Intracardiac echocardiography is superior to conventional monitoring for guiding device closure of interatrial communications
| Autor: | Holger Eggebrecht, Thomas Konorza, Guido Caspari, Ulrich Neudorf, Raimund Erbel, Thomas Bartel, Tiko Ebradlidze, Jawed Arjumand |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Cardiac Catheterization Intracardiac echocardiography Time Factors Electric Countershock Endotracheal intubation Heart Septal Defects Atrial Endosonography Physiology (medical) Atrial Fibrillation medicine Fluoroscopy Humans Cardiac Surgical Procedures Foramen ovale (heart) Procedure time Heart septal defect medicine.diagnostic_test business.industry Atrial fibrillation medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Patent foramen ovale Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal |
| Zdroj: | Circulation. 107(6) |
| ISSN: | 1524-4539 |
| Popis: | Background— This study sought to test whether intracardiac echocardiography (ICE) is superior to conventional monitoring in guiding device closure of interatrial communications (atrial septal defect [ASD] and patent foramen ovale [PFO]). Methods and Results— Forty-four patients undergoing device closure of ASD (n=6) or PFO (n=38) were randomized to have the procedure guided by either ICE (group 1; n=22) or by transesophageal echocardiography (TEE) (group 2; n=22). All interventions were completed successfully. In 1 patient from group 2, atrial fibrillation occurred 1 day after device implantation; the patient was successfully cardioverted on the next day. There were no other complications. Fluoroscopy time (FT) (6.0±1.7 minutes versus 9.5±1.6 minutes; P P Conclusions— ICE is a safe tool to guide device closure of PFO and ASD. Supine patients tolerate ICE better than TEE. ICE reduces FT and PT. ICE seems to be advantageous, especially when long continuous or repeated echocardiographic viewing is required. |
| Databáze: | OpenAIRE |
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