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3
Atrial septal defect closure: indications and contra-indications.房间隔缺损封堵术：适应证与禁忌证。
J Thorac Dis. 2018 Sep;10(Suppl 24):S2874-S2881. doi: 10.21037/jtd.2018.08.111.
4
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A multicentre, comparative study of Cera septal occluder versus AMPLATZER Septal Occluder in transcatheter closure of secundum atrial septal defects.一项关于塞拉间隔封堵器与Amplatzer间隔封堵器经导管闭合继发孔型房间隔缺损的多中心比较研究。
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Surgery for complications of trans-catheter closure of atrial septal defects: a multi-institutional study from the European Congenital Heart Surgeons Association.经导管房间隔缺损封堵术后并发症的外科治疗：来自欧洲先天性心脏病外科医生协会的多机构研究。
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9
Complications in atrial septal defect device closure.房间隔缺损封堵器封堵术的并发症
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经导管封堵房间隔缺损的并发症。

Complications of trans-catheter closure of atrial septal defects.

作者信息

Narayanan Deepak, Kurien Ben Babu, Benjamin Santhosh Regini, Kuruvila Korah Thomas, Philip Madhu Andrew, Thankachen Roy, George Oomen Kattunilam

机构信息

The Department of Cardiothoracic surgery, The Christian Medical College, Vellore, Tamil Nadu 632004 India.

The Department of Cardiology, The Christian Medical College, Vellore, Tamil Nadu 632004 India.

出版信息

Indian J Thorac Cardiovasc Surg. 2022 May;38(3):262-267. doi: 10.1007/s12055-022-01341-2. Epub 2022 Mar 21.

DOI:10.1007/s12055-022-01341-2
PMID:35529019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9023636/
Abstract

Trans-catheter device closure of atrial septal defects (ASD) is considered to be safe with minimal complications. But, there are certain complications that arise after these device closures which might require urgent or late surgical intervention. We have retrospectively analysed our experience. Out of 780 patients who underwent device closure, 11 (1.4%) patients required urgent surgical intervention to retrieve the embolized device. The size of the ASD, expertise of the cardiologist and the type of the device directly impacted the rate of device embolization. Early diagnosis and prompt surgical retrieval is paramount before any life threatening complications arise due to the embolized device. One patient developed infective endocarditis later, which required surgery. Regular long term follow up is needed after these procedures to diagnose the complications earlier so that prompt surgical intervention could be done.

摘要

经导管装置闭合房间隔缺损（ASD）被认为是安全的，并发症极少。但是，这些装置闭合后会出现某些并发症，可能需要紧急或延迟手术干预。我们回顾性分析了我们的经验。在780例行装置闭合术的患者中，11例（1.4%）患者需要紧急手术干预以取出栓塞的装置。ASD的大小、心脏病专家的专业水平以及装置的类型直接影响装置栓塞率。在因栓塞装置出现任何危及生命的并发症之前，早期诊断和及时手术取出至关重要。有1例患者后来发生感染性心内膜炎，需要手术治疗。这些手术后需要定期进行长期随访，以便更早地诊断并发症，从而能够及时进行手术干预。