Outcomes of Three Different Minimal Invasive Approaches for Secundum Atrial Septal Defect Closure: A Single Institute Experience
Objective: The aims of this retrospective study were to investigate and evaluate the safety and efficacy of three approaches for closure of secundum atrial septal defect (ASD). Methods: In this study, we reviewed clinical data for transcatheter occlusion (TCO, n =63), transthoracic occlusion (TTO, n...
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| Veröffentlicht in: | Current medical science 2021-12, Vol.41 (6), p.1225-1230 |
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| creator | Hong, Hao Wu, Long Shang, Xiao-ke Su, Wei Dong, Nian-guo |
| description | Objective:
The aims of this retrospective study were to investigate and evaluate the safety and efficacy of three approaches for closure of secundum atrial septal defect (ASD).
Methods:
In this study, we reviewed clinical data for transcatheter occlusion (TCO,
n
=63), transthoracic occlusion (TTO,
n
=55), and right anterolateral minithoracotomy (RALT,
n
=60) techniques used for ASD closure. We compared the safety and efficacy of the three approaches.
Results:
ASD size in the TTO group was similar to that in the RALT group (
P
=0.645) and significantly larger than that in the TCO group (
P |
| doi_str_mv | 10.1007/s11596-021-2466-3 |
| format | Article |
| fullrecord | <record><control><sourceid>wanfang_jour_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2604456664</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><wanfj_id>tjykdxxb_e202106022</wanfj_id><sourcerecordid>tjykdxxb_e202106022</sourcerecordid><originalsourceid>FETCH-LOGICAL-c332t-25491ede904bd08a3728c978e08730c573979d5ed653770469ca1817c923fe2a3</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhiMEolXpD-CCfERCof6KE3NbbQtUKuphW4mb5XXGW5fECf5otzd-Oq7SwqmnmdE88449b1W9J_gzwbg9iYQ0UtSYkppyIWr2qjqkDWV1J-XP1yXHpVtqfFAdx-i2mBEqGOno2-qA8Y5Jzvhh9ecyJzONENFk0dVNAECnzloI4BP64bwb9YDO_Z2O7g7Qap7DpM1Nwe0U0AZM9n0e0SoFV7gNzKmEU7BgEloPU8wBvqAV2ji_G6DoxORSToDO9jMEB97Au-qN1UOE46d4VF1_Pbtaf68vLr-dr1cXtWGMppo2XBLoQWK-7XGnWUs7I9sOcNcybJqWyVb2DfSiYW2LuZBGk460RlJmgWp2VH1adO-1t9rv1O2Ugy8bVbp9-NXv91sFtBwTC0xpoT8udPnv7wwxqdFFA8OgPUw5Kiow540QgheULKgJU4wBrJpDuVp4UASrR6fU4pQq4urRKcXKzIcn-bwdof838exLAegCxNLyOwj_n_uy6l9wLZ4N</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2604456664</pqid></control><display><type>article</type><title>Outcomes of Three Different Minimal Invasive Approaches for Secundum Atrial Septal Defect Closure: A Single Institute Experience</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>SpringerLink Journals - AutoHoldings</source><creator>Hong, Hao ; Wu, Long ; Shang, Xiao-ke ; Su, Wei ; Dong, Nian-guo</creator><creatorcontrib>Hong, Hao ; Wu, Long ; Shang, Xiao-ke ; Su, Wei ; Dong, Nian-guo</creatorcontrib><description><![CDATA[Objective:
The aims of this retrospective study were to investigate and evaluate the safety and efficacy of three approaches for closure of secundum atrial septal defect (ASD).
Methods:
In this study, we reviewed clinical data for transcatheter occlusion (TCO,
n
=63), transthoracic occlusion (TTO,
n
=55), and right anterolateral minithoracotomy (RALT,
n
=60) techniques used for ASD closure. We compared the safety and efficacy of the three approaches.
Results:
ASD size in the TTO group was similar to that in the RALT group (
P
=0.645) and significantly larger than that in the TCO group (
P
<0.001). The RALT group had more non-central types of ASD than the TTO and TCO groups (
P
=0.019 and
P
<0.001). The operative time in the TTO group was shorter than that in the TCO and RALT groups (
P
<0.001 and
P
<0.001). The ventilation time and intensive care unit duration were shorter in the TTO group than in the RALT group (
P
<0.001 and
P
<0.001). Hospital duration in the TCO group was shorter than that in the TTO and RALT groups (
P
<0.001 and
P
<0.001). There were no residual shunt and mortality in any group in hospital or during follow-up. There was no significant difference in the incidence of total complications among the three groups (
P
=0.738).
