{"title":"经皮小儿耳间交通封闭术:约24例","authors":"G. Bennani, B.E.N.N.A. Amri","doi":"10.1016/j.acvdsp.2023.07.049","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p><span>Percutaneous closure by interventional catheterization of </span>atrial septal defect<span> is currently considered to be the technique of first-choice closure subject to meeting the recommended criteria, anatomical and hemodynamic.</span></p></div><div><h3>Objective</h3><p>The objective of this work is to assess the effectiveness and safety of this technique.</p></div><div><h3>Methods</h3><p>Our retrospective study is carried out in the cardiology department of Ibn Rochd hospital, including 24 patients who benefit from percutaneous closure by catheterization intervention of their CIA.</p></div><div><h3>Results/Expected results</h3><p>Our series notes a female predominance (17 F and 7 M), the average age at the time of the intervention was 7 years (3 years is 17), the average weight is 27 kg (10–80<!--> <span>kg), the discovery of a heart murmur and pneumonia has repetitions are the 2 most frequent reasons for consultation. The TTE is the key examination that allowed the diagnosis positive of the CIA, to define its denials, the signs of repercussion and especially to establish with precision the anatomical edges of the defect and establish the indication for closure by interventional catheterization.</span></p><p><span>Transesophageal and transthoracic doppler echocardiography are a useful complement during the intervention which was of great help for the success of the installation of the prosthesis. The choice of the prosthesis is made according to the size of the CIA. All our patients are followed, their clinical examination finds a good evolution with improvement of the functional signs and good weight gain. </span>Echocardiography is satisfactory (prosthesis in place and absence of shunt) in 23 cases of CIA or 95.8%, and showed a minimal residual shunt in only 1 case or 4.1%. No late complications are occurred over a 36-month follow-up.</p></div><div><h3>Conclusion/Perspectives</h3><p>Percutaneous closure of CIA is a safe and effective method; the selection of candidate patients is essential according to the type of CIA and its anatomy...</p></div>","PeriodicalId":8140,"journal":{"name":"Archives of Cardiovascular Diseases Supplements","volume":null,"pages":null},"PeriodicalIF":18.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Percutaneous closure of the inter-auricular communications of the child: About 24 cases\",\"authors\":\"G. Bennani, B.E.N.N.A. Amri\",\"doi\":\"10.1016/j.acvdsp.2023.07.049\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p><span>Percutaneous closure by interventional catheterization of </span>atrial septal defect<span> is currently considered to be the technique of first-choice closure subject to meeting the recommended criteria, anatomical and hemodynamic.</span></p></div><div><h3>Objective</h3><p>The objective of this work is to assess the effectiveness and safety of this technique.</p></div><div><h3>Methods</h3><p>Our retrospective study is carried out in the cardiology department of Ibn Rochd hospital, including 24 patients who benefit from percutaneous closure by catheterization intervention of their CIA.</p></div><div><h3>Results/Expected results</h3><p>Our series notes a female predominance (17 F and 7 M), the average age at the time of the intervention was 7 years (3 years is 17), the average weight is 27 kg (10–80<!--> <span>kg), the discovery of a heart murmur and pneumonia has repetitions are the 2 most frequent reasons for consultation. The TTE is the key examination that allowed the diagnosis positive of the CIA, to define its denials, the signs of repercussion and especially to establish with precision the anatomical edges of the defect and establish the indication for closure by interventional catheterization.</span></p><p><span>Transesophageal and transthoracic doppler echocardiography are a useful complement during the intervention which was of great help for the success of the installation of the prosthesis. The choice of the prosthesis is made according to the size of the CIA. All our patients are followed, their clinical examination finds a good evolution with improvement of the functional signs and good weight gain. </span>Echocardiography is satisfactory (prosthesis in place and absence of shunt) in 23 cases of CIA or 95.8%, and showed a minimal residual shunt in only 1 case or 4.1%. No late complications are occurred over a 36-month follow-up.</p></div><div><h3>Conclusion/Perspectives</h3><p>Percutaneous closure of CIA is a safe and effective method; the selection of candidate patients is essential according to the type of CIA and its anatomy...</p></div>\",\"PeriodicalId\":8140,\"journal\":{\"name\":\"Archives of Cardiovascular Diseases Supplements\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":18.0000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Cardiovascular Diseases Supplements\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878648023002707\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Cardiovascular Diseases Supplements","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878648023002707","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Percutaneous closure of the inter-auricular communications of the child: About 24 cases
Introduction
Percutaneous closure by interventional catheterization of atrial septal defect is currently considered to be the technique of first-choice closure subject to meeting the recommended criteria, anatomical and hemodynamic.
Objective
The objective of this work is to assess the effectiveness and safety of this technique.
Methods
Our retrospective study is carried out in the cardiology department of Ibn Rochd hospital, including 24 patients who benefit from percutaneous closure by catheterization intervention of their CIA.
Results/Expected results
Our series notes a female predominance (17 F and 7 M), the average age at the time of the intervention was 7 years (3 years is 17), the average weight is 27 kg (10–80 kg), the discovery of a heart murmur and pneumonia has repetitions are the 2 most frequent reasons for consultation. The TTE is the key examination that allowed the diagnosis positive of the CIA, to define its denials, the signs of repercussion and especially to establish with precision the anatomical edges of the defect and establish the indication for closure by interventional catheterization.
Transesophageal and transthoracic doppler echocardiography are a useful complement during the intervention which was of great help for the success of the installation of the prosthesis. The choice of the prosthesis is made according to the size of the CIA. All our patients are followed, their clinical examination finds a good evolution with improvement of the functional signs and good weight gain. Echocardiography is satisfactory (prosthesis in place and absence of shunt) in 23 cases of CIA or 95.8%, and showed a minimal residual shunt in only 1 case or 4.1%. No late complications are occurred over a 36-month follow-up.
Conclusion/Perspectives
Percutaneous closure of CIA is a safe and effective method; the selection of candidate patients is essential according to the type of CIA and its anatomy...
期刊介绍:
Archives of Cardiovascular Diseases Supplements is the official journal of the French Society of Cardiology. The journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles, editorials, and Images in cardiovascular medicine. The topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Additionally, Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.