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Can I read Transcatheter closure of large atrial septal defects (ASDs) in symptomatic children with device/weight ratio ≥1.5 on EtoBox?
Transcatheter closure of large atrial septal defects (ASDs) in symptomatic children with device/weight ratio ≥1.5 by Ali Houeijeh; Sebastien Hascoët; Hélène Bouvaist; Khaled Hadeed; Jérôme Petit; François Godart; Alain Fraisse is a Medicine article available to read on EtoBox.
What is Transcatheter closure of large atrial septal defects (ASDs) in symptomatic children with device/weight ratio ≥1.5 about?
## Background: Atrial septal defects (asds) can be symptomatic in small children in cases of co-morbidities. transcatheter closure remains controversial for large defects in small children. ## Objective: To describe transcatheter closure of asds in children with device/weight ratio ≥1.5. ## Methods: We retrospectively studied between january 2000 and january 2016 all cases of percutaneous asd closure with device/weight ratio ≥1.5 in 6 european centres. ## Results: Forty patients were included with female/male ratio of 1.2. median age and weight were 30.9 months (4.1-102.0) and 11.0 kg respectively (3.8-19.0). median device size/weight ratio was 1.7 (1.5-2.3). all patients were symptomatic, with pulmonary hypertension in 13 (33%). procedures were performed under general anesthesia or light sedation (n = 4), with transthoracic (n = 25) or transesophageal echocardiography (n = 15) guidance. balloon stretched diameter (n = 32) was larger than the echocardiographic diameter (19 versus 15 mm, r = 0.6; p < 0.001). deficient rims other than the anterior-superior one were found in 33% of cases. device implantation was successful in 39 patients (97.5%). minor complications occurred in 10% of
Who reads Transcatheter closure of large atrial septal defects (ASDs) in symptomatic children with device/weight ratio ≥1.5?
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- Author
- Ali Houeijeh; Sebastien Hascoët; Hélène Bouvaist; Khaled Hadeed; Jérôme Petit; François Godart; Alain Fraisse
- Published
- 2018
- Language
- EN
- Field
- Medicine (Health Sciences)