Most Read Articles
Roshini Claire Anthony, 29 May 2020

For coffee drinkers, drinking filtered coffee may be tied to a lower mortality risk, including cardiovascular disease (CVD)-related mortality, a study from Norway suggested.

5 days ago
Use of corticosteroid is not associated with improved outcomes in idiopathic pulmonary fibrosis (IPF) patients admitted to the hospital with acute exacerbation (AE), reveals a recent study. In addition, corticosteroids may even contribute to reduced overall survival following exacerbation.
Dr. Wong Soon Tee, 28 May 2020
Acne is a common skin problem seen in primary care. Dr Wong Soon Tee of Assurance Skin Clinic at Mt Elizabeth Novena Hospital, Singapore shares his insights with Pearl Toh on how to manage acne in the primary care setting.
27 May 2020
The perception that proton pump inhibitors (PPIs) cause multiple serious adverse effects (AEs) is supported by many internists, who then recommend treatment cessation even in patients at high risk for upper gastrointestinal bleeding (UGIB), reveals a study.

Transcatheter correction of SVASD a viable alternative to surgery

26 Mar 2020

Transcatheter correction of the superior sinus venosus atrial septal defect (SVASD) appears to be a viable substitute to surgical treatment in several patients, suggests a recent study.

Forty-eight consecutive adult SVASD patients undergoing assessment for correction were included in this review. Preprocedural evaluation included cross-sectional imaging and ex vivo simulation using printed or virtual 3-dimensional models.

Of the patients, 25 had transcatheter correction, with a further six awaiting stent implantation, and eight deemed to be technically unsuitable.

The procedure consisted of balloon test inflation in the anticipated stent landing zone with simultaneous trans-oesophageal echocardiography and pulmonary venography to confirm defect closure and unobstructed pulmonary venous drainage. This was followed by the placement of a 10-zig covered Cheatham platinum stent.

Stents between 5 and 8 cm long were implanted. Nine patients were implanted with a second, uncovered stent for anchoring. A high-pressure balloon protected the right upper pulmonary vein (RUPV) during stent implantation to prevent pulmonary venous obstruction in four patients.

No deaths were recorded over a median follow-up period of 1.4 years (interquartile range, 0.8–1.7 years). One patient had stent embolization, while another needed draining of the haemopericardium.

Unobstructed pulmonary venous return was confirmed after 3 months via cardiac computed tomography. In addition, one patient presented with a residual shunt at the latest follow-up.

“The SVASD is characterized by deficiency of the common wall between the superior vena cava and the RUPV, which is no longer committed to the left atrium,” the authors explained.

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Most Read Articles
Roshini Claire Anthony, 29 May 2020

For coffee drinkers, drinking filtered coffee may be tied to a lower mortality risk, including cardiovascular disease (CVD)-related mortality, a study from Norway suggested.

5 days ago
Use of corticosteroid is not associated with improved outcomes in idiopathic pulmonary fibrosis (IPF) patients admitted to the hospital with acute exacerbation (AE), reveals a recent study. In addition, corticosteroids may even contribute to reduced overall survival following exacerbation.
Dr. Wong Soon Tee, 28 May 2020
Acne is a common skin problem seen in primary care. Dr Wong Soon Tee of Assurance Skin Clinic at Mt Elizabeth Novena Hospital, Singapore shares his insights with Pearl Toh on how to manage acne in the primary care setting.
27 May 2020
The perception that proton pump inhibitors (PPIs) cause multiple serious adverse effects (AEs) is supported by many internists, who then recommend treatment cessation even in patients at high risk for upper gastrointestinal bleeding (UGIB), reveals a study.