Assessment of atrial septal defect size and residual rim using real-time 3D transesophageal echocardiography

Kaku, Kyoko; Takeuchi, Masaaki; Sugeng, Lissa; Lodato, Joseph A.; Nakai, Hiromi; Weinert, Lynn; Otani, Kyoko; Yoshitani, Hidetoshi; Haruki, Nobuhiko; Hijazi, Ziyad M.; Lang, Roberto M.

doi:10.1007/s12574-009-0013-5

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…In addition, we studied the relationship between 2D and 3D TEE measurements of the ASD residual rim, especially in complex ASDs. A good linear relationship was also found between these two modalities in measurement of residual rims, which is consistent with previous studies (10). Moreover, we found the limits of IVC rim agreement between 2D and 3D TEE measurements were broader than those of both the aortic and SVC rim groups.…”

Section: Discussionsupporting

confidence: 92%

“…The IAS is also extremely thin, making it more difficult to evaluate the defect. Real-time 3D TEE technology provides vivid imaging that can dynamically display the temporal and spatial changes in defect shape, size, and of surrounding tissue, and clarify the residual rim (10,16). Commercially available quantitative software is available for measurements of defect diameters and area in 2D imaging extracted from 3D TEE data sets.…”

Section: Discussionmentioning

confidence: 99%

“…For 2D ASD imaging, both minimal and maximal ASD aperture diameters were measured at the end of the cardiac systole frame (9), as the shape and size of the aperture dynamically changes throughout the cardiac cycle (10,11). Measurements of the defect area and residual tissue rims from the en face view were also acquired during the largest defect aperture at the end of cardiac systole.…”

Section: D and 3d Tee Data Analysesmentioning

confidence: 99%

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Assessment of atrial septal defect using 2D or real-time 3D transesophageal echocardiography and outcomes following transcatheter closure

Deng¹,

Chen²,

Huang³

et al. 2021

Ann Transl Med

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Background: The assessment of interatrial septum (IAS) requires a standardized, systematic approach, including two-dimensional transthoracic echocardiography (2D TTE), 2D transesophageal echocardiography (2D TEE), and three-dimensional (3D) TEE. Although 2D TEE has been widely used for the preoperative assessment of atrial septal defect (ASD), its ability to provide reliable information is often limited due to the structural characteristics of IAS. The introduction of 3D TEE provides a unique "en face" view of IAS, which allows the visualization and accurate measurements of diameters, area, and rims of ASD.Hence, appropriate ASD imaging information is particularly important in successful transcatheter closure.Methods: In this retrospective study, 2D TTE/TEE, and 3D TEE were performed before ASD closure, with 2D minimal and maximal diameters, areas, and residual rims being recorded. Adequate 3D TEE imaging data sets were collected and then analyzed. ASD related parameters were compared using different echocardiography. Patients who underwent ASD closure completed a clinical follow-up. Results:The mean defect maximal diameter and aperture area by 3D TEE was significantly larger than that of the corresponding 2D TEE (P<0.05). There was no statistical difference in the minimal and maximal diameter or area by TEE for circular-shaped ASDs. For oval ASDs, mean minimal diameter on 2D TEE was larger than that on 3D TEE. The mean maximal diameter measured using 2D TEE was smaller than the 3D TEE measurement (16.0±7.1 vs. 19.8±8.6; P<0.05). For complex-shaped defects, there were statistical differences in minimal and maximal diameter between TEEs. Furthermore, 2D and 3D TEE had a longer superior vena cava (SVC) residual rim than did 2D TTE (P<0.05). The 3D TEE residual rims of the inferior vena cava (IVC) was significantly larger than the corresponding 2D TEE. There was a very strong correlation between the residual rim measurements using 3D and 2D TEE. However, the limits of agreement between 2D and real-time 3D TEE measurements were more apparent in the IVC rim group than in the other groups.Conclusions: Our study confirms the value of 3D TEE in assessing ASD shape and size reported by previous studies, and is also the first to accurately and systematically characterize ASD residual rim in complex ASDs.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: D and 3d Tee Data Analysesmentioning

confidence: 99%

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Assessment of atrial septal defect using 2D or real-time 3D transesophageal echocardiography and outcomes following transcatheter closure

Deng¹,

Chen²,

Huang³

et al. 2021

Ann Transl Med

View full text Add to dashboard Cite

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Prevalence and Clinical Implication of Complex Atherosclerotic Plaque in the Descending Thoracic Aorta of Japanese Patients Assessed by Transesophageal Echocardiography

Haruki

Takeuchi

Kaku

et al. 2010

Circ J

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Background: Aging and westernization of lifestyle has accelerated the prevalence and severity of atherosclerotic cardiovascular diseases in the Japanese population. The aim of this study was to examine the prevalence of complex plaque formation in the descending thoracic aorta (DTA) as assessed by real-time 3-dimensional transesophageal echocardiography (3DTEE) and its relation to clinical factors. Methods and Results:A prospective analysis of atherosclerotic plaque in the DTA of 350 consecutive patients who were clinically indicated for real-time 3DTEE was performed. Systematic assessment of the DTA plaques was performed using a biplane mode from the aorta at the level of the stomach to the aortic arch. When a large plaque (>4 mm) was identified, detailed 3-dimensional (D) observations were performed using a 3D zoom mode. Complex plaque was defined as either mobile or an ulcer-like pouch in the DTA. Complex plaques were detected in 51 patients (15%), who were more advanced in age and had a higher prevalence of chronic kidney disease. A multivariate analysis revealed that the presence of complex plaque was an independent predictor of renal impairment. Conclusions:The prevalence of complex plaque was not low in the this Japanese study population. A close association between complex plaque and renal dysfunction raises the possibility that complex plaque in the DTA is a potential cause of renal dysfunction. (Circ J 2010; 74: 2627 - 2632

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Assessment of atrial septal defect size and residual rim using real-time 3D transesophageal echocardiography

Abstract: Real-time 3DTEE allows measurements of the temporal and spatial changes of ASD size and shape. This methodology provides detailed information on defect dynamics.

Cited by 2 publications

References 22 publications

Assessment of atrial septal defect using 2D or real-time 3D transesophageal echocardiography and outcomes following transcatheter closure

Assessment of atrial septal defect using 2D or real-time 3D transesophageal echocardiography and outcomes following transcatheter closure

Prevalence and Clinical Implication of Complex Atherosclerotic Plaque in the Descending Thoracic Aorta of Japanese Patients Assessed by Transesophageal Echocardiography

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