{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:35:12Z","timestamp":1787758512497,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Transcatheter device closure of congenital heart defects (CHD) has recently gained popularity. As limited literature exists regarding the ideal anesthetic technique for these procedures, we studied the perioperative anesthetic management and its effects on hemodynamics and complication rate in patients undergoing device closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this prospective observational study, all patients of 1 month to 50 years of age with acyanotic congenital heart diseases undergoing device closure were included. The anesthesia technique, i.e., general anesthesia with endotracheal tube (GETA)\/supraglottic airway device (SGD) or conscious sedation with face mask (S-FM), and intravenous induction agent used was noted. Intraoperatively vital parameters, use of transesophageal echocardiography (TEE), and perioperative complications if any, were noted. Descriptive statistical analysis was done using a statistical package for the social sciences (SPSS) version 15.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>GETA was used in the atrial septal defect (ASD) (62.8%), patent ductus arteriosus (PDA) (66.7%), ventricular septal defect (VSD) (65%) patients, SGD in ASD (6.3%), PDA (16.7%), and VSD (13.3%) patients. S-FM in ASD (31.3%), PDA (16.7%) and VSD (21.7%) patients. Etomidate was used as an induction agent in 30.61% of the patients and propofol in 69.39% of the patients. The mean arterial pressure (MAP) in the etomidate and propofol groups was statistically insignificant while decreased heart rate was noted in both groups. Complications like SGD dislodgement, supraventricular tachycardia, and device dislodgements were seen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In PDA device closure patients, GETA should be preferred. Patients for VSD device closure should receive general anesthesia as complications are common. In ASD device closure, patients without TEE use can be done under general anesthesia with SGD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_59_21","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T10:50:57Z","timestamp":1665139857000},"page":"441-446","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A Prospective Study of Various Anesthetic Techniques in Patients with Acyanotic Congenital Heart Diseases Undergoing Device Closure"],"prefix":"10.4103","volume":"25","author":[{"given":"Nidhi","family":"Sultania","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tejaswini C.","family":"Jambotkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shakuntala N.","family":"Basantwani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-9-20240901","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s00246-001-0010-6","article-title":"Comparison of atrial septal defect closure using amplatzer septal occluder with surgery","volume":"23","author":"Durongpisitkul","year":"2002","journal-title":"Pediatr Cardiol"},{"key":"R2-9-20240901","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1002\/clc.22010","article-title":"Long-term outcomes of device closure of very large secundum atrial septal defects: A comparison of transcatheter vs intraoperative approaches","volume":"35","author":"Guo","year":"2012","journal-title":"Clin Cardiol"},{"key":"R3-9-20240901","doi-asserted-by":"crossref","first-page":"205","DOI":"10.15171\/jcvtr.2014.013","article-title":"Transcatheter versus surgical closure of atrial septum defect: A debate from a developing country","volume":"6","author":"Siddiqui","year":"2014","journal-title":"J Cardiovasc Thorac Res"},{"key":"R4-9-20240901","first-page":"34","article-title":"Deep sedation \/ procedural sedation for cardiac catheterization in children","volume":"13","author":"Vittinghoff","year":"2009","journal-title":"Appl Cardiopulmonary Pathophysiol"},{"key":"R5-9-20240901","first-page":"225","article-title":"Anesthesia for cardiac catheterization procedures","volume":"6","author":"Hamid","year":"2014","journal-title":"Heart lung Vessel"},{"key":"R6-9-20240901","first-page":"628","article-title":"Anesthesia for percutaneous transcatheter closure of atrial and ventricular septal defects in pediatric patients","volume":"55","author":"Karagoz","year":"2013","journal-title":"Turk J Pediatr"},{"key":"R7-9-20240901","first-page":"1","article-title":"Anesthesia management for transcatheter atrial septal defect closure in pediatric patients","volume":"7","author":"Ince","year":"2016","journal-title":"J Clin Anal Med"},{"key":"R9-9-20240901","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.21037\/jtd.2019.03.56","article-title":"Comparison between monitored anesthesia care and general anesthesia in patients undergoing device closure of atrial septal defect","volume":"11","author":"Park","year":"2019","journal-title":"J Thorac Dis"},{"key":"R10-9-20240901","first-page":"1076","article-title":"Transcatheter closure of ventricular septal defects: Hemodynamic instability and anesthesia management","volume":"80","author":"Laussen","year":"1995","journal-title":"Anesth Analg"},{"key":"R11-9-20240901","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1053\/j.jvca.2005.05.023","article-title":"Anesthesia for percutaneous transcatheter closure of perimembranous ventricular septal defect","volume":"20","author":"Kapoor","year":"2006","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R12-9-20240901","doi-asserted-by":"crossref","first-page":"537","DOI":"10.4103\/0019-5049.89900","article-title":"Laryngeal mask airway vs the endotracheal tube in pediatric airway management: A meta-analysis of prospective randomised controlled trials","volume":"55","author":"Patki","year":"2011","journal-title":"Indian J Anaesth"},{"key":"R13-9-20240901","first-page":"129","article-title":"Survey of laryngeal mask airway usage in 11,910 patients: Safety and efficacy for conventional and nonconventional usage","volume":"82","author":"Verghese","year":"1996","journal-title":"Anesth Analg"},{"key":"R14-9-20240901","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1345\/aph.1H314","article-title":"Dexmedetomidine: An updated review","volume":"41","author":"Gerlach","year":"2007","journal-title":"Ann Pharmacother"},{"key":"R15-9-20240901","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1007\/s00246-012-0211-1","article-title":"Is the addition of dexmedetomidine to a ketamine\u2013propofol combination in pediatric cardiac catheterization sedation useful?","volume":"33","author":"Ulgey","year":"2012","journal-title":"Pediatr Cardiol"},{"key":"R16-9-20240901","doi-asserted-by":"crossref","first-page":"531","DOI":"10.4103\/ija.IJA_692_17","article-title":"Dexmedetomidine-propofol vs Ketamine-propofol anesthesia in pediatric and young adult patients undergoing device closure procedures in cardiac catheterization laboratory: An open label randomized trial","volume":"62","author":"Tewari","year":"2018","journal-title":"Indian J Anaesth"},{"key":"R17-9-20240901","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1053\/j.jvca.2003.09.009","article-title":"Which anesthetic agent alters the hemodynamic status during pediatric catheterization? Comparison of propofol versus ketamine","volume":"17","author":"Oklu","year":"2003","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R18-9-20240901","first-page":"490","article-title":"Comparison of propofol versus ketamine","volume":"5","author":"Lebovic","year":"1992","journal-title":"J Cardiovasc Thorac Res"},{"key":"R19-9-20240901","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1053\/j.jvca.2010.02.005","article-title":"Hemodynamic responses to etomidate in pediatric patients with congenital cardiac shunt lesions","volume":"24","author":"Dhawan","year":"2010","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R20-9-20240901","doi-asserted-by":"crossref","first-page":"463","DOI":"10.4103\/0971-9784.185528","article-title":"Conscious sedation using dexmedetomidine for percutaneous transcatheter closure of atrial septal defects: A single center experience","volume":"19","author":"Desai","year":"2016","journal-title":"Ann Card Anaesth"},{"key":"R21-9-20240901","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1067\/mtc.2000.111054","article-title":"Surgical management of complications after transcatheter closure of an atrial septal defect or patent foramen ovale","volume":"120","author":"Berdat","year":"2000","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R22-9-20240901","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/1749-8090-7-127","article-title":"Urgent surgical management for embolized occluder devices in childhood: Single center experience","volume":"7","author":"Gokaslan","year":"2012","journal-title":"J Cardiothorac Surg"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_59_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:16:55Z","timestamp":1787757415000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_59_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_59_21","relation":{},"ISSN":["0971-9784"],"issn-type":[{"value":"0971-9784","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}