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Comparison of Long-Term Clinical Outcomes and Costs Between Transesophageal Echocardiography-Guided and X-ray-Guided Percutaneous Atrial Septal Defect Closure in Children.
- Source :
-
Pediatric Cardiology . Jun2024, p1-8. - Publication Year :
- 2024
-
Abstract
- This study aimed to compare the long-term clinical outcomes and costs between using either transesophageal echocardiography (TEE) or X-ray fluoroscopy for Percutaneous atrial septal defect (ASD) closure in children. An analysis was conducted on clinical data from children undergoing TEE-guided (<italic>n</italic> = 168) and X-ray-guided (<italic>n</italic> = 139) percutaneous ASD closure. Demographic characteristics, technical indices, acute complications, follow-up outcomes, and costs were compared between the groups. The results are that TEE-guided closure demonstrated shorter surgical times (20.3 ± 7.6 min vs. 32.8 ± 7.9 min, <italic>P</italic> < 0.001) and lower procedural costs ($3093.3 ± 451.5 vs. $3589.1 ± 219.4, <italic>P</italic> < 0.001) compared to X-ray guidance. Initial successful closure rates were similar between the groups (TEE: 98.2%, XR: 97.1%, <italic>P</italic> = 0.691). TEE guidance also resulted in fewer acute complications and reduced radiation exposure. TEE-guided percutaneous ASD closure offers advantages in terms of shorter surgical times, lower procedural costs, and reduced radiation exposure compared to X-ray guidance. These findings support the preference for TEE guidance in pediatric ASD closure procedures, with potential implications for improving patient outcomes and reducing healthcare costs. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 01720643
- Database :
- Academic Search Index
- Journal :
- Pediatric Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 177893850
- Full Text :
- https://doi.org/10.1007/s00246-024-03539-0