Comparison of Strain Rate Imaging for Quantitative Evaluation of Regional Left and Right Ventricular Function After Surgical Versus Percutaneous Closure of Atrial Septal Defect

Salvo, Giovanni Di; Drago, Manuela; Pacileo, Giuseppe; Carrozza, Marianna; Santoro, Giuseppe; Bigazzi, Maurizio Cappelli; Caso, Pio; Russo, Maria Giovanna; Carminati, Mário; Calabrò, Raffaele

doi:10.1016/j.amjcard.2005.02.060

Cited by 51 publications

(45 citation statements)

References 11 publications

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“…Visconti et al, relate bypass surgery for ASD closure with a slightly poorer neuropsychological outcome [22]. Transcatheter ASD closure is also associated with a less negative impact on right and left ventricular function as assessed by tissue Doppler imaging [26].…”

Section: Discussionmentioning

confidence: 98%

Transcatheter closure of secundum atrial defect in small children

Rey

Panzer²,

Boshoff

et al. 2006

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 98%

Transcatheter closure of secundum atrial defect in small children

Rey

Panzer²,

Boshoff

et al. 2006

Cathet Cardio Intervent

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“…Magnetic resonance imaging is the gold standard for evaluating the RV volume and ejection fraction, however, it is time consuming and expensive, which limits its wide clinical application. Recently, strain and strain rate imaging derived from TDI is widely used in evaluating left and right ventricular function [6][7][8] , but they are angle dependent, the angle-dependent method could not accurately assess tissue deformation. Moreover, TDI-derived strain is mostly used in assessment of the regional myocardial function, while it can not assess global ventricular function.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of right ventricular global longitudinal function in patients with tetralogy of fallot by two-dimensional ultrasound speckle tracking imaging

Xie

Wang

et al. 2010

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

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Quantification of right ventricular (RV) volume and function remains a challenge because of RV complex geometry by conventional echocardiography. The purpose of this study was to assess RV global longitudinal function in patients with tetralogy of Fallot (TOF) by 2-dimensional ultrasound speckle tracking imaging (STI). Thirty-eight patients with TOF were enrolled in this study and divided into child group (n=25) and adult group (n=13) according to age. Thirty-eight age- and sex-matched normal subjects were selected as control groups including child control group (n=25) and adult control group (n=13). RV global longitudinal peak systolic strain (GLS), strain rate (GLSR(s)), early diastolic strain rate (GLSR(e)) and late diastolic strain rate (GLSR(a)) were measured in all subjects by STI from the apical 4-chamber view and compared between groups. Furthermore, the main factors affecting the RV global longitudinal functional parameters were assessed. Compared with those in controls, RV GLS, GLSR(s) and GLSR(e) were significantly reduced in patients with TOF (P<0.05 for all). RV GLSR(s) was significantly decreased in adult patients with TOF as compared with that in child patients (P<0.05). There was no significant difference in RV GLS, GLSR(e) and GLSR(a) between child and adult TOF groups (P>0.05). The diameter of right ventricle, main pulmonary artery and ventricular septum defect had correlations with RV GLSR(s) (r ( 1 )=-0.490, r ( 2 )=0.580, r ( 3 )=-0.528, respectively, P<0.05 for all). Tricuspid annular plane peak systolic velocity (Sm) was the independent predictor of RV global strain and strain rate (beta(1)=0.355, P (1)=0.031, beta(2)=0.307, P (2)=0.021). RV global longitudinal function is decreased in patients with TOF, especially in adult patients. STI is a sensitive and accurate technique in RV global functional assessment.

