Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

Suzuki, Kazutaka; Kato, Taichi; Koyama, Satoshi; Shinohara, Tsutomu; Inukai, Sachiko; Sato, Jun; Yamamoto, Hidenori; Omori, Daisuke; Yoshida, Shuichiro; Takeda, Sho; Nishikawa, Hiroshi; Ohashi, Naoki; Sakurai, Hirofumi; Saitoh, Shinji

doi:10.1536/ihj.19-173

Cited by 11 publications

(16 citation statements)

References 33 publications

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“…These results imply that ASD occlusion devices adversely affect LA function and may be important in choosing other treatment strategies. Depression of LA function was detected by speckle tracking in adult patients immediately after device implantation, but this resolved by one month after intervention [15,16]. It is unknown if the changes in LA shape that we observed after ASD device closure impact the lives of young patients.…”

Section: Discussionmentioning

confidence: 85%

Left Atrial Shape and Function After Endovascular Device and Surgical Closure of Asds in Children

Сморгон¹,

Anatolievich²,

Ivanovich³

et al. 2022

Preprint

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Retrospective analysis of echocardiograms was performed in 756 children who received endovascular device or surgical ASD closure from 2006 to 2016 in the Cardiac Center in Tomsk Russia. 564 patients had an endovascular closure and 192 had surgical correction. Follow-up duration was from 1 day to 10 years, mean 3.6 yrs for the device group and 4.2 yrs for the surgery group. The control group consisted of 3393 age-matched healthy patients. In patients with endovascular closure of an ASD, 35% had a change in the shape of the left atrium in early follow-up. Changes in the shape of the left atrium at early follow-up were more often observed in the device group and in children of a younger age. The left atrial changes were a decrease in sphericity and an increase in ellipsoidy. Changes in the shape of the left atrium persisted in 22% after transcatheter correction in the long-term. The change in shape of the left atrium after the placement of ASD devices was accompanied by activation of the mechanical function of the atrium and an increase in the filling pressure of the left ventricle. These changes were not accompanied by any disturbance in the contractility and volume of the heart chambers. In the group with surgical correction of ASD, the contractility and volume of the heart chambers did not significantly differ from those in the device closure group.

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Section: Discussionmentioning

confidence: 85%

Left Atrial Shape and Function After Endovascular Device and Surgical Closure of Asds in Children

Сморгон¹,

Anatolievich²,

Ivanovich³

et al. 2022

Preprint

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“…On the other hand, after percutaneous device closure, LA reservoir function was not different from that of the normal control group. Conversely, Suzuki et al 21) and Boyd et al 19) reported that immediately after treatment, the reservoir function was preserved in the surgical group and decreased in the percutaneous device group compared to controls. This discrepancy may originate from differences in the length of the follow-up period after treatment between the 2 studies.…”

Section: Discussionmentioning

confidence: 94%

“…They reported no difference in reservoir function, improved conduit function, and decreased contraction function 1 and 6 months after treatment when compared to LA functioning before the procedure. Suzuki et al 21) compared LA function before and after surgical or percutaneous device closure in a study of 43 children. In the surgical closure group, the strain value of the LA lateral wall did not change; however, in the device group, the strain value of the LA lateral wall immediately after the procedure was decreased, and the strain value was inversely correlated with the size of the device used.…”

Section: Discussionmentioning

confidence: 99%

“… 28) When analyzing 2D strain of LA, they suggest averaging the measurements of the anterior, inferior, lateral, and septal walls, but several previous studies have excluded the septum from the analysis because of its displacement due to the device or patch. 21) 24) We analyzed global strain without excluding the LA septum, because 2D STE has the ability to distinguish normal deformation from passive device motion without being affected by the global motion of the heart or tethering of the adjacent segments. 29) 30) …”

Section: Discussionmentioning

confidence: 99%

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Long-Term Left Atrial Function after Device Closure and Surgical Closure in Adult Patients with Atrial Septal Defect

Seo

Park

et al. 2021

J Cardiovasc Imaging

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BACKGROUND: Studies comparing left atrial (LA) function after surgical closure or percutaneous closure in patients with an atrial septal defect (ASD) are lacking. METHODS: Between 1 and 3 years after ASD treatment, we retrospectively analyzed the medical records and transthoracic echocardiographic images of patients who had been diagnosed with an ASD after 20 years of age and who had undergone surgical closure (ASD-S) or percutaneous device closure (ASD-D). We measured LA peak systolic, early diastolic, and late diastolic strain values using 2-dimensional (2D) speckle tracking echocardiography (STE) and calculated reservoir, conduit, and contraction strain. RESULTS: The reservoir strain value of the ASD-D groups was 25.2% ± 7.4%, which was lower compared to the control group (33.6% ± 5.5%) (p = 0.004). The LA conduit strain and the LA contraction values of the ASD-D group were also lower compared to the control group (−13.8% ± 5.8% vs. −20.4% ± 4.7%, p = 0.034; −11.3% ± 4.2% vs. −13.2% ± 2.5%, p = 0.037, respectively). The reservoir, conduit, and contraction strains of the ASD-S group were 27.8% ± 8.8%, −15.3% ± 6.4%, and −12.5% ± 5.8%, respectively, and were not different from those of the control group or the ASD-D group. CONCLUSIONS: The 2D STE is a suitable method for evaluating LA function after ASD closure. Our results demonstrate that 1 year after device closure, the LA reservoir, conduit and contraction function were reduced in ASD-D group compared to healthy controls, while there was no difference between the ASD-S and ASD-D groups.

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“…Ultrasonography is the most used method for evaluating cardiac function and two-dimensional speckle tracking imaging (2D-STI) has been widely used in the evaluation of cardiovascular disease. As a relatively new method to evaluate cardiac function, 2D-STI not only eliminates the dependence of tissue Doppler on the angle of the sound beam but is also not interfered with by the traction of the surrounding myocardium and heart movement (8,9). However, the spatial conformation of the atria and ventricles are not a regular geometric shape (10) and the results of two-dimensional Doppler ultrasound measurement are prone to errors (11).…”

Section: Introductionmentioning

confidence: 99%

Left heart function evaluation of patients with essential hypertension and paroxysmal atrial fibrillation by two-dimensional speckle tracking imaging combined with real-time three-dimensional ultrasound imaging

et al. 2021

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Background: This study aims to assess the value of two-dimensional speckle tracking imaging (2D-STI) combined with real-time 3-dimensional echocardiography (RT-3DE) in evaluating left heart function in patients with combined ETH and PAF. Methods: A prospective study was designed, and the research period was from January 2017 to January 2020. A PAF observation group comprised of patients with ETH and PAF, a PAF control group of patients with ETH but without PAF, and a healthy volunteer group referred to as the healthy group, each comprised of 50 patients was established. All patients underwent routine ultrasound imaging examination using 2D-STI and RT-3DE. The interventricular septum thickness (IVST), left and right atrioventricular diameter (LAD), left ventricular posterior wall thickness (PWT), left ventricular ejection fraction (LVEF), the mean left atrium peak strain (mSs, mSe, mSa), strain rate (mSRs, mSRe, mSRa), the left ventricular mass (LVM), left ventricular mass index (LVMI), and left atrial total emptying volume (LATEV), the left atrial volume index (LAVI), left atrial total emptying fraction (LATEF), left atrium expansion index (LAEI), left atrium passive ejection fraction (LAPEF), and left atrial active ejection fraction (LAAEF) were calculated. Patients in the PAF observation group received telmisartan combined with rosuvastatin after diagnosis and 12-and 24-month-follow up visits were conducted. During these visits, 2D-STI combined with RT-3DE was used to evaluate cardiac function and each patient's blood pressure was monitored. Results: Patients in the PAF observation group had a significantly longer course of ETH than patients in the PAF control group (13.5±4.4 vs. 10.32±5.6, P=0.002). The comparison of routine 2D-STI and RT-3DE ultrasound indexes among the three groups also showed significant differences (P<0.01). During the 2-year follow-up period, the IVST, LAD, PWT, and LVEF of remaining patients significantly improved as treatment progressed (P<0.05). The LAVI, LATEF, and LAEI also improved significantly as the treatment progressed (P<0.05). After 12 months of treatment, the recurrence rate of atrial fibrillation was 16.33% (8/45) and after 24 months this was 34.21% (13/38).Conclusions: Cardiac function could be evaluated comprehensively by 2D-STI combined with RT-3DE in patients with ETH combined with PAF at initial diagnosis and follow-up. Ethical approvalAll procedures performed in this study involving human participants were in accordance with the Declaration of Helsinki (as revised in 2013). The study was approved by the Clinical Ethics Committee of The Central Hospital of

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Influence of Percutaneous Occlusion of Atrial Septal Defect on Left Atrial Function Evaluated Using 2D Speckle Tracking Echocardiography

Cited by 11 publications

References 33 publications

Left Atrial Shape and Function After Endovascular Device and Surgical Closure of Asds in Children

Left Atrial Shape and Function After Endovascular Device and Surgical Closure of Asds in Children

Long-Term Left Atrial Function after Device Closure and Surgical Closure in Adult Patients with Atrial Septal Defect

Left heart function evaluation of patients with essential hypertension and paroxysmal atrial fibrillation by two-dimensional speckle tracking imaging combined with real-time three-dimensional ultrasound imaging

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