death, heart failure, and stroke following myocardial infarction (from the VALIANT ECHO study)
    Anavekar, Nagesh S.
    Skali, Hicham
    Bourgoun, Mikhail
    Ghali, Jalal K.
    Kober, Lars
    Maggioni, Aldo P.
    McMurray, John J. V.
    Velazquez, Eric
    Califf, Robert
    Pfeffer, Marc A.
    Solomon, Scott D.
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2008, 101 (05) : 607 - 612
  • [5] Remodeling process in right and left ventricle after percutaneous atrial septal defect closure in adult patients
    Balci, Kevser Gulcihan
    Balci, Mustafa Mucahit
    Aksoy, Muhammed Murat
    Yilmaz, Samet
    Ayturk, Mehmet
    Dogan, Mehmet
    Yeter, Ekrem
    Akdemir, Ramazan
    [J]. TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY, 2015, 43 (03): : 250 - 258
  • [6] Is it Safe to Close ASD with the Guidance of Transthoraxic Echocardiography in Pediatric Population "Ten Years' Experience of a Single Center"
    Baykan, Ali
    Pamukcu, Ozge
    Ozyurt, Abdullah
    Argun, Mustafa
    Onan, Sertac Handedan
    Sezer, Sadettin
    Uzum, Kazim
    Narin, Nazmi
    [J]. JOURNAL OF INTERVENTIONAL CARDIOLOGY, 2015, 28 (02) : 172 - 179
  • [7] Behjati M, 2011, IRAN J PEDIATR, V21, P166
  • [8] Immediate and six-month results of the profile of the amplatzer septal occluder as assessed by transesophageal echocardiography
    Cao, QL
    Du, ZD
    Joseph, A
    Koenig, P
    Heitschmidt, M
    Rhodes, J
    Hijazi, ZM
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2001, 88 (07) : 754 - 759
  • [9] Late Electrical and Mechanical Remodeling After Atrial Septal Defect Closure in Children: Surgical Versus Percutaneous Approach
    Castaldi, Biagio
    Vida, Vladimiro L.
    Argiolas, Anna
    Maschietto, Nicola
    Cerutti, Alessia
    Gregori, Dario
    Stellin, Giovanni
    Milanesi, Ornella
    [J]. ANNALS OF THORACIC SURGERY, 2015, 100 (01) : 181 - 187
  • [10] Transcatheter and intraoperative device closure of atrial septal defect in infants under three years of age
    Han, Yangyang
    Zhang, Xiquan
    Zhang, Fengwei
    [J]. JOURNAL OF CARDIOTHORACIC SURGERY, 2020, 15 (01)