Introduction: Transthoracic echocardiography (TTE) is used for the pre-interventional assessment of atrial septal defects (ASDs). However, the efficacy of TTE for guiding transcatheter closure of ASD still has not been widely assessed. The aim of this study was to evaluate the efficacy, and reliability of TTE in pre selecting ASDs for transcatheter closure using the Occlutech Figulla ASD occluder. Patients & methods: This was a prospective study carried out between April 1, 2019 and February 1, 2020. Forty-nine patients were referred for transcatheter closure of their ASDs at mean age of 22±18 years and mean weight of 36±17 kg. TTE was used to measure the largest ASD diameter in different views. The device diameter used for closure was chosen based on the largest diameter obtained by TTE plus 3-5 mm if ASD < 20 mm, and 5-6 mm if ASD > 20 mm. Results: The patients divided into two groups according to the size of ASD, group A when the size of the defect was < 20 mm, and group B when the size of the defect was > 20 mm. The average size of the defects for group A 16±4 mm, and 28±6mm for group B. the average size of the devices used was 19±5mm, and 33±7 mm for group A and B respectively. Transcatheter closure of ASD was successful in 41 patients (83.6%), and failed in 8 patients (16.4%). In 7 out of the 8 failed cases, the closure was achieved successfully using transesophageal echocardiography (TEE) guidance and one patient, was referred for surgical closure due to an acute complication due to large pericardial effusion and tamponade that resulted from injury to the left atrial appendage. The successful rate for selection of the appropriate ASD device was 83.6%. Conclusion: this study demonstrated that TTE is satisfactory & reliable in selecting the appropriate ASD device size & in guiding transcatheter closure of ASD.
| Published in | Pathology and Laboratory Medicine (Volume 5, Issue 2) |
| DOI | 10.11648/j.plm.20210502.14 |
| Page(s) | 38-42 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Atrial Septal Defect, Transthoracic Echocardiography, Transesophageal Echocardiography, Transcatheter Closure of ASD
| [1] | King TD, Thompson SL, Steiner C, et al. atrial septal defect: Nonoperative closure during cardiac catheterization. JAMA 1976; 235: 2506-2509. |
| [2] | Feltes TF, Bacha E, Beekman III RH, Cheatham JP, Feinstein JA, Gomes AS, Hijazi ZM, Ing FF, De Moor M, Morrow WR, Mullins CE. Indications for cardiac catheterization and intervention in pediatric cardiac disease: a scientific statement from the American Heart Association. Circulation. 2011 Jun 7; 123 (22): 2607-52. |
| [3] | DU ZD, Hijazi ZM, Kleinman CS, Silverman NH, Larntz K. |
| [4] | Hijazi ZM, Feldman T, Al-Qbandi MH, Sievert H, editors. Transcatheter Closure of ASDs and PFOs: A Comprehensive Assessment. Cardiotext Publishing; 2010. |
| [5] | Hijazi ZM, Cao Q, Patel HT, Roodes J, Halon KM. Transesophageal echo cardiographic results of catheter closure of atrial septal defects in children and adults using the Amplatzer device. Am J Cordiol 2000; 85: 1387-1390. |
| [6] | Mazic U, Gavorap, Masura J. The role of Transesophageal echocardiographic results of catheter closure of atrial septal defects by Amplatzer septal occluder. Am Heart J2001; 142: 482-488. |
| [7] | Barker PCA. Intracardiac echocardiography in congenital heart diease. J Cardiovasc Trans Res. 2009; 2: 19-23. |
| [8] | Li GS, Kong GM, Wang YL, Jin YP, Ji QS, Lijf, You BA, Zhang Y. Safety and efficacy of transcatheter closure of atrial septal defects guided by transcatheter echocardiography: a prospective study from two chinese medical centers. Ultrasound Med Biol 2009; 35: 58-64. |
