<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Percutaneous transcatheter device closure of secundum atrial septal defects (ASD) has now largely replaced surgical closure in most centres. The aim of this study was to compare results of transcatheter and surgical ASD closure in adults in Latvia during the years 2002–2014 and to analyse long-term outcomes of transcatheter closure. We analysed data from 334 patients with secundum ASD who underwent ASD closure in Pauls Stradiņš Clinical University Hospital. Patients were included into device or surgical closure groups. In the device group, three follow-ups were made 1, 6, and 12 months after the procedure. No follow-up data were available for surgical arm patients beyond their hospitalisation period. The mean age of patients was 45.3 ± 19.9 years for the device group and 40.0 ± 16.9 years for the surgical group (<italic>p</italic> = 0.023). The mean secundum ASD size in the device and surgical groups was 14.2 ± 5.6 mm and 28.7 ± 10.0 mm, respectively (<italic>p</italic> &lt; 0.001). No differences were observed regarding procedure success rates: 99.2% in the device group and 100% in the surgical group (<italic>p</italic> = 0.451). Periprocedural complications generally were more common in the surgical closure group. The study results show a successful introduction of the percutaneous ASD closure method in Latvia with good early and late outcomes and without significant differences in procedure success rate compared to surgical closure.</p></abstract>

Percutaneous transcatheter device closure of secundum atrial septal defects (ASD) has now largely replaced surgical closure in most centres. The aim of this study was to compare results of transcatheter and surgical ASD closure in adults in Latvia during the years 2002–2014 and to analyse long-term outcomes of transcatheter closure. We analysed data from 334 patients with secundum ASD who underwent ASD closure in Pauls Stradiņš Clinical University Hospital. Patients were included into device or surgical closure groups. In the device group, three follow-ups were made 1, 6, and 12 months after the procedure. No follow-up data were available for surgical arm patients beyond their hospitalisation period. The mean age of patients was 45.3 ± 19.9 years for the device group and 40.0 ± 16.9 years for the surgical group (p = 0.023). The mean secundum ASD size in the device and surgical groups was 14.2 ± 5.6 mm and 28.7 ± 10.0 mm, respectively (p < 0.001). No differences were observed regarding procedure success rates: 99.2% in the device group and 100% in the surgical group (p = 0.451). Periprocedural complications generally were more common in the surgical closure group. The study results show a successful introduction of the percutaneous ASD closure method in Latvia with good early and late outcomes and without significant differences in procedure success rate compared to surgical closure.

Transcatheter Vs. Surgical Closure of Atrial Septal Defects in Adults

Pauls Stradiņš Clinical University Hospital, Latvian Centre of Cardiology

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Transcatheter Vs. Surgical Closure of Atrial Septal Defects in Adults"}

Percutaneous transcatheter device closure of secundum atrial septal defects (ASD) has now largely replaced surgical closure in most centres. The aim of this...

Transcatheter Vs. Surgical Closure of Atrial Septal Defects in Adults

Published Online: Feb 10, 2018

Page range: 16 - 22

Received: Apr 30, 2017

Accepted: Jul 09, 2017

DOI: https://doi.org/10.1515/prolas-2017-0054

Keywords
atrial septal defect, grown-up congenital heart disease

© 2017 Ainārs Rudzītis et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Transcatheter Vs. Surgical Closure of Atrial Septal Defects in Adults

Published Online: Feb 10, 2018

Page range: 16 - 22

Received: Apr 30, 2017

Accepted: Jul 09, 2017

DOI: https://doi.org/10.1515/prolas-2017-0054

Keywordsatrial septal defect, grown-up congenital heart disease

© 2017 Ainārs Rudzītis et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
atrial septal defect, grown-up congenital heart disease