PMID- 26290022 OWN - NLM STAT- MEDLINE DCOM- 20160105 LR - 20191210 IS - 0016-3813 (Print) IS - 0016-3813 (Linking) VI - 151 IP - 4 DP - 2015 Jul-Aug TI - [Evaluation of the results of percutaneous closure by means of the Amplatzer device in pediatric patients with intra-auricular communication (IAC)]. PG - 465-71 AB - OBJECTIVE: To describe the results of percutaneous closure by means of the Amplatzer Septal Occluder (ASO) device in pediatric patients with intra-auricular communication (IAC). MATERIALS AND METHODS: Descriptive transversal study in patients submitted to percutaneous closure of IAC from March 2005 to March 2013. Patients aged <16 years, weight>6 kg, IAC type ostium segundum, and patent foramen ovale, with border separations borders>5 mm, and absence of coexisting pathology were included in the study. We excluded from the study children with severe pulmonary blood pressure/arterial hypertension. Descriptive statistics with the SPSS v. 20.0 statistical software package. RESULTS: We included in the study 28 patients, feminine gender (n=19, 68%), median age=8 years (range, 4-14), weight 30.7 kg (range, 15-69). New York Heart Association (NYHA) functional class I (n=21, 75%), II (n=7, 25%). Median IAC size, 15.50 mm (range, 5-25), and a median ASO size of 17.54 mm (range, 8-28). After ASO placement, 100% presented NYHA I at one month, cardiac murmur (n=2, 7.1%), cessation of cardiac murmur at month 6 (n=28, 100%), without evidence of arrhythmias at one month 100%, residual short circuit at 24 hours (n=4, 14%), complete occlusion at month 6 (n=28, 100%), normalization size of VD, and cessation of tricuspid insufficiency 100% at one year. Complications included minimal bleeding during the procedure (n=2, 7%), transitory cephalea (n=5, 18%), and dysautonomia (n=1, 4%). CONCLUSION: Percutaneous closure of IAC of children fitted with the ASO device is safe and exhibits good results. FAU - Delgadillo-Perez, Saturnino AU - Delgadillo-Perez S AD - Servicio de Cardiologia Pediatrica, Unidad Medica de Alta Especialidad (UMAE), Hospital de Pediatria, Centro Medico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Mexico. FAU - Torres-Martel, Jose Miguel AU - Torres-Martel JM AD - Servicio de Pediatria, Unidad Medica de Alta Especialidad (UMAE), Hospital de Pediatria, Centro Medico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Mexico. FAU - Barrera de Leon, Juan Carlos AU - Barrera de Leon JC AD - Division de Educacion en Salud, Unidad Medica de Alta Especialidad (UMAE), Hospital de Pediatria, Centro Medico Nacional de Occidente (CMNO), Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Mexico. LA - spa PT - Evaluation Study PT - Journal Article TT - Evaluacion de los resultados del cierre percutaneo mediante el dispositivo Amplatzer en pacientes pediatricos con comunicacion interauricular (CIA). PL - Mexico TA - Gac Med Mex JT - Gaceta medica de Mexico JID - 0010333 SB - IM MH - Adolescent MH - Cardiac Surgical Procedures/instrumentation/methods MH - Child MH - Child, Preschool MH - Cross-Sectional Studies MH - Female MH - Heart Septal Defects, Atrial/*surgery MH - Humans MH - Male MH - *Septal Occluder Device EDAT- 2015/08/21 06:00 MHDA- 2016/01/06 06:00 CRDT- 2015/08/21 06:00 PHST- 2015/08/21 06:00 [entrez] PHST- 2015/08/21 06:00 [pubmed] PHST- 2016/01/06 06:00 [medline] PST - ppublish SO - Gac Med Mex. 2015 Jul-Aug;151(4):465-71.