Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
Pediatric Cardiology and Cardiac Surgery 39(4): 227-235 (2023)


心房中隔欠損のカテーテル治療Transcatheter Device Closure of Atrial Septal Defects

静岡県立こども病院 循環器科Department of Cardiology, Shizuoka Children’s Hospital ◇ Shizuoka, Japan

発行日:2023年12月31日Published: December 31, 2023


In Japan, percutaneous atrial septal defect (ASD) closure has been conducted for approximately 20 years. Percutaneous ASD closure has been established as a standard therapy for patients with ASD of various ages, from infants to older adults, because it is a less invasive procedure without sternotomy. It is not recommended for patients with primum, sinus venosus, and coronary sinus type ASDs but for those with ostium secundum ASD. Detailed anatomical assessments of a defect by transesophageal echocardiography are crucial for deciding the indication of percutaneous ASD closure because the procedural success depends on the location and size of the defect. As three types of devices for ASD closure are currently available in Japan, fully understanding the characteristics and practices of these devices to prevent serious complications related to this procedure, including cardiac erosion and device embolization, is needed.

Key words: septal occluder; erosion; embolization

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