Haemodynamic and functional consequences of the iatrogenic atrial septal defect following Mitraclip therapy View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-11-28

AUTHORS

E. A. Hart, K. Zwart, A. J. Teske, M. Voskuil, P. R. Stella, S. A. J. Chamuleau, A. O. Kraaijeveld

ABSTRACT

Percutaneous MitraClip placement for treatment of severe mitral regurgitation in high surgical risk patients is a commonly performed procedure and requires a transseptal puncture to reach the left atrium. The resulting iatrogenic atrial septal defect (iASD) is not routinely closed, yet the haemodynamic and functional consequences of a persisting defect are not fully understood. Despite positive effects such as acute left atrial pressure relief, persisting iASDs are associated with negative consequences, namely significant bidirectional shunting and subsequent worse clinical outcome. Percutaneous closure of the iASD may therefore be desirable in selected cases. In this review we discuss the available literature on this matter. More... »

PAGES

137-142

References to SciGraph publications

  • 2008-05-07. Persistent iatrogenic atrial septal defect after pulmonary vein isolation in JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s12471-016-0928-1

    DOI

    http://dx.doi.org/10.1007/s12471-016-0928-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1016956527

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/27896596


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