Evidence map›Paper›PMID 11997422›Full record

ArticleHeart (British Cardiac Society)2002

Transcatheter closure of atrial septal defect preserves right ventricular function.

R Dhillon, M Josen, M Henein, A Redington

Abstract read
In one paragraph

Article in Heart (British Cardiac Society), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Echocardiographic Assessment of Right Ventricular Function in Clinically Well Pediatric Heart Transplantation Patients and Comparison With Normal Control Subjects.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2019
    Article
  4. Article
  5. Improvement of physical capacity in patients undergoing transcatheter closure of atrial septal defects.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2018
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Cardiac tamponade due to perforation by an Amplatzer atrial septal occluder in a patient with Marfan syndrome.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2011
    Article
  12. Article
  13. Percutaneous closure of atrial septal defects leads to normalisation of atrial and ventricular volumes.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2008
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

R DhillonDepartment of Paediatric Cardiology, Royal Brompton Hospital, London SW3, UK. rami.dhillon@bhamchildrens.wmids.nhs.uk
M Josen
M Henein
A Redington

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the effects of atrial septal defects (ASD) and their closure on systolic and diastolic right and left ventricular function; and by comparing surgical closure with transcatheter device closure, to establish differences attributable to cardiopulmonary bypass.

designCross sectionally guided M mode echocardiographic ventricular long axis function was measured prospectively before and within one week after ASD closure by device in 17 patients and by surgery in 12 patients, and compared with 18 normal subjects.

resultsAll indices of right ventricular function were impaired after surgery: mean total excursion, -1.89 cm (95% confidence interval (CI), -2.18 to -1.59); peak shortening rate, -9.09 cm/s (-10.82 to -7.35); peak lengthening rate, -9.26 cm/s (-11.09 to -7.43). Total excursion and peak lengthening rate were preserved after device closure, at -0.12 cm (-0.28 to 0.05) and 0.01 cm/s (-2.29 to 2.31), respectively. Left ventricular free wall function was unchanged after closure by either method, while all septal measurements were reduced after closure by either method (changes ranging from -3.51 to -0.32; 95% CI ranging from -4.90 to -0.13).

conclusionsLeft ventricular free wall function is unaffected by ASD closure, whereas septal function is impaired, irrespective of the method of closure. Right ventricular function, both systolic and diastolic, is impaired by cardiopulmonary bypass but preserved after device closure. These findings support the transcatheter approach to ASD closure in anatomically suitable defects.

Indexed as

Balloon OcclusionCardiac CatheterizationChildCross-Sectional StudiesEchocardiographyElectrocardiographyFemaleHeart Septal Defects, AtrialHumansMaleProspective StudiesVentricular Function, LeftVentricular Function, Right

Identifiers

PMID11997422
PMCPMC1767091

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.