Transcatheter closure of multiperforated atrial septal defect
ABSTRACT Introduction and objectives: Multi-fenestrated atrial septal defects (mASD) pose both diagnostic and therapeutic challenges. This study aimed to compare the outcomes of transcatheter closure in patients with mASD vs those with a single ASD at our center. Methods: We conducted a retrospectiv...
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2025-08-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
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| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=2687 |
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| author | Luis Cerdán Ferreira Georgina Fuertes Ferre Juan Sánchez-Rubio Lezcano Marta López Ramón |
| author_facet | Luis Cerdán Ferreira Georgina Fuertes Ferre Juan Sánchez-Rubio Lezcano Marta López Ramón |
| author_sort | Luis Cerdán Ferreira |
| collection | DOAJ |
| description | ABSTRACT Introduction and objectives: Multi-fenestrated atrial septal defects (mASD) pose both diagnostic and therapeutic challenges. This study aimed to compare the outcomes of transcatheter closure in patients with mASD vs those with a single ASD at our center. Methods: We conducted a retrospective, single-center study including adult patients who underwent transcatheter ASD closure from October 2014 through October 2024. Demographic, echocardiographic, and hemodynamic data were collected, with a the 6-month follow-up. Results: A total of 67 patients were included, 12 of whom (18%) exhibited mASD. Patients with mASD were younger (42 vs 54 years) and more frequently presented with an interatrial septal aneurysm (91% vs 27%; P = .001). The use of multiple occlusion devices was more common in patients with mASD (34% vs 4%; P = .008). Complications were rare (5.9%) and none occurred in the mASD group. Procedural outcomes, including residual shunt and right ventricular remodeling at the follow-up, were comparable between groups. Conclusions: Transcatheter closure of mASD is both a safe and feasible procedure, with clinical outcomes similar to those observed in patients with a single ASD. |
| format | Article |
| id | doaj-art-0fff5e034b624cd290900175e55b4076 |
| institution | Kabale University |
| issn | 2604-7322 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj-art-0fff5e034b624cd290900175e55b40762025-08-20T03:41:14ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222025-08-017316416810.24875/RECICE.M25000510Transcatheter closure of multiperforated atrial septal defectLuis Cerdán Ferreira0Georgina Fuertes Ferre1Juan Sánchez-Rubio Lezcano2Marta López Ramón3Servicio de Cardiología, Hospital Universitario Miguel Servet, Zaragoza, SpainServicio de Cardiología, Hospital Universitario Miguel Servet, Zaragoza, SpainServicio de Cardiología, Hospital Universitario Miguel Servet, Zaragoza, SpainServicio de Cardiología, Hospital Universitario Miguel Servet, Zaragoza, SpainABSTRACT Introduction and objectives: Multi-fenestrated atrial septal defects (mASD) pose both diagnostic and therapeutic challenges. This study aimed to compare the outcomes of transcatheter closure in patients with mASD vs those with a single ASD at our center. Methods: We conducted a retrospective, single-center study including adult patients who underwent transcatheter ASD closure from October 2014 through October 2024. Demographic, echocardiographic, and hemodynamic data were collected, with a the 6-month follow-up. Results: A total of 67 patients were included, 12 of whom (18%) exhibited mASD. Patients with mASD were younger (42 vs 54 years) and more frequently presented with an interatrial septal aneurysm (91% vs 27%; P = .001). The use of multiple occlusion devices was more common in patients with mASD (34% vs 4%; P = .008). Complications were rare (5.9%) and none occurred in the mASD group. Procedural outcomes, including residual shunt and right ventricular remodeling at the follow-up, were comparable between groups. Conclusions: Transcatheter closure of mASD is both a safe and feasible procedure, with clinical outcomes similar to those observed in patients with a single ASD.https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=2687Ostium secundum atrial septal defects Multi-fenestrated atrial septal defects Transcatheter closure |
| spellingShingle | Luis Cerdán Ferreira Georgina Fuertes Ferre Juan Sánchez-Rubio Lezcano Marta López Ramón Transcatheter closure of multiperforated atrial septal defect REC: Interventional Cardiology (English Ed.) Ostium secundum atrial septal defects Multi-fenestrated atrial septal defects Transcatheter closure |
| title | Transcatheter closure of multiperforated atrial septal defect |
| title_full | Transcatheter closure of multiperforated atrial septal defect |
| title_fullStr | Transcatheter closure of multiperforated atrial septal defect |
| title_full_unstemmed | Transcatheter closure of multiperforated atrial septal defect |
| title_short | Transcatheter closure of multiperforated atrial septal defect |
| title_sort | transcatheter closure of multiperforated atrial septal defect |
| topic | Ostium secundum atrial septal defects Multi-fenestrated atrial septal defects Transcatheter closure |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=2687 |
| work_keys_str_mv | AT luiscerdanferreira transcatheterclosureofmultiperforatedatrialseptaldefect AT georginafuertesferre transcatheterclosureofmultiperforatedatrialseptaldefect AT juansanchezrubiolezcano transcatheterclosureofmultiperforatedatrialseptaldefect AT martalopezramon transcatheterclosureofmultiperforatedatrialseptaldefect |