Figulla Flex II device를 이용한 경피적 이차공 심방중격결손 폐쇄술의 안정성과 유용성

Figulla Flex II device를 이용한 경피적 이차공 심방중격결손 폐쇄술의 안정성과 유용성

Percutaneous Closure of the Secundum Atrial Septal Defects by using Figulla Flex II device: A Single Center Experience

(구연):
Release Date : 2017. 10. 27(금)
Ah Young Kim, Jung Yoon Kim, Jung Ok Kim, Se Yong Jung, Lucy Youngmin Eun, Jo Won Jung , Jae Young Choi
Yonsei Univeresity College of Medicine Division of Pediatric Cardiology, Severance Cardiovascular hospital1
김아영, 김정윤, 김정옥 , 정세용, 은영민, 정조원 , 최재영
연세대학교 의과대학 세브란스 심혈관병원 소아심장과 1

Abstract

Background Transcatheter closure of atrial septal defect (ASD) has been accepted as a standard treatment. There are diverse devices for transcathter closure of ASD. Occlutech Figulla Flex II (FSO) has been widely used for many reasons; especially such as an absent left atrial hub and flexible delivery system. We reported early experience of FSO device in Korea. Methods Since we adopted Occluech Figulla Flex II (FSO) for the first time in Korea in Sep. 2014, within two years (Between Sep. 2014 and Aug. 2016), total of 267 patients with secundum atrial septal defects underwent transcatheter closure in our institute. FSO was most commonly used in 152 (56.9%), followed by ASO (n=98, 36.7%) and by Gore Septal Occluder (GSO, n= 17, 6.4%). Baseline characteristics, hemodynamic features, comorbidities, success rate and complication rate were compared in three groups. Results Baseline characteristics and hemodynamic features are similar between groups, except the defect size and pulmonary flow-to-systemic flow (Qp/Qs) ratio was lower in the GSO groups as we expected. The procedural success rate was 100% in all groups, and major complication rate was less than 1%. In FSO group, 1 (0.9%) case of complete AV block, 3 (1.9%) patients of transient arrhythmia and 2 (1.4%) cases of hematoma, which were compatible to other two devices. There was no late complication of FSO device, although follow-up duration was limited. Conclusion In our early experience of FSO, we reported that transcatheter closure using FSO is feasible and safe. FSO device is an excellent option for transcatheter closure of ASD, especially when cardiac erosion is a concern.

Keywords: Atrial septal defect, Transcatheter closure, Occlutech device