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Chessa, M. et al.

Massimo Chessa, Massimo Medda, Ayman Moharram, Gianfranco Butera, Claudio Bussadori, Carlo Vigna, Mario Carminati,

Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention.

OBJECTIVE: To evaluate the possibility to perform both percutaneous coronary interventions (PCI) and atrial septal defect (ASD) transcatheter treatment during the same session. Transcatheter ASD closure is a well-established alternative to surgery and the treatment of choice for single vessel coronary artery disease (CAD) is accepted to be PCI. METHODS: From January 2000 to December 2005, 985 patients were referred to our center for ASD closure. One hundred thirty four patients (59 males, mean age 58 +/- 4 years, range 45-72 years) were included in a prospective protocol of ASD transcatheter closure and coronary angiography. RESULTS: In 7 patients we found a coronary artery disease. A combined single setting definitive percutaneous approach (ASD closure and PCI) was performed in 6 patients. The patient number 4 was judged unsuitable for PCI and then was referred for surgery. There was no acute intra-procedural complication in all patients; renal functions pre and post procedure showed no change despite the increase in the amount of contrast used. CONCLUSION: Our report showed the feasibility of both PCI and ASD transcatheter treatment during the same session.[1]

References

Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention. Chessa, M., Medda, M., Moharram, A., Butera, G., Bussadori, C., Vigna, C., Carminati, M. Anadolu. Kardiyol. Derg (2007) [Pubmed]

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