[Intracardiac echocardiography-guided device closure of atrial septal defects: our initial experience]
| Autor: | Ertan Vuruşkan, Ibrahim Aksoy, Idris Ardic, Emre Akkaya, Orhan Ozer, Mehmet Küçükosmanoğlu |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Cardiac Catheterization Intracardiac echocardiography Adolescent Turkey medicine.medical_treatment Septum secundum Atrial septal defects Heart Septal Defects Atrial Pulmonary vein Young Adult Postoperative Complications Internal medicine medicine Humans Embolization Coronary sinus Ultrasonography Interventional Heart septal defect business.industry Middle Aged medicine.disease Embolization Therapeutic Echocardiography Doppler Color medicine.anatomical_structure Treatment Outcome Cardiology Female Radiology Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal Interatrial septum |
| Zdroj: | Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir. 39(6) |
| ISSN: | 1016-5169 |
| Popis: | Objectives Although intracardiac echocardiography (ICE) has long been used for various cardiologic interventions, its utilization has been quite limited in Turkey. We assessed our experience with the use of ICE during transcatheter closure of secundum atrial septal defects (ASD). Study design Fourteen patients (8 females, 6 males; mean age 34 years; range 15 to 62 years) underwent transcatheter device closure of ASD with ICE guidance. Before the procedure, 13 patients were examined by transesophageal echocardiography (TEE). Intracardiac echocardiography was used to evaluate the interatrial septum, defect size, the relationship of the septal occluder with neighboring structures before its release, and residual shunts after device release. Results Using short- and long-axis ICE images, the anteroposterior and superoinferior rims of the ASD, coronary sinus, and pulmonary vein openings were successfully visualized in all the patients. Defect diameters measured by ICE were closely correlated with those measured by TEE (97%) and balloon sizing (95%). The defects were closed successfully in 13 patients; the procedure was terminated in one patient due to the prolapse of both discs into the left atrium. There was no procedural complication. One patient experienced gastrointestinal hemorrhage that required blood transfusion two days after the procedure. No residual shunts were observed on follow-up transthoracic echocardiographic examinations one and six months after the procedure. Conclusion Having high image quality and color Doppler features, ICE is quite functional in determining defect size, position of the septal occluder and its relationship with neighboring structures; thus, it is a reliable alternative to TEE which is used routinely in transcatheter closure of ASDs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|