Transcatheter Closure of Atrial Septal Defects with 40 mm Septal Occluder in Shahid Gangalal National Heart Centre, Nepal

Authors

  • Chandra Mani Adhikari Shahid Gangalal National Heart Centre, Kathmandu, Nepal https://orcid.org/0000-0001-5811-9977
  • Kiran Prasad Acharya Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Amrit Bogati Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Anjana Acharya Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Roshani Shahi Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Vijay Ghimire Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Dipanker Prajapati Shahid Gangalal National Heart Centre, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/njh.v18i2.40427

Keywords:

Large ASD Secundum, Septal occluder, Transcatheter Closure

Abstract

Background and Aims:  Transcatheter closure of Atrial septal defect (ASD) is one of important modality of treatment these days for ASD secundum. However, there is a paucity of data on transcatheter closure of ASDs with ³40 septal occluder. We aim to study the outcome of ASD device closure with  ³40 mm Septal Occluder in Shahid Gangalal National Heart Centre, Nepal.

Methods:   It was a prospective single center study conducted at Shahid Gangalal National Heart Centre, Nepal.Among the 27 patient who underwent successful device closure with ³40 mm devices from January 2016 till December 2019, twenty-six patients could be prospectively followed up during May 2020 till December 2020. A Performa was designed to collect information about age, gender, ASD size, ASD device type and size. Right atrium(RA) and right ventricle(RV) dimension, level of tricuspid regurgitation (TR) and tricuspid regurgitation pressure gradient before the procedure and at the time of follow up were also recorded.

Results: Amplatzer septal occluder (40mm) was used in 25 (96.1%) patients and Memopart device (42mm) was used in 1 (3.9%) patient.  Before the procedure all patients had dilated RA and RV, Mild TR, moderate TR and severe TR was present in 14 (53.8%), 10 (38.4%) and 2 (7.7%) patients respectively. At follow up, only one (3.9%) patient had dilated RA and RV. Mean Tricuspid regurgitation pressure gradient decreased from mean 44.4 mmHg to 18.9 mmHg.

Conclusion: Transcatheter Closure of Atrial Septal Defects with ³40 mm Septal Occluder is safe and effective in short term follow up.

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Author Biographies

Chandra Mani Adhikari, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiology

Kiran Prasad Acharya, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiology

Amrit Bogati, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiology

Anjana Acharya, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiology

Roshani Shahi, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiology

Vijay Ghimire, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiology

Dipanker Prajapati, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiology

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Published

2021-11-23

How to Cite

Adhikari, C. M., Acharya, K. P., Bogati, A., Acharya, A., Shahi, R., Ghimire, V., & Prajapati, D. (2021). Transcatheter Closure of Atrial Septal Defects with 40 mm Septal Occluder in Shahid Gangalal National Heart Centre, Nepal. Nepalese Heart Journal, 18(2), 49–51. https://doi.org/10.3126/njh.v18i2.40427

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Original Articles