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Treatment of cardiac lesions without anaesthesic

fies the medical treatment. Thus, a catheter introduced into the heart without need of an anaesthetic is used, significantly reducing the length of the operation (less than thirty minutes), as well as the risks and complications arising from the transesophageal ecography and the general anaesthetic. In this way, it is much more convenient for the patients, as they are conscious during the operation, and their recovery is quicker; in fact, they can be released the same day, thus giving rise to considerable savings in health costs.

Suitability

There are a number of methods used in the percutaneous treatment of congenital cardiac defects. Specifically, a number of years ago, the Cardiological Intervention Unit incorporated the "Amplatzer" occluder system for closure of patent ductus (congenital communication between the aorta and the pulmonary artery). This involves a very simple procedure undertaken with angiographic techniques, i.e. no ecographer or anaestheticians are required.

Nevertheless, the most novel thing about this intercavity application is its treatment of the patent foramen ovale. It is estimated that up to 20% of the public have PFO, although not all need or are suitable for treatment. This is why we await some symptom as there are no studies indication which PFOs should be closed or not if there have been no previous symptoms. The cases has to be selected with precision, involving co-ordination between neurologists and cardiologists in order to confirm that a "contrasted" event has arisen with this level of PFO. In this sense, great attention ahs to paid to those at particular risk, such as divers, given that the presence of this defect can cause serious problems for practicing this activity.


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Contact: Garazi Andonegi
garazi@elhuyar.com
34-943-363-040
Elhuyar Fundazioa
23-Mar-2005


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