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dc.contributor.authorRastogi, N.
dc.contributor.authorSmeeton, N.C.
dc.contributor.authorQureshi, S.A.
dc.date.accessioned2013-10-14T10:30:28Z
dc.date.available2013-10-14T10:30:28Z
dc.date.issued2009-10
dc.identifier.citationRastogi , N , Smeeton , N C & Qureshi , S A 2009 , ' Factors related to successful transcatheter closure of atrial septal defects using the Amplatzer septal occluder ' , Pediatric Cardiology , vol. 30 , no. 7 , pp. 888-892 . https://doi.org/10.1007/s00246-009-9452-z
dc.identifier.issn1432-1971
dc.identifier.otherPURE: 2358030
dc.identifier.otherPURE UUID: 8ec9e54c-f069-41f8-b1a5-8f8bdc41f5e4
dc.identifier.otherScopus: 75349083415
dc.identifier.otherORCID: /0000-0001-9460-5411/work/32622254
dc.identifier.urihttp://hdl.handle.net/2299/11766
dc.description.abstractThe Amplatzer septal occluder (ASO) is used for transcatheter closure of atrial septal defects (ASDs). This study aimed to determine the factors influencing successful closure with the ASO. A retrospective analysis of 69 patients who underwent transcatheter ASD occlusion between 2003 and 2007 was performed. The ASO was successfully implanted during 67 (97%) of 69 procedures. A major adverse event occurred for 6 patients (9%), and 13 patients (19%) experienced a minor adverse event. The outcome for 53 cases (77%) was a composite clinical success. Patient age (p = 0.191) and consultant experience (p = 0.270) were not important factors in successful ASD occlusion. However, patient weight (p = 0.031), diameter of the defect (p = 0.030), device size (p = 0.044), aortic rim size (p = 0.002), and device/defect ratio (p <0.001) all were significant factors. Complications were significantly more likely for patients whose device/defect ratio was or = 1.333 (tight) (p <0.001). The device/defect ratio may provide a clinically useful tool with the potential to predict patients likely to experience an adverse event as a result of transcatheter ASD occlusion. A larger sample would enable refinement of the device/defect ratio and provide a more robust prediction of success.en
dc.format.extent5
dc.language.isoeng
dc.relation.ispartofPediatric Cardiology
dc.titleFactors related to successful transcatheter closure of atrial septal defects using the Amplatzer septal occluderen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Health and Social Work
dcterms.dateAccepted2009-10
rioxxterms.versionofrecordhttps://doi.org/10.1007/s00246-009-9452-z
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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