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Reduction of Atrial Septal Defect Size After Catheter Ablation for Atrial Tachyarrhythmia and Its Predictive Factors

The prevalence of atrial tachyarrhythmia is high in patients with atrial septal defect (ASD), and catheter ablation (CA) is often performed before percutaneous ASD closure. We aimed to clarify the effect of CA on the ASD size. We analysed 16 patients with secundum ASD who had a history of CA for atr...

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Detalles Bibliográficos
Autores principales: Kimura, Mai, Shinada, Keitaro, Miura, Kotaro, Endo, Jin, Tsuruta, Hikaru, Itabashi, Yuji, Katsumata, Yoshinori, Kimura, Takehiro, Takatsuki, Seiji, Fukuda, Keiichi, Kanazawa, Hideaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10642118/
https://www.ncbi.nlm.nih.gov/pubmed/37969434
http://dx.doi.org/10.1016/j.cjcpc.2022.08.001
Descripción
Sumario:The prevalence of atrial tachyarrhythmia is high in patients with atrial septal defect (ASD), and catheter ablation (CA) is often performed before percutaneous ASD closure. We aimed to clarify the effect of CA on the ASD size. We analysed 16 patients with secundum ASD who had a history of CA for atrial tachyarrhythmia and underwent ASD size evaluation before and after CA. The size of ASD significantly decreased after CA. Younger age and lower tricuspid regurgitation pressure gradients and pulmonary arterial systolic pressures were associated with size reduction. These factors are crucial for making strategies of percutaneous ASD closure.