Simplified percutaneous closure of patent foramen ovale and atrial septal defect with use of plain fluoroscopy: Single operator experience in 110 consecutive patients.

ABSTRACT: OBJECTIVE:Percutaneous closure of patent foramen ovale (PFO) and atrial septal defect (ASD) is routinely performed under general anesthesia or deep sedation and use of transesophageal (TEE) or intracardiac echocardiography, incurring longer duration and higher cost. We have used a simplified, economical, fluoroscopy-only guided approach with local anesthesia, and herein report our data. METHODS:The study includes 112 procedures in 110 patients with PFO (n=75) or ASD (n=35), with use of an Amplatzer occluder, heparin and prophylactic antibiotics. Balloon sizing guided ASD-device selection. All patients received aspirin and clopidogrel for 6 months, when they all underwent TEE. RESULTS:All PFOs but one (98.7%) and all (100%) ASDs were successfully closed with only one complication (local pse

SUBMITTER: Manolis AS 

PROVIDER: S-EPMC5902918 | biostudies-literature | 2018 Jan - Feb

REPOSITORIES: biostudies-literature