Background: In Bangladesh, ASD device closure has been started in various centers for about a decade. Still, to date, few studies concern the complications associated with transcatheter device closure of ASD. Material & Methods: From January 2016 to December 2016, patients with suspected and confirmed ASD cases reported to the Department of Paediatric Cardiology Center of Combined Military Hospital, Dhaka, Bangladesh were evaluated. Osteum second ASD cases that were suitable for device closure were selected. Data of patients who underwent device closure were recorded in a predesigned data collection sheet. Results: During the study period, a total of 48 patients were found with second ASD and tried for transcatheter device closure, and 46 (95.83%) were successfully closed. There were 6/46 (13.04%) complications, of which 2 were major, and 4 were minor. The only major complication was device embolization occurring in 2/46 (4.37%) cases; 1 (2.1%) required surgical retrieval, while in the remaining case, the device was retrieved by catheter technique. Another important complication is the formation of a thrombus on the device. Among minor complications, arrhythmia was most common and occurred in 2/46 (4.34%) of cases. In one of these 2, atrial fibrillation required electrical cardioversion, and the other one recovered spontaneously. Post-procedural lower respiratory tract infection occurred in 1/46 (2.17%) patients, for which no apparent reason was found. Transient hypoxemia occurred in one case, 1/46 (2.17%), which also recovered spontaneously. Conclusion: In summary, it is stated that transcatheter ASD device closure is a safe and effective procedure.
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Hossain et al. (2023) studied this question.
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