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The frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect
Introduction: We evaluated chest pain alongside other midterm subjective and objective complications of the transcatheter closure of atrial septal defects (ASDs) and patent foramen ovales (PFOs) with various closure devices. Methods: This cross-sectional study, performed from March 2010 to October 2...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Tabriz University of Medical Sciences
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787334/ https://www.ncbi.nlm.nih.gov/pubmed/29391935 http://dx.doi.org/10.15171/jcvtr.2017.37 |
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author | Alizadehasl, Azin Neshati Pir Borj, Mohsen Sadeghpour, Anita Firouzi, Ata Sanati, Hamidreza Movassaghi, Masoud |
author_facet | Alizadehasl, Azin Neshati Pir Borj, Mohsen Sadeghpour, Anita Firouzi, Ata Sanati, Hamidreza Movassaghi, Masoud |
author_sort | Alizadehasl, Azin |
collection | PubMed |
description | Introduction: We evaluated chest pain alongside other midterm subjective and objective complications of the transcatheter closure of atrial septal defects (ASDs) and patent foramen ovales (PFOs) with various closure devices. Methods: This cross-sectional study, performed from March 2010 to October 2015 in Rajaie Cardiovascular, Medical, and Research Center, evaluated 313 patients (mean age = 29.12 ± 10 years, 32.9% male) for probable complications associated with the transcatheter occlusion of secundum ASDs (n = 289, mean age = 30.5 ± 11.4 years, 28% male) or PFOs (n = 24, mean age = 42.8 ± 10.2 years). ASD closure was performed under sedation and transesophageal echocardiography (TEE) guidance. Duration of follow-up was 12 ± 3 months (mean follow-up = 11.52 months). Results: Among the subjective complications, chest pain was the most frequent complaint during the follow-up period and although it was common (7.3%), a clear cardiac etiology was rare. Thirteen (4.2%) patients reported palpitation during the follow-up period, and 4 had documented arrhythmias—including atrial flutter, atrial fibrillation, and 2:1 atrioventricular block. Migraine with or without aura occurred in 1.6% of the patients. Objective complications comprising tamponade, device embolization, and thrombus formation occurred in 6 (1.9%) patients. There was no procedure-related mortality in our patients. Conclusion: Transcatheter closure of PFOs and secundum-type ASDs in our adult patients using ASD septal occluders was associated with a high degree of success, minimal procedural subjective and objective complication rates, and excellent short- and midterm results. Although chest pain was common after the first month following ASD closure, there was no cardiac death or aortic erosion in 11.52 months follow up. |
format | Online Article Text |
id | pubmed-5787334 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Tabriz University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-57873342018-02-01 The frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect Alizadehasl, Azin Neshati Pir Borj, Mohsen Sadeghpour, Anita Firouzi, Ata Sanati, Hamidreza Movassaghi, Masoud J Cardiovasc Thorac Res Original Article Introduction: We evaluated chest pain alongside other midterm subjective and objective complications of the transcatheter closure of atrial septal defects (ASDs) and patent foramen ovales (PFOs) with various closure devices. Methods: This cross-sectional study, performed from March 2010 to October 2015 in Rajaie Cardiovascular, Medical, and Research Center, evaluated 313 patients (mean age = 29.12 ± 10 years, 32.9% male) for probable complications associated with the transcatheter occlusion of secundum ASDs (n = 289, mean age = 30.5 ± 11.4 years, 28% male) or PFOs (n = 24, mean age = 42.8 ± 10.2 years). ASD closure was performed under sedation and transesophageal echocardiography (TEE) guidance. Duration of follow-up was 12 ± 3 months (mean follow-up = 11.52 months). Results: Among the subjective complications, chest pain was the most frequent complaint during the follow-up period and although it was common (7.3%), a clear cardiac etiology was rare. Thirteen (4.2%) patients reported palpitation during the follow-up period, and 4 had documented arrhythmias—including atrial flutter, atrial fibrillation, and 2:1 atrioventricular block. Migraine with or without aura occurred in 1.6% of the patients. Objective complications comprising tamponade, device embolization, and thrombus formation occurred in 6 (1.9%) patients. There was no procedure-related mortality in our patients. Conclusion: Transcatheter closure of PFOs and secundum-type ASDs in our adult patients using ASD septal occluders was associated with a high degree of success, minimal procedural subjective and objective complication rates, and excellent short- and midterm results. Although chest pain was common after the first month following ASD closure, there was no cardiac death or aortic erosion in 11.52 months follow up. Tabriz University of Medical Sciences 2017 2017-12-25 /pmc/articles/PMC5787334/ /pubmed/29391935 http://dx.doi.org/10.15171/jcvtr.2017.37 Text en © 2017 The Author(s) This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Alizadehasl, Azin Neshati Pir Borj, Mohsen Sadeghpour, Anita Firouzi, Ata Sanati, Hamidreza Movassaghi, Masoud The frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect |
title | The frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect |
title_full | The frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect |
title_fullStr | The frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect |
title_full_unstemmed | The frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect |
title_short | The frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect |
title_sort | frequency and importance of chest pain in midterm follow up of transcatheter closure of interatrial septal defect |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787334/ https://www.ncbi.nlm.nih.gov/pubmed/29391935 http://dx.doi.org/10.15171/jcvtr.2017.37 |
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