| [9] | Kardon RE, Sokoloski MC, Levi DS, et al. Transthoracic echocardiographic guidance of transcatheter atrial septal defect closure. Am J Cardiol 2004; 94: 256-260. |
| [10] | Hijazi ZM. Catheter closure of atrial and ventricular septal defect using the Amplatzer device. Heart lung circ. 2003; 12 (suppl 2): 563-72. |
| [11] | Wahab HA, Bairam AR, Cao Q-L, Hijazi ZM. Noval technique to prevent prolapsed of the Amplatzer septal occluder through large atrial septal defect. Cathet Cardiovasc Intervent. 2003; 60: 543-545. |
| [12] | Awod SM, Cao QL, Hijazi ZM. Intracardiac echocardiography for the guidance of percutaneous procedures. Curr cardiol Rep 2009; 11: 210-215. |
| [13] | Lodato JA, Cao QL, Weinert L, Lopez J, Lang RM et al. Feasibility of real time three dimentional Transesophageal echocardiography for guidance of percutaneous atrial septal defect closure. EU J Echocardiograph 2009; 10: 543-548. |
| [14] | Hellenbrand WE, Fahey JT, McGowan FX, Weltin GG, Kleinman CS Transesophageal Echocardiography guidance of transcatheter closure of atrial septal defect. Am J Cardiol 1990; 66: 207-213. |
| [15] | Agricola E, Oppizzi M, Melisurgo G, Margonato A. Transesophageal echocardiography a complementary view of heart. Expert Rev Cardiovasc Ther 2004; 2: 61-75. |
| [16] | Wang G, Chen L, Wang Y, Wen C, Li T, Zhi G, etal. Transcatheter closure of secundum atrial septal defect using Amplatzer device. Chin Med J 2002; 113: 967-971. |
| [17] | Simkova I, Kozlovsky M, Riecansky I, Fridrich V, et al. Value of echocardiography in results evaluation of transcatheter atrial septal defect closure. Bratisl LekListy 2001; 102 (7): 318-321. |
| [18] | Abdullah Erden, Turkay saritas, Cenap Zeybek, Liker Kemal Yucel et al. Transthoracic echocardiographic guidance during transcatheter closure of atrial septal defects in children and adults Int J cardiovasc Imaging 2013; 29: 53-61. |
| [19] | DU ZD, Koeing P, Cao QL, Waight D, Heitschmdit M, Hijazi ZM. Comparisons of transcatheter closure of secundum atrial septal defects using the Amplatzer septal occlude associated with deficient versus sufficient rims Am J Cardiol. 2002; 90: 865-869. |
| [20] | Huang CF, Fang CY, Ko SF, et al. Transcatheter closure of atrial septal defects with superior-anterior rim deficiency using AMPLATZER septaloccluder. J Formos Med Assoc. 2007; 106: 986-991. |
APA Style
Sadiq Al-Hamash, Khalid Ahmed Khalid, Omar Zidane Khalaf. (2021). Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects. Pathology and Laboratory Medicine, 5(2), 38-42. https://doi.org/10.11648/j.plm.20210502.14
ACS Style
Sadiq Al-Hamash; Khalid Ahmed Khalid; Omar Zidane Khalaf. Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects. Pathol. Lab. Med. 2021, 5(2), 38-42. doi: 10.11648/j.plm.20210502.14
AMA Style
Sadiq Al-Hamash, Khalid Ahmed Khalid, Omar Zidane Khalaf. Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects. Pathol Lab Med. 2021;5(2):38-42. doi: 10.11648/j.plm.20210502.14
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.plm.20210502.14,
author = {Sadiq Al-Hamash and Khalid Ahmed Khalid and Omar Zidane Khalaf},
title = {Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects},
journal = {Pathology and Laboratory Medicine},
volume = {5},
number = {2},
pages = {38-42},
doi = {10.11648/j.plm.20210502.14},
url = {https://doi.org/10.11648/j.plm.20210502.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.plm.20210502.14},
