scholarly journals The role of three-dimensional transesophageal echocardiography in percutaneous closure of atrial septal defects associated with aneurysm of the atrial septum

2017 ◽  
Vol 36 (3) ◽  
pp. 225-226
Author(s):  
Cátia Costa ◽  
Rui Anjos ◽  
Duarte Martins ◽  
Manuel Canada
1999 ◽  
Vol 72 (1) ◽  
Author(s):  
Simone R. F. Fontes Pedra ◽  
Carlos Augusto Cardoso Pedra ◽  
Jorge Eduardo Assef ◽  
Renata de Sá Cassar ◽  
César Augusto Esteves ◽  
...  

2013 ◽  
Vol 30 (3) ◽  
pp. 345-353 ◽  
Author(s):  
Maneesha Bhaya ◽  
Ferit Onur Mutluer ◽  
Edward Mahan ◽  
Luke Mahan ◽  
Ming C. Hsiung ◽  
...  

2008 ◽  
Vol 6 (1) ◽  
Author(s):  
Francisco-Javier Roldán ◽  
Jesús Vargas-Barrón ◽  
Clara Vázquez-Antona ◽  
Luis Muñoz Castellanos ◽  
Julio Erdmenger-Orellana ◽  
...  

2015 ◽  
Vol 18 (1) ◽  
pp. 58 ◽  
Author(s):  
D. G. Tarasov ◽  
I. V. Tkachev ◽  
S. S. Kadrabulatova

An atrial septal defect is the most common congenital heart disease. Transcatheter defect closure has become widespread in recent times and the requirements for this procedure are rather strict. Two-dimensional echocardiography is limited in evaluating atrial septal defects because it provides planar images only. In order to preoperatively assess atrial septal defects, we applied three-dimensional transesophageal echocardiography and then compared the results with those of surgical operations. The maximum diameter, shape, area and localization of the atrial septal defect in 26 patients were estimated with three-dimensional echocardiography. It was found out that positive correlation existed between three-dimensional echocardiography findings and those measured during surgery. Three-dimensional echocardiography provides invaluable assistance in preoperative evaluation of atrial septal defects and in selection of treatment.


2003 ◽  
Vol 13 (3) ◽  
pp. 290-298 ◽  
Author(s):  
Leo Lopez ◽  
Roque Ventura ◽  
Elizabeth M. Welch ◽  
David G. Nykanen ◽  
Evan M. Zahn

The Helex Septal Occluder is a new device used to close atrial septal defects via interventional catheterization. In order to study the role of echocardiography during its use, and to describe the morphologic variants of defects suitable for closure with this occluder, we evaluated all patients undergoing intended closure of an atrial septal defect with the Helex occluder. A combination of transthoracic, transesophageal, three-dimensional, and intracardiac echocardiography were used before, during, and after the procedure to characterize anatomy, assess candidacy for closure, guide the device during its deployment, and evaluate results. Among the 60 candidates included in the study, 11 were excluded because of transesophageal echocardiographic and/or catheterization data obtained in the laboratory. Attempts at closure were successful in 46 patients, and unsuccessful in 3. We successfully treated four types of defects. These were defects positioned centrally within the oval fossa with appreciable rims along the entire circumference of the defect, defects with deficient or absent segments of the rim, defects with aneurysm of the primary atrial septum, and defects with multiple fenestrations. Follow-up transthoracic echocardiograms taken at a median of 7 months demonstrated no residual defects in 21, trivial residual defects in 17, and small residual defects in 8 patients. In 20 patients, three-dimensional reconstructions were used to characterize the morphology of the defect and the position of the device. Because transesophageal echocardiography was often limited by acoustic interference from the device, intracardiac echocardiography was utilized in 3 cases to overcome this limitation.


2000 ◽  
Vol 10 (5) ◽  
pp. 474-483 ◽  
Author(s):  
Nynke J. Elzenga

AbstractClosure of so-called “secundum” atrial septal defects with a device inserted on a catheter necessitates precise delineation of their morphology. Echocardiography is the diagnostic method of choice to demonstrate this morphology, and to differentiate such defects located within the oval fossa from the other variants producing an interatrial communication. Precordial echocardiography usually allows selection of cases likely to be suitable for closure in this fashion. This selection is based on the localisation and the size of the deficiency in the oval fossa, the length of the interatrial septum, and the adequacy of the infolded rims surrounding the defect. Suitability for closure is reevaluated by transesophageal echocardiography, either asa separate investigation or at the start of the interventional theterisation. This investigation requires a multiplane transesophageal echocardiographic probe, since only oblique planes will demonstrate the entrance of the systemic and pulmonary veins and their relationship to the defect. Transesophageal echocardiography serves as an important monitoring tool during the interventional procedure. As such, it is a necessary adjunct to fluoroscopy. The stretched diameter of the defect measured with a balloon is the main eterminant of the choice of the type and size of the device. This diameter can be measured fluoroscopically, as well as on echo. Colorflow mapping serves to rule out residual shunting during the occlusion of the defect with the balloon. During deployment of the device, constant echocardiographic visualisation of the device and its position relative to the atrial septum facilitates proper placement. Such constant visualisation can only be provided by repeated quick acquisitions of multiple planes. Once the device is released, the investigator should continue to record the position of the device, and assess the potential for residual shunting.Most of the devices show some subtle change in position during the first 20 minutes after implantation.


2012 ◽  
Vol 114 (4) ◽  
pp. 738-741
Author(s):  
Masataka Kuroda ◽  
Tadanao Hiroki ◽  
Takashi Suto ◽  
Sohtaro Miyoshi ◽  
Yuji Kadoi ◽  
...  

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