Intracardiac versus transesophageal echocardiography to guide transcatheter closure of interatrial communications: Nationwide trend and comparative analysis
| Autor: | Fahad Alqahtani, Akram Kawsara, Ashok Runkana, Ashwin Bhirud, James D. Mills, Mohamad Alkhouli, Sami Aljohani |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Cardiac Catheterization Percutaneous Intracardiac echocardiography Septal Occluder Device 030204 cardiovascular system & hematology Intracardiac injection Article Heart Septal Defects Atrial 03 medical and health sciences 0302 clinical medicine Pfo closure Internal medicine Clinical endpoint Medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Closure (psychology) Cardiac Surgical Procedures Propensity Score Aged Atrial Septum business.industry Middle Aged medicine.disease United States Surgery Cardiac Imaging Techniques Treatment Outcome Surgery Computer-Assisted Rapid rise Cardiology Patent foramen ovale Female Cardiology and Cardiovascular Medicine business human activities Echocardiography Transesophageal |
| Popis: | Objectives This study aimed to assess current temporal trends in utilization of ICE versus TEE guided closure of interatrial communications, and to compare periprocedural complications and resource utilization between the two imaging modalities. Background While transesophageal echocardiography (TEE) has historically been used to guide percutaneous structural heart interventions, intracardiac echocardiography (ICE) is being increasingly utilized to guide many of these procedures such as closure of interatrial communications. Methods Using the Nationwide Inpatient Sample, all patients aged >18 years, who underwent ASD or PFO closure with either ICE or TEE guidance between 2003 and 2014 were included. Comparative analysis of outcomes and resource utilization was performed using a propensity score-matching model. Results ICE guidance for interatrial communication closure increased from 9.7% in 2003 to 50.6% in 2014. In the matched model, the primary endpoint of major adverse cardiovascular events occurred less frequently in the ICE group versus the TEE group (11.1% vs 14.3%, respectively, P = 0.008), mainly driven by less vascular complications in the ICE group (0.5% vs 1.3%, P = 0.045). Length of stay was shorter in the ICE group (3 ± 4 vs 4 ± 4 days, P |
| Databáze: | OpenAIRE |
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