About this trial
Primary outcomes :
Determining the incidence of SAN and AVN dysfunction before and after percutaneous ASD closure Comparing ECG and EP parameters of SAN and AVN before and after percutaneous ASD closure
Secondary outcomes :
Assessing clinical, echocardiographic and procedural risk factors affecting the AVN function after ASD closure device implantation Determining the incidence of supraventricular arrhythmia inducibility before and after percutaneous ASD closure
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All patients presented with secundum ASD eligible for percutaneous transcatheter ASD closure at Assiut university heart hospital
Disqualifiers
No exclusion
Trial design
Single group
Treatments tested in this trial
Electrophysiology study of heart
Procedure/SurgeryThe procedure will be done comparatively for each patient; before the device placement and immediately after the procedure. This will be done approaching the same sheath that is placed for ASD device closure (the right femoral vein). Only one quadripolar EP catheter will be used, it will be placed in high right atrium then at His bundle. The EP study will include: Assessment of SAN function using cSNRT (through HRA pacing) Assessment of AH and HV intervals (through His bundle EGM) Assessment of antegrade AVN RP (refractory period) and AVN WP (Wenckebach point) through extra-stimuli and incremental atrial pacing. Any inducible arrhythmia will be reported
Treatment groups
Trial outcomes
Primary outcomes
incidence of SAN dysfunction
Determining the incidence of SAN and AVN dysfunction before and after percutaneous ASD closure Comparing ECG and EP parameters of SAN and AVN before and after percutaneous ASD closure
incidence of AVN dysfunction
incidence of AVN dysfunction before and after percutaneous ASD closure
Locations
Sponsors and contacts
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