EXPERIENCE OF ATRIAL SEPTAL DEFECT DEVICE CLOSURE IN PATIENTS MORE THAN FIFTY YEARS OF AGE

Abstract

Objective: To share our experience of percutaneous device closure of secundum type ASD in elderly patients (more than fifty years of age) with review of success, technical issues and immediate complications encountered during the procedure at AFIC & NIHD.

Study Design: Case series, retrospective study.

Place and Duration of Study: Department of Paediatric Cardiology, Armed Forces Institute of Cardiology and National Institute of Heart Diseases (AFIC-NIHD), Rawalpindi, from Jan 2017 to Aug 2018.

Material and Methods: Consecutive sixteen patients (age more than fifty years), who underwent attempted ASD device closure was included in the study.

Results: Total 16 patients (14 females & 2 males) were attempted ASD device closure with mean age of 58 years. In all cases (100%) ASD were successfully occluded with appropriate size device and the mean diameter of ASD was 26 mm. Mean procedural & fluoroscopy times were 31 and 7 minutes respectively. There was no mortality, device embolization, thrombosis, residual leak or peripheral vascular injuries in the study population.

Conclusion: Transcatheter occlusion of ASD by various Occluder devices is safe and very effective therapeutic option in elderly patients.