Transesophageal Echocardiography

Stevenson, James G.

doi:10.1002/9781444306309.ch40

Cited by 2 publications

(3 citation statements)

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“…Secundum atrial septal defect (ASD) is a common congenital heart disease and accounts for about 6% -10% of all congenital cardiac defects. (1) Since 1976, when King and associates (2) attempted the first transcatheter closure of a secundum ASD in humans, device closure has evolved significantly. Since then, significant device development and modifications have been made.…”

Section: Introductionmentioning

confidence: 99%

“…(9) The multiple roles of intra procedural Transesophageal echocardiography(TEE) include confirmation of inter atrial septal anatomy, size of the defect by measuring the minimal and maximal diameter of the defect using atrial enddiastolic frames in different angles. (8,9) In the presence of a very floppy and mobile rim, measurement of defect diameter should be made between steadier and firm rims and the color flow jet width across the defect, (1,3,9) monitoring of the procedure, pre and post closure assessment of adjacent cardiac structures, including the mitral and aortic valves, systemic and pulmonary veins, and direct visualization of device position and stability. (7)(8)(9) In this study our experience with percutaneous closure of ASD by means of different devices, stressing the role of TEE measurement without the need of the balloon stretch diameter in device selection.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Selection of Device Size for Atrial Septal Defect Closure Using Transesophageal Echocardiography Without Balloon-Sizing : Experience at Queen Alia Heart Institute

Haddadin¹,

Al-Ga’afreh²

2013

JRMS

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Objective: To report our experience of percutaneous atrial septal defect closure using different devices, stressing the role of transesophageal echocardiography in defect sizing between December 2010 and December 2012. Methods: Retrospective study of 105 patients that had hemodynamically significant left to right shunt (≥1.5:1), atrial septal defect secundum underwent trans-catheter closure of the septal defect using different devices at Queen Alia Heart Institute between December 2010 and December 2012. All the closures were performed under general anesthesia in the catheterization laboratory. Detailed study of the defect with measurement of its dimensions, in at least two planes, was performed in a precise way through transesophageal echocardiography. We reviewed the medical records for the size of the defect measured by the transesophageal echocardiography without balloon sizing and the size of the device selected, looked for immediate complications and follow up transthoracic Echocardiography for residual shunts or any other reported complication at one, three, six months and one year follow up. Results: The patient population consisted of 54 (52%) females and 51 (48 %) males. The mean age was 16.5 years with a range between 6-63 years. The defect size was between five and 28 millimeters with a mean of 14 millimeters. The device size was between six and 30 millimeters with a mean of 17 millimeters. The upsizing of the device in relation to the defect size measured by transesophageal echocardiography was 3.5mm± 2.5mm. Among 105 cases in which Atrial Septal Defect device closure was attempted, two cases underwent surgical closure of the defect due to multiple failed attempts in device closure and the third patient developed device embolization despite demonstrating stability during the "pull back" technique. The device was retrieved successfully with surgical closure of the defect. Follow ups for the patients showed no residual flow at one month, six months and one year follow up. Conclusion: Secundum atrial septal defect device closure is safe and effective. With increasing experience, device selection for atrial septal defect closure can be accurately done by transesophageal echocardiography without the need for the balloon stretch diameter.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Selection of Device Size for Atrial Septal Defect Closure Using Transesophageal Echocardiography Without Balloon-Sizing : Experience at Queen Alia Heart Institute

Haddadin¹,

Al-Ga’afreh²

2013

JRMS

View full text Add to dashboard Cite

show abstract

“…Even though TEE images are usually of better quality than TTE images, the limited imaging windows and planes in TEE do restrict both imaging and alignment for Doppler velocity recording. Furthermore, the PV may be too close to the TEE probe for proper imaging or flow evaluation . TTE and TEE together will usually be sufficient to map the PV, and routine pulmonary angiography during ASD closure has now been abandoned in Department of Pediatric Medicine, Section for Pediatric Cardiology, Oslo University Hospital, Rikshospitalet, Norway.…”

Section: Discussionmentioning

confidence: 99%