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“…[39][40][41] Mesmo assim, diferentes parâmetros ecocardiográficos demonstraram disfunção ventricular direita sistólica e diastólica imediatamente após a intervenção cirúrgica com permanência dessa disfunção após seis meses do procedimento cirúrgico, o que não ocorre nos pacientes submetidos a fechamento percutâ-neo. 39,41,42 Além disso, observa-se também disfunção diastólica persistente do ventrículo esquerdo nos pacientes operados. 43 Além da disfunção ventricular direita, o remodelamento do ventrículo direito parece ter comportamento diferente após oclusão cirúrgica quando comparado com a oclusão percutânea do defeito.…”

Section: Base Racional Para Utilização Da Tecnologiaunclassified

Oclusão percutânea de comunicação interatrial pelo sistema único de saúde: uma opção economicamente viável

Filho¹,

Mânica²,

Cardoso³

2010

Rev. Bras. Cardiol. Invasiva

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A comunicação interatrial (CIA) é uma das malformações congênitas mais frequentes, representando aproximadamente 5% a 10% de todos os defeitos cardíacos congêni-tos. O tipo mais comum é a CIA ostium secundum (CIA OS), que representa cerca de 75% dessas malformações. Quando descoberta tardiamente ou na ausência de tratamento, além da alteração no exame clínico, pode existir insuficiên-cia cardíaca, arritmias cardíacas, insuficiência mitral, sobrecarga ventricular direita e hipertensão pulmonar. Em casos avançados com hipertensão pulmonar grave e reversão do shunt interatrial (direita para esquerda) instala-se a cianose, o que indica doença cardiopulmonar grave e mortalidade aumentada. Nas últimas décadas, com o aprimoramento das técnicas e dos dispositivos percutâneos, as possibilidades de tratamento dos defeitos congênitos por via percutânea têm crescido vertiginosamente. Vários estudos já demonstraram os excelentes resultados imediatos e a longo prazo da atriosseptoplastia percutânea. Além de proporcionar maior conforto ao paciente, menores taxas de complicações, menor tempo de recuperação intra e extra-hospitalar e eficácia similar à da atriosseptoplastia cirúrgica, em países desenvolvidos, é comprovadamente a opção mais econômica. Não há dúvidas de que, em futuro próximo, a relação custoefetividade desse procedimento será observada também em países em desenvolvimento como o Brasil, em que o custo da prótese, ainda hoje, é o principal obstáculo para a padronização desse procedimento, e em que os valores pagos pelos procedimentos cirúrgicos continuam muito defasados. DESCRITORES:Comunicação interatrial. Cardiopatias congênitas. Próteses e implantes. ABSTRACT Percutaneous Closure of Atrial Septal Defects by the Brazilian Health System: an Economically Feasible OptionAtrial septal defect (ASD) is one of the most frequent congenital malformations, representing 5% to 10% of all congenital heart defects. The most common type is the ostium secundum ASD (OS ASD), and represents 75% of these malformations. When diagnosed late or left untreated, in addition to abnormalities in the clinical examination, there may be heart failure, cardiac arrhythmias, mitral insufficiency, right ventricular overload and pulmonary hypertension. In advanced cases with severe pulmonary hypertension and interatrial shunt reversal (right to left), there is cyanosis, which indicates severe cardiopulmonary disease and increased mortality. In the last decades, with the improvement of percutaneous techniques and devices, the possibility of percutaneous treatment of congenital defects has increased dramatically. Several studies have shown excellent early and long-term results of percutaneous atrial septoplasty. In addition to providing greater comfort for patients, lower complication rates, less in-hospital and extra-hospital recovery time and efficacy similar to that of surgical atrial septoplasty in developed countries, it is definitely the most economic option. There is no doubt that in the near future, the cost-effectiveness ratio of this proc...

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Comparison of Strain Rate Imaging for Quantitative Evaluation of Regional Left and Right Ventricular Function After Surgical Versus Percutaneous Closure of Atrial Septal Defect

Cited by 51 publications

References 11 publications

Transcatheter closure of secundum atrial defect in small children

Transcatheter closure of secundum atrial defect in small children

Evaluation of right ventricular global longitudinal function in patients with tetralogy of fallot by two-dimensional ultrasound speckle tracking imaging

Oclusão percutânea de comunicação interatrial pelo sistema único de saúde: uma opção economicamente viável

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