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Efficacy of 3D transoesophageal echocardiography for transcatheter device closure of atrial septal defect without balloon sizing
- Source :
- European Heart Journal - Cardiovascular Imaging. 19:684-689
- Publication Year :
- 2017
- Publisher :
- Oxford University Press (OUP), 2017.
-
Abstract
- Aims Using balloon sizing to determine device size may cause complications and increase procedure time in performing transcatheter closure of atrial septal defect (ASD). We aimed to validate the clinical utility of a formula using measurements from 3D transoesophageal echocardiography (TOE) images in performing the procedure without balloon sizing. Methods and results We enrolled 248 consecutive patients with ASD in a prospective registry. In the first tier (n = 53), we determined the device size before the procedure using our formula and performed balloon sizing during the procedure to verify our decision. In the second tier (n = 195), the procedure was performed without balloon sizing. In the first tier, the estimated device size correlated well with the device size finally implanted (R = 0.961, P
- Subjects :
- Adult
Male
Cardiac Catheterization
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Echocardiography, Three-Dimensional
030204 cardiovascular system & hematology
Balloon
Transoesophageal echocardiography
Risk Assessment
Heart Septal Defects, Atrial
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine.artery
medicine
Humans
Radiology, Nuclear Medicine and imaging
Prospective Studies
Registries
030212 general & internal medicine
Embolization
Procedure time
Aorta
business.industry
Balloon sizing
General Medicine
Balloon Occlusion
Middle Aged
Atrial wall
Surgery
Treatment Outcome
Linear Models
Cardiology
Female
Patient Safety
Cardiology and Cardiovascular Medicine
business
Echocardiography, Transesophageal
Follow-Up Studies
Subjects
Details
- ISSN :
- 20472412 and 20472404
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- European Heart Journal - Cardiovascular Imaging
- Accession number :
- edsair.doi.dedup.....bb7d2df431a57d91e58bd770f423c2d9