Conclusion:
TCO, TTO, and RALT can be performed with favorable cosmetic and clinical results for closing ASD. Appropriate patient selection is an important factor for successful closure. These techniques are promising alternatives to standard median sternotomy and merit additional study.]]></description><identifier>ISSN: 2096-5230</identifier><identifier>ISSN: 1672-0733</identifier><identifier>EISSN: 2523-899X</identifier><identifier>DOI: 10.1007/s11596-021-2466-3</identifier><identifier>PMID: 34839434</identifier><language>eng</language><publisher>Wuhan: Huazhong University of Science and Technology</publisher><subject>Cardiac Catheterization ; Cardiac Surgical Procedures ; Heart Septal Defects, Atrial - surgery ; Humans ; Length of Stay - statistics & numerical data ; Medicine ; Medicine & Public Health ; Operative Time ; Retrospective Studies ; Septal Occluder Device ; Thoracotomy ; Treatment Outcome</subject><ispartof>Current medical science, 2021-12, Vol.41 (6), p.1225-1230</ispartof><rights>Huazhong University of Science and Technology 2021</rights><rights>2021. Huazhong University of Science and Technology.</rights><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c332t-25491ede904bd08a3728c978e08730c573979d5ed653770469ca1817c923fe2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://www.wanfangdata.com.cn/images/PeriodicalImages/tjykdxxb-e/tjykdxxb-e.jpg</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11596-021-2466-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11596-021-2466-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34839434$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hong, Hao</creatorcontrib><creatorcontrib>Wu, Long</creatorcontrib><creatorcontrib>Shang, Xiao-ke</creatorcontrib><creatorcontrib>Su, Wei</creatorcontrib><creatorcontrib>Dong, Nian-guo</creatorcontrib><title>Outcomes of Three Different Minimal Invasive Approaches for Secundum Atrial Septal Defect Closure: A Single Institute Experience</title><title>Current medical science</title><addtitle>CURR MED SCI</addtitle><addtitle>Curr Med Sci</addtitle><description><![CDATA[Objective:
The aims of this retrospective study were to investigate and evaluate the safety and efficacy of three approaches for closure of secundum atrial septal defect (ASD).
Methods:
In this study, we reviewed clinical data for transcatheter occlusion (TCO,
n
=63), transthoracic occlusion (TTO,
n
=55), and right anterolateral minithoracotomy (RALT,
n
=60) techniques used for ASD closure. We compared the safety and efficacy of the three approaches.
Results:
ASD size in the TTO group was similar to that in the RALT group (
P
=0.645) and significantly larger than that in the TCO group (
P
<0.001). The RALT group had more non-central types of ASD than the TTO and TCO groups (
P
=0.019 and
P
<0.001). The operative time in the TTO group was shorter than that in the TCO and RALT groups (
P
<0.001 and
P
<0.001). The ventilation time and intensive care unit duration were shorter in the TTO group than in the RALT group (
P
<0.001 and
P
<0.001). Hospital duration in the TCO group was shorter than that in the TTO and RALT groups (
P
<0.001 and
P
<0.001). There were no residual shunt and mortality in any group in hospital or during follow-up. There was no significant difference in the incidence of total complications among the three groups (
P
=0.738).
Conclusion:
TCO, TTO, and RALT can be performed with favorable cosmetic and clinical results for closing ASD. Appropriate patient selection is an important factor for successful closure. These techniques are promising alternatives to standard median sternotomy and merit additional study.]]></description><subject>Cardiac Catheterization</subject><subject>Cardiac Surgical Procedures</subject><subject>Heart Septal Defects, Atrial - surgery</subject><subject>Humans</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Operative Time</subject><subject>Retrospective Studies</subject><subject>Septal Occluder Device</subject><subject>Thoracotomy</subject><subject>Treatment Outcome</subject><issn>2096-5230</issn><issn>1672-0733</issn><issn>2523-899X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v1DAQhiMEolXpD-CCfERCof6KE3NbbQtUKuphW4mb5XXGW5fECf5otzd-Oq7SwqmnmdE88449b1W9J_gzwbg9iYQ0UtSYkppyIWr2qjqkDWV1J-XP1yXHpVtqfFAdx-i2mBEqGOno2-qA8Y5Jzvhh9ecyJzONENFk0dVNAECnzloI4BP64bwb9YDO_Z2O7g7Qap7DpM1Nwe0U0AZM9n0e0SoFV7gNzKmEU7BgEloPU8wBvqAV2ji_G6DoxORSToDO9jMEB97Au-qN1UOE46d4VF1_Pbtaf68vLr-dr1cXtWGMppo2XBLoQWK-7XGnWUs7I9sOcNcybJqWyVb2DfSiYW2LuZBGk460RlJmgWp2VH1adO-1t9rv1O2Ugy8bVbp9-NXv91sFtBwTC0xpoT8udPnv7wwxqdFFA8OgPUw5Kiow540QgheULKgJU4wBrJpDuVp4UASrR6fU4pQq4urRKcXKzIcn-bwdof838exLAegCxNLyOwj_n_uy6l9wLZ4N</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Hong, Hao</creator><creator>Wu, Long</creator><creator>Shang, Xiao-ke</creator><creator>Su, Wei</creator><creator>Dong, Nian-guo</creator><general>Huazhong