ASD device closure in elderly adults
Background: Closure of ASDs in elderly patients caused significant clinical and hemodynamic improvement after device closure. Aims and Objective: We aim to share our experience of ASD device closure in elderly adults. Materials and Methods: It was a prospective single center study done at Shah...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Manipal College of Medical Sciences, Pokhara
2019-05-01
|
Series: | Asian Journal of Medical Sciences |
Subjects: | |
Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/23195 |
id |
doaj-cab2160ad4964d1f8f8a5f99ec5fce62 |
---|---|
record_format |
Article |
spelling |
doaj-cab2160ad4964d1f8f8a5f99ec5fce622020-11-25T03:27:10ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762019-05-011031720https://doi.org/10.3126/ajms.v10i3.23195ASD device closure in elderly adultsChandra Mani Adhikari 0Sachin Dhungel 1Amrit Bogati2Jagat Adhikari 3Manish Shrestha 4Kiran Prasad Acharya5Shahid Gangalal National Heart Center, Kathmandu, Nepal https://orcid.org/0000-0001-5811-9977Shahid Gangalal National Heart Center, Kathmandu, Nepal Shahid Gangalal National Heart Center, Kathmandu, NepalShahid Gangalal National Heart Center, Kathmandu, NepalShahid Gangalal National Heart Center, Kathmandu, Nepal Shahid Gangalal National Heart Centre, Kathmandu, Nepal https://orcid.org/0000-0003-2765-4242Background: Closure of ASDs in elderly patients caused significant clinical and hemodynamic improvement after device closure. Aims and Objective: We aim to share our experience of ASD device closure in elderly adults. Materials and Methods: It was a prospective single center study done at Shahid Gangalal National Heart Centre. All elderly patients (>50years) who underwent ASD device closure fromFeb 2016 to July 2018 and completed three months of device closure were prospectively follow up for the symptoms, RA and RV dimension, Tricuspid Regurgitation and Tricuspid Regurgitation pressure gradient (TRPG). Results: During the study period 48 elderly adults underwent successful ASD device closure. Except one patient we could follow up all patients. Among the patient’s 33 were female, Age ranged from 50years to 72years with the mean age of 55 years. Shortness of breath was the most common symptom during presentation. ASD size ranged from 10mm to 33mm with the mean of 23mm. Device size ranged from 14mm to 40mm with the mean of 29mm. Amplatzer septal occluder was used in 47 patients. RA and RV were dilated in all patients. Mild TR was present in 26 patients, Moderate TR in 17 patients, Severe TR in 5 patients. Mean follow-up time was 12 months. Symptoms reduced in all patients expect one. RA and RV size reduced in all patients. Tricuspid regurgitation pressure gradient reduced from mean of 56 mmHg to Mean of 16 mmHg. During the follow up level of tricuspid regurgitation reduced, 11 patients had mild TR, Trace TR in 15 patients. Conclusion: ASD device closure can result in improvement in clinical and hemodynamic in elderly adults.https://www.nepjol.info/index.php/AJMS/article/view/23195asdtrans catheter closureamplatzer septaloccluder |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chandra Mani Adhikari Sachin Dhungel Amrit Bogati Jagat Adhikari Manish Shrestha Kiran Prasad Acharya |
spellingShingle |
Chandra Mani Adhikari Sachin Dhungel Amrit Bogati Jagat Adhikari Manish Shrestha Kiran Prasad Acharya ASD device closure in elderly adults Asian Journal of Medical Sciences asd trans catheter closure amplatzer septaloccluder |
author_facet |
Chandra Mani Adhikari Sachin Dhungel Amrit Bogati Jagat Adhikari Manish Shrestha Kiran Prasad Acharya |
author_sort |
Chandra Mani Adhikari |
title |
ASD device closure in elderly adults |
title_short |
ASD device closure in elderly adults |
title_full |
ASD device closure in elderly adults |
title_fullStr |
ASD device closure in elderly adults |
title_full_unstemmed |
ASD device closure in elderly adults |
title_sort |
asd device closure in elderly adults |
publisher |
Manipal College of Medical Sciences, Pokhara |
series |
Asian Journal of Medical Sciences |
issn |
2467-9100 2091-0576 |
publishDate |
2019-05-01 |
description |
Background: Closure of ASDs in elderly patients caused significant clinical and hemodynamic improvement after device closure.
Aims and Objective: We aim to share our experience of ASD device closure in elderly adults.
Materials and Methods: It was a prospective single center study done at Shahid Gangalal National Heart Centre. All elderly patients (>50years) who underwent ASD device closure fromFeb 2016 to July 2018 and completed three months of device closure were prospectively follow up for the symptoms, RA and RV dimension, Tricuspid Regurgitation and Tricuspid Regurgitation pressure gradient (TRPG).
Results: During the study period 48 elderly adults underwent successful ASD device closure. Except one patient we could follow up all patients. Among the patient’s 33 were female, Age ranged from 50years to 72years with the mean age of 55 years. Shortness of breath was the most common symptom during presentation. ASD size ranged from 10mm to 33mm with the mean of 23mm. Device size ranged from 14mm to 40mm with the mean of 29mm. Amplatzer septal occluder was used in 47 patients. RA and RV were dilated in all patients. Mild TR was present in 26 patients, Moderate TR in 17 patients, Severe TR in 5 patients. Mean follow-up time was 12 months. Symptoms reduced in all patients expect one. RA and RV size reduced in all patients. Tricuspid regurgitation pressure gradient reduced from mean of 56 mmHg to Mean of 16 mmHg. During the follow up level of tricuspid regurgitation reduced, 11 patients had mild TR, Trace TR in 15 patients.
Conclusion: ASD device closure can result in improvement in clinical and hemodynamic in elderly adults. |
topic |
asd trans catheter closure amplatzer septaloccluder |
url |
https://www.nepjol.info/index.php/AJMS/article/view/23195 |
work_keys_str_mv |
AT chandramaniadhikari asddeviceclosureinelderlyadults AT sachindhungel asddeviceclosureinelderlyadults AT amritbogati asddeviceclosureinelderlyadults AT jagatadhikari asddeviceclosureinelderlyadults AT manishshrestha asddeviceclosureinelderlyadults AT kiranprasadacharya asddeviceclosureinelderlyadults |
_version_ |
1724589107396476928 |