[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.
Key words: Atrial Septal Defect (ASD), Adjustable Curved
Sheath, Transcutaneous, Echocardiography guidance