University of Science and Technology</general><general>Department of Cardiovascular Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>20211201</creationdate><title>Outcomes of Three Different Minimal Invasive Approaches for Secundum Atrial Septal Defect Closure: A Single Institute Experience</title><author>Hong, Hao ; Wu, Long ; Shang, Xiao-ke ; Su, Wei ; Dong, Nian-guo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-25491ede904bd08a3728c978e08730c573979d5ed653770469ca1817c923fe2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cardiac Catheterization</topic><topic>Cardiac Surgical Procedures</topic><topic>Heart Septal Defects, Atrial - surgery</topic><topic>Humans</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Operative Time</topic><topic>Retrospective Studies</topic><topic>Septal Occluder Device</topic><topic>Thoracotomy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hong, Hao</creatorcontrib><creatorcontrib>Wu, Long</creatorcontrib><creatorcontrib>Shang, Xiao-ke</creatorcontrib><creatorcontrib>Su, Wei</creatorcontrib><creatorcontrib>Dong, Nian-guo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Current medical science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hong, Hao</au><au>Wu, Long</au><au>Shang, Xiao-ke</au><au>Su, Wei</au><au>Dong, Nian-guo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of Three Different Minimal Invasive Approaches for Secundum Atrial Septal Defect Closure: A Single Institute Experience</atitle><jtitle>Current medical science</jtitle><stitle>CURR MED SCI</stitle><addtitle>Curr Med Sci</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>41</volume><issue>6</issue><spage>1225</spage><epage>1230</epage><pages>1225-1230</pages><issn>2096-5230</issn><issn>1672-0733</issn><eissn>2523-899X</eissn><abstract><![CDATA[Objective:
The aims of this retrospective study were to investigate and evaluate the safety and efficacy of three approaches for closure of secundum atrial septal defect (ASD).
Methods:
In this study, we reviewed clinical data for transcatheter occlusion (TCO,
n
=63), transthoracic occlusion (TTO,
n
=55), and right anterolateral minithoracotomy (RALT,
n
=60) techniques used for ASD closure. We compared the safety and efficacy of the three approaches.
Results:
ASD size in the TTO group was similar to that in the RALT group (
P
=0.645) and significantly larger than that in the TCO group (
P
<0.001). The RALT group had more non-central types of ASD than the TTO and TCO groups (
P
=0.019 and
P
<0.001). The operative time in the TTO group was shorter than that in the TCO and RALT groups (
P
<0.001 and
P
<0.001). The ventilation time and intensive care unit duration were shorter in the TTO group than in the RALT group (
P
<0.001 and
P
<0.001). Hospital duration in the TCO group was shorter than that in the TTO and RALT groups (
P
<0.001 and
P
<0.001). There were no residual shunt and mortality in any group in hospital or during follow-up. There was no significant difference in the incidence of total complications among the three groups (
P
=0.738).
Conclusion:
TCO, TTO, and RALT can be performed with favorable cosmetic and clinical results for closing ASD. Appropriate patient selection is an important factor for successful closure. These techniques are promising alternatives to standard median sternotomy and merit additional study.]]></abstract><cop>Wuhan</cop><pub>Huazhong University of Science and Technology</pub><pmid>34839434</pmid><doi>10.1007/s11596-021-2466-3</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Current medical science, 2021-12, Vol.41 (6), p.1225-1230 |
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| language | eng |
| recordid | cdi_proquest_miscellaneous_2604456664 |
| source | MEDLINE; Alma/SFX Local Collection; SpringerLink Journals - AutoHoldings |
| subjects | Cardiac Catheterization Cardiac Surgical Procedures Heart Septal Defects, Atrial - surgery Humans Length of Stay - statistics & numerical data Medicine Medicine & Public Health Operative Time Retrospective Studies Septal Occluder Device Thoracotomy Treatment Outcome |
| title | Outcomes of Three Different Minimal Invasive Approaches for Secundum Atrial Septal Defect Closure: A Single Institute Experience |
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