Influence of atrial septal defect anatomy in patient selection and assessment of closure with the Cardioseal device. A three-dimensional transoesophageal echocardiographic reconstruction

Acar, Philippe; Saliba, Zakhia; Bonhoeffer, P; Aggoun, Yacine; Bonnet, Damien; Sidi, Daniel; Kachaner, J

doi:10.1053/euhj.1999.1855

Cited by 80 publications

(38 citation statements)

References 17 publications

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“…As previously observed, difference between 3D and 2D TEE max diameters tended to be higher in oval than in round ASD. 11,16 But the main result of this study is the close relationship between ASD shape assessed and quantified by 3D-TEE and BS. As previously observed, echocardiographic measurements were all smaller than BS.…”

Section: Discussionmentioning

confidence: 96%

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The relation between atrial septal defect shape, diameter, and area using three-dimensional transoesophageal echocardiography and balloon sizing during percutaneous closure in children

Hascoët

Hadeed

Marchal

et al. 2015

European Heart Journal - Cardiovascular Imaging

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A trans-catheter closure of an atrial septal defect (ASD) is efficient. Balloon sizing (BS) during the catheterization leads to an overestimation of ASD size. Three-dimensional transoesophageal echocardiography (3D-TEE) allows the ASD morphology to be assessed comprehensively. The aim of this study was to assess the relationships between the shape and the measurements of ASDs by 2D-, 3D-TEE, and BS in children. Methods and resultsThirty children who underwent percutaneous closures of a single ASD were enrolled. ASD diameters were measured by 2D-transthoracic echocardiography (TTE), 2D-TEE, 3D-TEE and compared with BS. The ASD area was measured on 3D-TEE images after multi-planar reconstruction. ASD was estimated as round or oval on 3D-TEE 'en-face' view. 2D-TTE, 2D-TEE, and 3D-TEE max ASD diameters were well correlated with BS (r ¼ 0.75; 0.80, and 0.85, respectively). Mean diameters were all significantly smaller than the mean BS. The mean difference between the balloon area and 3D-TEE area was 1.6 + 1.4 cm 2 (P , 0.0001). The mean difference between BS and 3D-TEE max diameters was higher in round ASDs than in oval ASDs (4.0 + 3.3 vs. 1.1 + 3.3, P ¼ 0.02). With multivariate linear regression analysis, two formulas were built to predict BS. The first model was BS ¼ 1.07 × 3D-TEE max 2 3.1 × ASDshape + 3. The ASD shape was 0 for round and 1 for oval ASDs. A second model was BS ¼ 4.5 × ASDarea + 11.5. ConclusionThe ASD shape is accurately estimated by 3D-TEE and influences the relationship between echocardiographic measurements and BS. The ASD shape, its maximal diameter and the area assessed by 3D-TEE may be sufficient to determine the device size without BS in children.--

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Section: Discussionmentioning

confidence: 96%

“…7,16 Measurements and 3D ASD views were complex to perform. Acquisition and post-processing were time consuming and not applicable during catheterization.…”

Section: Discussionmentioning

confidence: 99%

The relation between atrial septal defect shape, diameter, and area using three-dimensional transoesophageal echocardiography and balloon sizing during percutaneous closure in children

Hascoët

Hadeed

Marchal

et al. 2015

European Heart Journal - Cardiovascular Imaging

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“…Magni et al [6] validated the accuracy of the 3D reconstruction method to measure ASD major and minor axes, size, and location in 10 explanted porcine cadaver hearts with surgically created ASD. Acar et al [7] subsequently reported that the en face 3D reconstructed images of secundum ASD accurately demonstrated the shape, size, and rim features. Cao et al [8] found that visualization of the number of ASD orifices, shape, and surrounding structures was enhanced using reconstructed 3D images derived from 2D TEE.…”

Section: D Echo Of Asd Historical Perspectivementioning

confidence: 96%

Evaluation of Atrial and Ventricular Septal Defects with Real-Time Three-Dimensional Echocardiography: Current Status and Literature Review

Roberson

Cui

2011

Curr Cardiovasc Imaging Rep

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Within this report we present a state of the art assessment of the status of 3D echocardiographic imaging (3D echo) of atrial septal defect (ASD) and ventricular septal defect (VSD). After a brief literature review of past studies, we delve into more recent developments in greater detail. For ASD we focus on new developments and reports regarding real-time transesophageal echocardiography. For VSD there have been no recent reports in the last 2 years dealing with new advances in 3D echo of VSD by either transthoracic or transesophageal approaches. Therefore, we present our experience in 3D echo of VSD by both methods. The literature is far from replete on this subject; therefore, a significant portion of this report is based on the authors' personal experience using 3D echo in over 200 cases with ASD, VSD, or both lesions in children and adults. A collection of representative reference 3D echoes of ASD and VSD are presented to serve as a review of the anatomic variations which the echocardiographer and sonographer are likely to encounter.

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“…RT3D-TEE images often demonstrate that the secundum defect is not perfectly round. It may also show fenestrations, tissue strips, and partial membranes within the defect [20]. 2D imaging may underestimate the defect's size because the apparent diameters measured on 2D images are often geometric chords rather than true diameters.…”

Section: Asd and Patent Foramen Ovale Closurementioning

confidence: 96%

Real-time three-dimensional transesophageal echocardiography in transcutaneous, catheter-based procedures for repair of structural heart diseases

Perk¹,

Ruiz

Sarić³

et al. 2009

curr cardiovasc imaging rep

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We review the use of real-time three-dimensional transesophageal echocardiography (RT3D-TEE) in guiding percutaneous catheter-based procedures to repair structural heart defects. The utility of this novel imaging technique in percutaneous mitral valve repair and valvuloplasty, aortic valve insertion, device closure of atrial and ventricular septal defects, obliteration of the left atrial appendage, and pulmonary vein ablation is described. The main advantages of RT3D-TEE lie in its ability to visualize the entire length of intracardiac devices, including their tips, and to demonstrate their relationship to cardiac structures, to provide en face views of cardiac structures (such as the interatrial septum and the mitral valve) that are unobtainable in real time by any other imaging technique, and to allow for continuous monitoring during the procedure. It is likely that RT3D-TEE will become the standard of care for guidance of percutaneous, catheter-based procedures.

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Influence of atrial septal defect anatomy in patient selection and assessment of closure with the Cardioseal device. A three-dimensional transoesophageal echocardiographic reconstruction

Cited by 80 publications

References 17 publications

The relation between atrial septal defect shape, diameter, and area using three-dimensional transoesophageal echocardiography and balloon sizing during percutaneous closure in children

The relation between atrial septal defect shape, diameter, and area using three-dimensional transoesophageal echocardiography and balloon sizing during percutaneous closure in children

Evaluation of Atrial and Ventricular Septal Defects with Real-Time Three-Dimensional Echocardiography: Current Status and Literature Review

Real-time three-dimensional transesophageal echocardiography in transcutaneous, catheter-based procedures for repair of structural heart diseases

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