Simultaneous percutaneous atrial septal defect closure and percutaneous coronary intervention.
OBJECTIVE
To evaluate the possibility to perform both percutaneous coronary interventions (PCI) and atrial septal defect (ASD) transcatheter treatment during the same session. Transcatheter ASD closure is a well-established alternative to surgery and the treatment of choice for single vessel coronary artery disease (CAD) is accepted to be PCI.


METHODS
From January 2000 to December 2005, 985 patients were referred to our center for ASD closure. One hundred thirty four patients (59 males, mean age 58 +/- 4 years, range 45-72 years) were included in a prospective protocol of ASD transcatheter closure and coronary angiography.


RESULTS
In 7 patients we found a coronary artery disease. A combined single setting definitive percutaneous approach (ASD closure and PCI) was performed in 6 patients. The patient number 4 was judged unsuitable for PCI and then was referred for surgery. There was no acute intra-procedural complication in all patients; renal functions pre and post procedure showed no change despite the increase in the amount of contrast used.


CONCLUSIONS
Our report showed the feasibility of both PCI and ASD transcatheter treatment during the same session.
Chessa
Massimo
M
Pediatric Cardiology and Adult with Congenital Heart Disease Department Policlinico San Donato, IRCCS Milan, Italy. massimo.chessa@grupposandonato.it
Medda
Massimo
M
Moharram
Ayman
A
Butera
Gianfranco
G
Bussadori
Claudio
C
Vigna
Carlo
C
Carminati
Mario
M
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D021721:Balloon Occlusion / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome