Outcomes of ASD Device Closure Under Local vs General Anesthesia: A Comparative Clinical Study

doi:N/A

eISSN: 1994-4624 / ISSN: 1813-176x

International Journal of Molecular Medicine and Advance Sciences

2020, Volume 16, Issue 2 : 24-28

Research Article

Outcomes of ASD Device Closure Under Local vs General Anesthesia: A Comparative Clinical Study

Rohan S. Iqbal

Ayesha Noor

Daniel Torrez

Department of Cardiology, HeartCare Superspeciality Hospital, Bangalore, India

Division of Cardiac Intervention, Asian Medical Institute, Kuala Lumpur, Malaysia

Center for Epidemiology & Cardiovascular Biostatistics, University of Bristol, UK

Received

Sept. 20, 2020

Revised

Oct. 23, 2020

Accepted

Nov. 16, 2020

Published

Dec. 30, 2020

Abstract

Atrial Septal Defect (ASD) device closure is an established minimally invasive alternative to surgical repair. Traditionally, these procedures are performed under general anesthesia (GA), but local anesthesia (LA) with conscious sedation is increasingly being preferred due to reduced complications, faster recovery, and lower procedural cost. This retrospective multi-center study compares clinical outcomes of ASD device closure performed under LA (n=340) vs GA (n=280) across a 6-year period. Primary outcomes include procedural success, hemodynamic stability, complications, fluoroscopy time, and hospital stay. Results indicate comparable success rates (LA 97.9%, GA 98.6%) but LA significantly reduced hospital stay (1.2 vs 2.7 days), anesthesia-related adverse events (1.8% vs 8.6%), and total cost. This study suggests that LA is a safe and cost-effective alternative for most adult ASD closures, though GA remains preferable in pediatric and anxious patients.

Keywords

Atrial septal defect

Device closure

Local anesthesia

General anesthesia

Cardiac catheterization

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