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dc.contributor.author
Contreras, Alejandro Ernesto  
dc.contributor.author
Ledesma, Facundo  
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Peirone, Alejandro R.  
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Juaneda, Ernesto Mario  
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Defagó, Víctor Hugo  
dc.contributor.author
Cuestas, Eduardo  
dc.date.available
2024-02-14T11:15:02Z  
dc.date.issued
2023-03  
dc.identifier.citation
Contreras, Alejandro Ernesto; Ledesma, Facundo; Peirone, Alejandro R.; Juaneda, Ernesto Mario; Defagó, Víctor Hugo; et al.; Sufficient versus deficient rims during percutaneous closure of ostium secundum type atrial septal defect: A systematic review and meta-analysis; Elsevier; Indian Heart Journal; 75; 2; 3-2023; 145-152  
dc.identifier.issn
0019-4832  
dc.identifier.uri
http://hdl.handle.net/11336/226717  
dc.description.abstract
Background: The aim of this meta-analysis was to compare the efficacy and adverse events of percutaneous occlusion among patients with sufficient and deficient rims. Methods: A systematic review of all articles published in the Pubmed, MEDLINE and Google Scholar databases was performed. Odds ratio (OR) and 95% CI were used as a measure of effect of the combination of studies. I2 with 95% CI was estimated to assess study heterogeneity. For the meta-analysis, a random effects model was used. Results: The systematic search identified ten studies which included 4355 patients; 2661 of those had sufficient rim and the remaining 1694 patients showed some rim deficiency. Implant failure rate was 4.13% CI 95% 3.53–4.72%. Compared to frequency of failures in the group with a deficient rim (5.43% CI 95% 4.35–6.50%), implant failure in patients with a sufficient rim was significantly lower (3.30% CI 95% 2.62–3.97%), OR 2.27 CI 1.34–3.83 (p 0.002). The combined adverse events were 5.19% CI 95% 4.22–6.35% vs 2.7% CI 95% 2.08–3.31% in the deficient vs sufficient rim groups respectively (OR 2.21 CI 0.93–5.29; p 0.07). Implant failures and adverse events were more frequent in patients with posterior inferior rim deficiency. Conclusion: Patients presenting a posteroinferior rim deficiency are associated to both, an increased incidence of closure failure and a combined adverse events occurrence. More studies on posterior rim deficiency are necessary to ensure the feasibility and safety of the percutaneous approach.  
dc.format
application/pdf  
dc.language.iso
eng  
dc.publisher
Elsevier  
dc.rights
info:eu-repo/semantics/openAccess  
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/  
dc.subject
ADVERSE EVENTS  
dc.subject
ATRIAL SEPTAL DEFECT  
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ECHOCARDIOGRAPHY  
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EFFICACY  
dc.subject.classification
Pediatría  
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Medicina Clínica  
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CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Sufficient versus deficient rims during percutaneous closure of ostium secundum type atrial septal defect: A systematic review and meta-analysis  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2024-02-09T11:11:36Z  
dc.identifier.eissn
2213-3763  
dc.journal.volume
75  
dc.journal.number
2  
dc.journal.pagination
145-152  
dc.journal.pais
Países Bajos  
dc.journal.ciudad
Amsterdam  
dc.description.fil
Fil: Contreras, Alejandro Ernesto. Hospital Privado Universitario de Córdoba; Argentina. Instituto Universitario de Ciencias Biomédicas de Córdoba; Argentina  
dc.description.fil
Fil: Ledesma, Facundo. Hospital Privado Universitario de Córdoba; Argentina  
dc.description.fil
Fil: Peirone, Alejandro R.. Hospital Privado Universitario de Córdoba; Argentina  
dc.description.fil
Fil: Juaneda, Ernesto Mario. Hospital Privado Universitario de Córdoba; Argentina  
dc.description.fil
Fil: Defagó, Víctor Hugo. Hospital Privado Universitario de Córdoba; Argentina  
dc.description.fil
Fil: Cuestas, Eduardo. Hospital Privado Universitario de Córdoba; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigaciones en Ciencias de la Salud. Universidad Nacional de Córdoba. Instituto de Investigaciones en Ciencias de la Salud; Argentina  
dc.journal.title
Indian Heart Journal  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.ihj.2023.01.008  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S0019483223000196