title: Coronary angiography in patients undergoing transcatheter closure of interatrial shunt.
abstract: We evaluate the yield and safety of coronary angiography (CA) in adult patients who underwent cardiac catheterization for percutaneous transcatheter closure of secundum atrial septal defect (ASD) or patent foramen ovale (PFO). Out of 268 patients, 180 were adults; 82 were adults with ASD and 98 were adults with PFO. CA was performed in 23 patients who were suspected for coronary artery disease. Of these patients, 5 (21.7%) had coronary angiographic findings that altered the planned treatment strategy. No complications associated with coronary angiography were observed. CA should be considered a part of cardiac catheterization in selected patients referred for transcatheter closure of secundum ASD or PFO.
authors.affiliation: Pediatric Cardiology and Adult with Congenital Heart Disease Department, Rambam Healthcare Campus, Rappaport Faculty of Medicine, Technion, Haifa, Israel. s_yalonetsky@rambam.health.gov.il
authors.forename: Sergey
authors.initials: S
authors.lastname: Yalonetsky
authors.forename: Yitzhack
authors.initials: Y
authors.lastname: Schwartz
authors.forename: Avraham
authors.initials: A
authors.lastname: Lorber
mesh_terms: D000293:Adolescent; D000328:Adult; D006328:Cardiac Catheterization / Q000379:methods*; D002648:Child; D017023:Coronary Angiography / Q000379:methods*; D005069:Evaluation Studies as Topic; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D016896:Treatment Outcome