Advances in prevention and treatment of complications related to percutaneous intervention of atrial septal defect in children
Atrial septal defect(ASD)is one of the most common congenital heart diseases in children.Although most children with this condition may not exhibit clinical symptoms,persistent left-to-right shunting can increase the burden on the right heart and compromise cardiac function as they age.Therefore,early intervention is crucial for these children.Percutaneous intervention has superseded conventional surgery as the primary mode of treatment for secondary atrial septal defect in children.The procedure has a low rate of postoperative complications,but carries a substantial risk.Serious complications include unsatisfactory device position or embolization,cardiac erosion,atrioventricular block,thrombosis or thromboembolism,air embolism,and hemolysis.Common complications include headache or migraine,residual shunt,and vascular-related complications.This review focuses on the pathogenesis,clinical presentations,prevention and treatment of complications related to percutaneous intervention of atrial septal defect in children.
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