ASD Kapatılması

Is there any complication of percutaneous transcatheter ASD closure?

Compared to open heart surgery, complications of this closed treatment modality is very rare. Some unwanted side effects and complications of open heart surgery such as bleeding, prolonged anesthesia duration, vascular or structural trauma are very rare. Thus, this closed minimal invasive therapy by using special devices is an important alternative both for the heart surgeon and for the interventional cardiologist. Cosmetic superiority is also high because we do not open the chest. Other very rare complications can also be seen such as air embolism, pericardial effusion or tamponade. Nevertheless, these are very rare complications compared to open heart surgery.

Are there any side effects of the devices used for percutaneous transcatheter ASD closure?

Most of the closure devices are made by nitinol wires. No side effect is published except of Nickel allergy. However, if these procedures are made by unexperienced operators, the devices can embolised to the heart structures due to ineffective measurements, wrong device selection or etc. However, there also some materials termed as snares to catch these devices in the body.

How long will I stay in hospital after percutaneous transcatheter ASD closure?

All patients after the closed therapy stay one day in coronary care unit. If there is no complication, the patients go to cardiology bedside unit. A repeat transthorasic echocardiography and Chest X Ray are done to control whether device embolisation is present or not. If there is no negative result, management of anticoagulation dose regimen is done and the patient is discharged from the hospital two or three days after the operation.

How is the control frequency after percutaneous transcatheter ASD closure?

After transcatheter closure of an ASD, device embolisation can develop. Thus, routine controls in the first month are very important. After the one month control period, third, sixth and the 1 year controls by TEE are very important to monitorize the endothelisation or residual shunt across the closure device.

Which drugs will I take after percutaneous transcatheter ASD closure?

After the therapy, aspirin and clopidogrel must be taken during the six month follow up period for the effective endothelisation process. After the six month follow up period, aspirin and clopidogrel can be stopped. These patients also must take antibiotics as a prophylaxis to infective endocarditis before dental or gingival operations and other surgical procedures.