Evidence map›Paper›PMID 38434561›Full record

ArticleCardiovascular diagnosis and therapy2024

Effects of percutaneous closure of atrial septal defects via the right internal jugular vein.

Ruichen Wang, Maoxun Huang, Yong Wang, Hulin Piao, Cuilin Zhu, Huiying Wu, Kexiang Liu, Tiance Wang

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Article in Cardiovascular diagnosis and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Ruichen WangDepartment of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, China.
Maoxun HuangDepartment of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, China.
Yong WangDepartment of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, China.
Hulin PiaoDepartment of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, China.
Cuilin ZhuDepartment of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, China.
Huiying WuDepartment of Ultrasound, Second Hospital of Jilin University, Changchun, China.
Kexiang LiuDepartment of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, China.
Tiance WangDepartment of Cardiovascular Surgery, Second Hospital of Jilin University, Changchun, China.
Second Affiliated Hospital of Jilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Percutaneous atrial septal defect (ASD) closure is the preferred treatment for patients with suitable ASD anatomy. The safety and effectiveness of transcatheter closure have been established. However, reports on transesophageal echocardiography (TEE)-guided percutaneous closure of ASD via the right internal jugular vein (RIJV) are limited. The study aims to discuss the safety and effectiveness of percutaneous trans-jugular vein closure of ASD. Methods: We conducted a retrospective analysis of patients (n=103) with secondary ASD who underwent surgical treatment in the Department of Cardiovascular Surgery, the Second Hospital of Jilin University between July 2015 to July 2022. The article is a cross-sectional study. Clinical data, including age, gender, weight, defect diameter, tricuspid regurgitation, left atrial (LA) size, and the operation results, were collected and evaluated. Nonparametric rank sum tests were used to assess tricuspid regurgitation before and after surgery, while paired sample Results: TEE-guided percutaneous closure of ASD via the RIJV was successfully performed in 97 out of 103 (94.2%) cases. The average procedure time was 34.48±13.06 min, and the mean age at the time of the procedure and ASD size were 36±18 years and 15.45±5.82 mm, respectively. On analyzing medical records and echocardiographic images, postoperative complications were found to occur in four (3.9%) patients. Among these, three patients had residual shunt as indicated by echocardiography during the operation, which subsequently disappeared at the three-month follow-up. One patient developed atrial fibrillation after surgery but returned to normal sinus rhythm with medication. Percutaneous closure of ASD via the RIJV was unsuccessful in 6 patients (5.8%), with 5 of them undergoing transthoracic ASD closure and achieving satisfactory results. One patient refused further surgical treatment. No pericardial effusion, thrombosis, atrioventricular block, or other complications were observed during the 3-month to 1-year follow-up period. Conclusions: ASD closure via the RIJV is a safe and effective therapeutic approach. The initial results are satisfactory, but further studies with large sample sizes and long-term follow-up are warranted to assess the long-term outcomes.

Indexed as

Atrial septal defect closure (ASD closure)congenital heart defectsechocardiographypercutaneousright jugular vein

Identifiers

PMID38434561
PMCPMC10904296
OpenAlexW4391479149

What OpenQuestion holds

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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.