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Trans-jugular Transcutaneous Closure of Atrial Septal Defects with an Adjustable Curved Sheath Under Echocardiography Guidance
  • Hu xiaosong,
  • Zhang yanwei,
  • Yanan Li
Hu xiaosong
Central China Fuwai Hospital of Zhengzhou University

Corresponding Author:docterhxs@163.com

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Zhang yanwei
Central China Fuwai Hospital of Zhengzhou University
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Yanan Li
Central China Fuwai Hospital of Zhengzhou University
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Abstract

Introduction and objectives:Traditional transcatheter closure of atrial septal defect (ASD) via the femoral vein carries risk of radiation damage. Transcutaneous closure of ASD under echocardiography guidance avoids radiation exposure and can be gradually applied. An alternative is to transcutaneous closure of ASD trans-jugular with an adjustable curved sheath under echocardiography guidance. Methods: We retrospectively studied all cases of trans-jugular transcutaneous closure of ASD with an adjustable curved sheath under echocardiography guidance in the Heart Center of Henan Province People’s Hospital between 2016 and December 2022. Results: 156 patients were included, 74 males and 82 females. Mean age was 6.9 ± 7.4 years and weight 23.7 ± 14.6 kg. Mean sizes of the ASD and occluder were (9.7 ± 4.7) mm and (14.1 ± 5.7) mm. The mean operation time was (49.6 ± 29.2) min. No complications such as atrioventricular block, reoperation, or pericardial effusion occurred. There are 3 patients had a residual shunt. All patients were followed-up for (38.7 ± 11.0)months. The 3 patients with residual shunt had self-closed at the 3-6-12months follow-up. There was no complication at follow-up. Conclusion: Trans-jugular transcutaneous closure of ASD with adjustable curved sheath under echocardiography guidance is safe, effective and minimally invasive.
16 May 2023Submitted to Echocardiography
16 May 2023Submission Checks Completed
16 May 2023Assigned to Editor
22 May 2023Reviewer(s) Assigned
26 Jun 2023Review(s) Completed, Editorial Evaluation Pending
29 Jun 2023Editorial Decision: Revise Minor
18 Jul 20231st Revision Received
18 Jul 2023Submission Checks Completed
18 Jul 2023Assigned to Editor
18 Jul 2023Reviewer(s) Assigned
04 Aug 2023Review(s) Completed, Editorial Evaluation Pending
17 Aug 2023Editorial Decision: Accept