Document Detail


Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention.
MedLine Citation:
PMID:  17347078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the possibility to perform both percutaneous coronary interventions (PCI) and atrial septal defect (ASD) transcatheter treatment during the same session. Transcatheter ASD closure is a well-established alternative to surgery and the treatment of choice for single vessel coronary artery disease (CAD) is accepted to be PCI. METHODS: From January 2000 to December 2005, 985 patients were referred to our center for ASD closure. One hundred thirty four patients (59 males, mean age 58 +/- 4 years, range 45-72 years) were included in a prospective protocol of ASD transcatheter closure and coronary angiography. RESULTS: In 7 patients we found a coronary artery disease. A combined single setting definitive percutaneous approach (ASD closure and PCI) was performed in 6 patients. The patient number 4 was judged unsuitable for PCI and then was referred for surgery. There was no acute intra-procedural complication in all patients; renal functions pre and post procedure showed no change despite the increase in the amount of contrast used. CONCLUSION: Our report showed the feasibility of both PCI and ASD transcatheter treatment during the same session.
Authors:
Massimo Chessa; Massimo Medda; Ayman Moharram; Gianfranco Butera; Claudio Bussadori; Carlo Vigna; Mario Carminati
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Anadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology     Volume:  7     ISSN:  1302-8723     ISO Abbreviation:  Anadolu Kardiyol Derg     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-03-09     Completed Date:  2007-06-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101095069     Medline TA:  Anadolu Kardiyol Derg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  51-3     Citation Subset:  IM    
Affiliation:
Pediatric Cardiology and Adult with Congenital Heart Disease Department Policlinico San Donato, IRCCS Milan, Italy. massimo.chessa@grupposandonato.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Transluminal, Percutaneous Coronary / methods
Balloon Occlusion / methods
Coronary Angiography / methods
Coronary Artery Disease / complications,  radiography,  surgery*
Female
Heart Septal Defects, Atrial / complications,  radiography,  surgery*
Humans
Male
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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