abstract = {Introduction: Transthoracic echocardiography (TTE) is used for the pre-interventional assessment of atrial septal defects (ASDs). However, the efficacy of TTE for guiding transcatheter closure of ASD still has not been widely assessed. The aim of this study was to evaluate the efficacy, and reliability of TTE in pre selecting ASDs for transcatheter closure using the Occlutech Figulla ASD occluder. Patients & methods: This was a prospective study carried out between April 1, 2019 and February 1, 2020. Forty-nine patients were referred for transcatheter closure of their ASDs at mean age of 22±18 years and mean weight of 36±17 kg. TTE was used to measure the largest ASD diameter in different views. The device diameter used for closure was chosen based on the largest diameter obtained by TTE plus 3-5 mm if ASD 20 mm. Results: The patients divided into two groups according to the size of ASD, group A when the size of the defect was 20 mm. The average size of the defects for group A 16±4 mm, and 28±6mm for group B. the average size of the devices used was 19±5mm, and 33±7 mm for group A and B respectively. Transcatheter closure of ASD was successful in 41 patients (83.6%), and failed in 8 patients (16.4%). In 7 out of the 8 failed cases, the closure was achieved successfully using transesophageal echocardiography (TEE) guidance and one patient, was referred for surgical closure due to an acute complication due to large pericardial effusion and tamponade that resulted from injury to the left atrial appendage. The successful rate for selection of the appropriate ASD device was 83.6%. Conclusion: this study demonstrated that TTE is satisfactory & reliable in selecting the appropriate ASD device size & in guiding transcatheter closure of ASD.},
year = {2021}
}
TY - JOUR T1 - Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects AU - Sadiq Al-Hamash AU - Khalid Ahmed Khalid AU - Omar Zidane Khalaf Y1 - 2021/11/05 PY - 2021 N1 - https://doi.org/10.11648/j.plm.20210502.14 DO - 10.11648/j.plm.20210502.14 T2 - Pathology and Laboratory Medicine JF - Pathology and Laboratory Medicine JO - Pathology and Laboratory Medicine SP - 38 EP - 42 PB - Science Publishing Group SN - 2640-4478 UR - https://doi.org/10.11648/j.plm.20210502.14 AB - Introduction: Transthoracic echocardiography (TTE) is used for the pre-interventional assessment of atrial septal defects (ASDs). However, the efficacy of TTE for guiding transcatheter closure of ASD still has not been widely assessed. The aim of this study was to evaluate the efficacy, and reliability of TTE in pre selecting ASDs for transcatheter closure using the Occlutech Figulla ASD occluder. Patients & methods: This was a prospective study carried out between April 1, 2019 and February 1, 2020. Forty-nine patients were referred for transcatheter closure of their ASDs at mean age of 22±18 years and mean weight of 36±17 kg. TTE was used to measure the largest ASD diameter in different views. The device diameter used for closure was chosen based on the largest diameter obtained by TTE plus 3-5 mm if ASD 20 mm. Results: The patients divided into two groups according to the size of ASD, group A when the size of the defect was 20 mm. The average size of the defects for group A 16±4 mm, and 28±6mm for group B. the average size of the devices used was 19±5mm, and 33±7 mm for group A and B respectively. Transcatheter closure of ASD was successful in 41 patients (83.6%), and failed in 8 patients (16.4%). In 7 out of the 8 failed cases, the closure was achieved successfully using transesophageal echocardiography (TEE) guidance and one patient, was referred for surgical closure due to an acute complication due to large pericardial effusion and tamponade that resulted from injury to the left atrial appendage. The successful rate for selection of the appropriate ASD device was 83.6%. Conclusion: this study demonstrated that TTE is satisfactory & reliable in selecting the appropriate ASD device size & in guiding transcatheter closure of ASD. VL - 5 IS - 2 ER -
Information
Email: