Percutaneous closure of a post-myocardial infarction ventricular septal defect guided by real-time three-dimensional echocardiography

Halpern, Dan; Perk, Gila; Ruiz, Carlos E.; Marino, Nino; Kronzon, Itzhak

doi:10.1093/ejechocard/jep021

Cited by 16 publications

(7 citation statements)

References 3 publications

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“…Experiences so far in about 130 reported cases yielded a device implantation success rate of 85%. The usefulness of RT3D TEE to provide detailed assessment of the defect orifice and to guide the closure procedure has been recently reported by Halpern et al [35]. In addition to accurate evaluation of a VSD's size and shape as the basis for the decision of what size of device to use, RT3DE provides accurate guidance for catheter manipulations in both acquired and congenital VSDs [36].…”

Section: Transcatheter Closure Of Vsdmentioning

confidence: 95%

Monitoring and guiding cardiac interventions and surgery

Kühl¹,

Franke²,

Buck³

2015

Three-Dimensional Echocardiography

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Section: Transcatheter Closure Of Vsdmentioning

confidence: 95%

Monitoring and guiding cardiac interventions and surgery

Kühl¹,

Franke²,

Buck³

2015

Three-Dimensional Echocardiography

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“…Limited experience exists on transcatheter closure of post-myocardial infarction ventricular septal rupture. 49,50 With primary coronary intervention, this complication is currently rather uncommon, and when it occurs, surgery is the preferred treatment. However, in high-risk patients such as elderly patients or with associated co-morbidities, transcatheter closure of ventricular septal rupture may be an alternative option.…”

Section: Transcatheter Closure Of Atrial Septal Defects and Patent Fomentioning

confidence: 99%

“…Limited registries and several case reports have demonstrated the feasibility of this intervention. 49,50 Ischaemic ventricular septal ruptures show usually a complex morphology with multiple orifices and tunnels. Real-time 3D echocardiography may be a valuable imaging technique to assist the procedure.…”

Section: Transcatheter Closure Of Atrial Septal Defects and Patent Fomentioning

confidence: 99%

“…As mentioned previously, realtime 3D echocardiography provides accurate information on the location and size and morphology of the septal defect ( Figure 11). 49 However, the still high 30-day mortality rate (28%) after the procedure warrants further studies before this technique is widely implemented in the clinical practice.…”

Section: Transcatheter Closure Of Atrial Septal Defects and Patent Fomentioning

confidence: 99%

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Optimal imaging for planning and guiding interventions in structural heart disease: a multi-modality imaging approach

Delgado

Kley

Schalij

et al. 2010

European Heart Journal Supplements

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Recent advances in catheter-based interventions have provided effective alternative treatments to surgery for several structural heart diseases such as atrial or ventricular septal defects. Particularly, the advent of transcatheter valve implantation/repair techniques constitutes one of the main breakthroughs of the last decades offering an effective alternative to patients with symptomatic valvular heart disease and high mortality operative risk. In addition, the role of novel catheter-based interventions has been explored in several clinical conditions that convey an increased risk of cerebrovascular stroke such as patent foramen ovale or atrial fibrillation. Specific devices have been developed to treat all these clinical conditions. To improve the procedural success rate and minimize the frequency of complications, multimodality cardiac imaging plays a central role providing an accurate selection of patients and invaluable assistance during the procedure. Technological advances in the equipments and image post-processing softwares have provided improved accuracy of the image quality and analysis leading to an increasing implementation of these imaging techniques in the clinical practice. The present state-of-the-art article reviews the role of multimodality imaging for planning and guiding interventions in structural heart disease.

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“…Recently, percutaneous, catheter-based closure of VSD has become a nonsurgical option in selected patients [21]. After arterial puncture, a catheter is delivered retrogradely through the aortic valve and into the left ventricle close to the VSD.…”

Section: Percutaneous Closure Of Ventricular Septal Defectmentioning

confidence: 99%

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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Percutaneous closure of a post-myocardial infarction ventricular septal defect guided by real-time three-dimensional echocardiography

Cited by 16 publications

References 3 publications

Monitoring and guiding cardiac interventions and surgery

Monitoring and guiding cardiac interventions and surgery

Optimal imaging for planning and guiding interventions in structural heart disease: a multi-modality imaging approach

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

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