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  4. Midterm follow-up results of transcatheter treatment in patients with unroofed coronary sinus
 
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Midterm follow-up results of transcatheter treatment in patients with unroofed coronary sinus

Journal
Catheterization and Cardiovascular Interventions
Journal Volume
83
Journal Issue
2
Pages
243-249
Date Issued
2014
Author(s)
JOU-KOU WANG  
SHYH-JYE CHEN  
Hsu J.-Y.
Lin S.-M.
MING-TAI LIN  
SHUENN-NAN CHIU  
CHUN-AN CHEN  
MEI-HWAN WU  
DOI
10.1002/ccd.25185
URI
https://scholars.lib.ntu.edu.tw/handle/123456789/509179
Abstract
Objective: We present the midterm results of transcatheter treatment of unroofed coronary sinus (CS) using the Amplatzer septal occluder. Background: The unroofed CS is a rare atrial septal defect communicating the left atrium and CS. Surgery has been the mainstay of treatment. Methods: In a 4.5-year period, nine patients (five males) with ages ranging from 26 to 69 years (median 39 years) diagnosed with an unroofed CS but without a persistent left superior vena cava (LSVC) underwent transcatheter treatment. Computerized tomography (CT) was performed in eight patients. Transesophageal echocardiography (TEE) was used to monitor the procedure. Results: The mean Qp/Qs ratio was 2.4 ± 1 and mean systolic pulmonary artery pressure was 35 ± 19 mm Hg. An Amplatzer septal occluder was deployed in all nine patients. The device was implanted in the defect in one patient and at the CS ostium in the other eight patients. The median device size used was 22 mm (16-28 mm). The left disc herniated into the CS in the single patient in whom the device was implanted within the defect. All patients were available for the 3-month follow-up. None had a residual shunt on the 3-month follow-up echocardiography. One patient died of a stroke 4.5 months after the procedure. At mean follow-up of 42.6 ± 18.3 months, symptomatic improvement was documented in the remaining eight patients. All eight patients had an O2 saturation above 96%. Conclusion: Transcatheter treatment for unroofed CS without persistent LSVC using Amplatzer septal occluder is safe and feasible. Copyright ? 2013 Wiley Periodicals, Inc.
SDGs

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Other Subjects
adult; aged; article; balloon catheter; catheter sheath; cause of death; cerebrovascular accident; clinical article; clinical trial; computer assisted tomography; echocardiography; feasibility study; female; follow up; heart atrium septum defect; human; lung artery pressure; male; medical device complication; middle aged; mortality; oxygen saturation; persistent left superior vena cava; safety; septal occluder; surgical approach; systolic blood pressure; transesophageal echocardiography; unroofed coronary sinus; Amplatzer septal occluder; transcatheter treatment; unroofed coronary sinus; Adult; Aged; Arterial Pressure; Cardiac Catheterization; Coronary Sinus; Echocardiography, Doppler, Color; Echocardiography, Transesophageal; Female; Heart Septal Defects, Atrial; Humans; Male; Middle Aged; Prosthesis Design; Pulmonary Artery; Septal Occluder Device; Time Factors; Tomography, X-Ray Computed; Treatment Outcome
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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