Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention

Massimo Chessa, Massimo Medda, Ayman Moharram, Gianfranco Butera, Claudio Bussadori, Carlo Vigna, Mario Carminati

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)51-53
Number of pages3
JournalAnadolu Kardiyoloji Dergisi
Volume7
Issue number1
Publication statusPublished - Mar 2007

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Keywords

  • Amplatzer septal occluder
  • Atrial septal defect
  • Coronary stents
  • Transcatheter approach

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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