Home    About Us    Medic-All    Bio B2B    Hot Topic     Expo     Login | Join Now     
Medic-All Pediatric and Congenital Cardiac Catheterization Team, NTUCH 〉 Transcatheter closure of difficult atrial septal defect (ASD)

Transcatheter closure of difficult atrial septal defect (ASD)

Transcatheter closure of difficult atrial septal defect (ASD)

*In the sheer number of treatment cases, the successful treatment of coronary sinus type atrial septal defect is the highest in the world. *Complete image monitoring and assessment during surgery.

Request an appointment
Overview
Atrial septal defect (ASD), is a hole between the upper two chamers in the heart. In the presence of a ASD, particularly large, the patient might develop heart failure and pulmonary hypertension gradually.
In the past, the only way to close ASD is open heart surgery. Now, our team can close most secundump type ASD percutaneously using the device made up of two unbrellas joined at the center. The procedure normally takes about 1-2 hours and usually performed under general anesthesia and guided by transesophageal echocardiography. Patients can be discharged home 2 days after the procedure and resume normal daily activities within a week.
Features
  1. As of the end of December 2015, the team has treated over 1,400 cases of secundum type or coronary sinus type atrial septal defect, among which, their success rate for treating coronary sinus type atrial septal defect is the highest in the world.
  2. In patients over the age of 12, about 30% of the cases use a closure larger than 32 mm; the size of which gives evidence to the team's expertise in treating large and complex defects. 
  3. Because most cases do not require balloon sizing, the success rate for large defects is significantly higher, and the time spent on treatment is significantly reduced.
  4. The team has a success rate of 98%, a severse adverse effect rate of 2%, and a closure detachment rate of 1%; no cases of death or cardiac erosion to date.
Service Procedure
  1. Before the procedure (day 1): admission, transthoracic echocardiography, ECG, routine blood test, and anesthesia consultation/evaluation, and team conference
  2. During the procedure (day 2): hemodynamic assessment, general anesthesia (usually required), transesophageal echocardiography (or intracardiac echocardiography) assessment, device selection and then deployment
  3. After the procedure (day2-4): Overnight observation at ICU (or sometimes general ward), echocardiography and chest x-ray follow-up, and then discharge
Notification
  1. General anesthesia and transesophageal echocardiography assessment are required during the procedure to ensure the safety and enhance the success rate of the treatment.
  2. Overall major complication rate (including device embolization, arrhythmias requiring advanced treatment, cardiac erosion, and death): 2%
  3. Asirpin has to be used for 6 months after device closure to promote sealing of the defect and to prevent blood blots forming on the device
  4. Surgery remains a very successful and safe alternative to close ASD. In case of device embolization after the procedure, some patients may still require urgent cardiac surgery to retrieve the device and close the defect.
Estimated Cost
(Prices listed below are for reference. Actual cost may be according to the real expense during the hospitalization.)
16,000-22,000 USD (if only one occluder is required)
People who like this also like
  • Health Management Service Health Management Service
  • International Healthcare at Shin Kong Hospital International Healthcare at Shin Kong Hospital
  • Living Donor Liver Transplantation for Biliary Atresia Living Donor Liver Transplantation for Biliary Atresia
  • Trauma and Emergency Center- A Cross-Department Team Trauma and Emergency Center- A Cross-Department Team
  • Pediatric Knee-Ankle-Foot Orthosis Pediatric Knee-Ankle-Foot Orthosis
  • Electronic control of hepatitis B – a safer chemotherapy control system Electronic control of hepatitis B – a safer chemotherapy control system
  • Fertility and Reproductive medicine Fertility and Reproductive medicine
  • Laparoscopic bariatric surgery / metabolic surgery Laparoscopic bariatric surgery / metabolic surgery
  • Automatic Ventilation Mode-Adaptive Support Ventilation Provide Comprehensive Ventilator Treatment for Critical Illness Patients Automatic Ventilation Mode-Adaptive Support Ventilation Provide Comprehensive Ventilator Treatment for Critical Illness Patients
  • Minimally Invasive Spine Surgery Minimally Invasive Spine Surgery