Background:
To assess the feasibility and early results of non-surgical transcatheter closure of atrial septal detect (ASD) using the Ampiatzer septal Occluder (ASO).
Patients and Methods:
From June 2003 to June 2005, i75 patients with ASD secundum, age range 3- 65 years, female to male ratio of 3:2. were evaluated for transcatheter closure using ASO at Ibn Al-
Bitar Hospital for Cardiac Surgery. Transthoracic echocardiography was performed in al patients using standard suhxyphoid, apical, parasternal and suprasternal views. In all
patients, the procedure was done under general anesthesia.
Results:
Based on transesophageal echocardiography (TEE) Findings, 60 patients (33.7%) did not meet the criteria for transcatheter closure (40 females and 20 males). One hundred
Fifteen patients were found to have ASDs suitable for device closure. The device was successfully deployed in allpatients except 11 of them (104/115) (90.4%).
In 11 cases with failure of ASO deployment, 6 patients had small floppy inferior rims which were not able to hold the device after the Minnesota wegeal maneuver. One adult
patient with a large ASD secundum and second degree AV block developed complete heart block during the procedure before the deployment of the occluder. One of them dislodged
into the left atrium (LA) immediately after deployment because of a very small inferior rim and the other one dislodged into the LA because of descrewing of the cable after multiple
manipulations. Both of them were referred for surgery. An other one of the 11 patients had developed a thrombus in the LA during the procedure because of delay in giving heparin
after placing the guide wire in the left upper pulmonary vein. In the last patient, the procedure was abandoned and the occluder recaptured into the sheath before release from
the cable because the TEE showed that the LA disc encroached on the mitral valve causing mitral stenosis.
Conclusion:
The transcatheter closure of secundum ASD is safe, efficacious with a very low rate of early and Sate complications. It is becoming an increasingly popular alternative to surgical
closure.
When sites of new communication occurs which represents the merit of the development of communication technology which is characterized by the services of ( facebook-twiter-corapora-youtube-mass space-friendster-flicker-willnecked in addition to the direct services for viber-whatsup-telgram-and chat on) play important role in changing the infrastructure of Arabic societies which are consideredas closed and not changeable societies during near period and the significance of this study comes from the importounce of this subject which is considered as anew trend of the age on the field of media and public response and acceptance inspite of what is known about Arabic society-it doesn’t accept change-this occurance is associated with terms
... Show MoreThe Hartha Formation is a major carbonate succession deposited during the Late Campanian period. The current study depends on four selected wells (EB 1, 2, 4 and 30) within the East Baghdad oil field to study electrofacies and petrophysical properties related to the reservoir characterization.
The Hartha Formation is divided into three electro-facies units using GR and SP logs in Petrel software. The upper unit of the Hartha Formation is composed mainly of limestone. The middle unit is composing of thick layers of shale. The lower unit is composed mainly of limestone with few shale layers. The three units are divided into three types of rocks in relation to the total porosity: 1. High-moderate active porosity rocks (type I)
... Show MoreThe present paper concerned with study the of combined electro-osmotic peristaltic transport with heat and mass transfer which is represented by the Soret and Dufour phenomenon with the presence of the Joule electrothermal heating through a microchannel occupy by Rabinowitsch fluid. The unsteady two-dimensional governing equations for flow with energy and concentration conservation have been formed in a Cartesian coordinate system and the lubrication theory is applied to modify the relevant equations to the problem. The Debye-Hukel linearization approximation is utilizing to modify the electrohydrodynamics problem. The expressions for the axial velocity, the temperature profile, the concentration profile, and the volumetric flow rate are
... Show MoreAbstract
The current research aims at identifying any of the dimensions of organizational learning abilities that are more influential in the knowledge capital of the university and the extent to which they can be applied effectively at Wasit University. The current research dealt with organizational learning abilities as an explanatory variable in four dimensions (Experimentation and openness, sharing and transfer of knowledge, dialogue, interaction with the external environment ), and knowledge capital as a transient variable, with four dimensions (human capital, structural capital, client capital, operational capital). The problem of research is the following questio
... Show MoreThe research aims to enrich the subject of marketing deception, which is still in the concept stage at the level of the research sample and to allow future researchers to contribute to addressing the concept of marketing deception and linking it with other variables. The research problem is that is there a correlation between marketing deception and organizational reputation in Baghdad assets. What is the reflection of marketing deception on the organizational reputation in the assets of Baghdad? The research is concerned with shedding light on the reputation of the organization in terms of frequency of purchase, place of purchase, brand loyalty, and knowing the impact of marketing deception on these fact
... Show MoreKnowing the nature of the relationship in federal systems lies in studying the political, social, economic and cultural forces, for their role in laying the foundations and the federal system. No matter how important the pillars of that system are, and through this research, we will learn how the political elites were able to crystallize this unique system, until it became one of the political systems that some countries seek to copy and apply its experience.
The ceramic compound Mg1-xSixAl2O4 (x= 0, 0.1, 0.2, 0.3, 0.4) was prepared from nano powder of Al2O3 and MgO doped with Nano powder of SiO2 at different molar ratios. The specimens were prepared by standard chemical solid reaction technique and sintered at 1450 oC. Structure of the specimens was analyzed by using X-ray diffraction (XRD). The X-ray patterns of the specimens showed the formation of pure simple cubic spinel structure MgAl2O4 phase with space group of ̅ . The average grain size and surface topology were studied by atomic force microscopy. The results showed that the average grain size was about 73-90 nm. The DC electrical properties of the specimen were measured. The apparent density was found to increase and the porosity a
... Show MoreThis study was concerned with the adsorption of Toluene ,0·
nitro Toluene and 2,4.dinitro Toluene on The surface of kaolin clay.
The adsorption isotherms were of types( S3,S4 ) according to Giles classification and were in a good correlation with Freundlich equation in the range of cuncenlraliuns studied. The re5ult indicated that adsorption capacity increase with the increase of equilibrium concentration. The effect of the nwnber of substituted nitro groups in the adsorption extent of toluene was found to decrease in the following order:·
Toluene > 2,4-dinitro toluene > 0-nitro toluene
Adsorption on kaolin surface were examined as afunction
... Show MoreThis study was done to find the effect of Tigris-Therthar channel on the water quality of Tigris River to face the climate change which causes decreasing in water resources, in addition to decreasing in its quality. Nine stations were chosen located on Tigris River, Tigris-Therthar channel, Groundwater, and Therthar lake. The results indicated that the TDS increased in summer season, and the effect of Tigris-Therthar cannel was limited, also the effect of groundwater was limited, but there was an indication refers of possibility of increasing these effects on the quality of water. The study recommends observing the Tigris River through a programme to identify any change in water in future.
In this work, three inorganic additives were 1,1sed, these are (I) ;
tetraethyl ammonium bromodichloro phenylphsphin, (II) Chlorinated paraffine. and (ITI) a mixture of (50% by weight of each) to study the synergetic effect. These additives \'v·cre used as flame retardants with unsaturated polyester and epoxy resins.;, since these resins are industrially important and of \Vide uses in life.
Results showed efficiency of these additives to retard fl mmabillty and stop burning of resins throqght the ASTM tests used Measurement of Limiting oxygen index (LOI), &nbs
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