Document Detail


Transesophageal echocardiography and intracardiac echocardiography differently predict potential technical challenges or failures of interatrial shunts catheter-based closure.
MedLine Citation:
PMID:  17300409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We sought to prospectively assess the role of transesophageal (TEE) and intracardiac echocardiography (ICE) in detecting potential technical difficulties or failures in patients submitted to interatrial shunts percutaneous closure. We prospectively enrolled 46 consecutive patients (mean age 35+/-28, 8 years, 30 female) referred to our center for catheter-based closure of interatrial shunts. All patients were screened with TEE before the intervention. Patients who met the inclusion criteria underwent ICE study before the closure attempt (40 patients). TEE detected potential technical difficulties in 22.5% (9/40) patients, whereas ICE detected technical difficulties in 32.5% (13/40 patients). In patients with positive TEE/ICE the procedural success (92.4% versus 100% and, P = ns) and follow-up failure rate (7.7% versus 0%, P = ns) were similar to patients with negative TEE/ICE, whereas the fluoroscopy time (7 +/- 1.2 versus 5 +/- 0.7 minutes, P < 0.03), the procedural time (41 +/- 4.1 versus 30 +/- 8.2 minutes, P +/- 0.03), and technical difficulties rate (23.1% versus 0%, P = 0.013) were higher. Differences between ICE and TEE in the evaluation of rims, measurement of ASD or fossa ovalis, and detection of venous valve and embryonic septal membrane remnants impacted on technical challenges and on procedural and fluoroscopy times but did not influence the success rate and follow-up failure rate.
Authors:
Gianluca Rigatelli; Gianluca Rigateli; Paolo Cardaioli; Gabriele Braggion; Silvio Aggio; Massimo Giordan; Beatrice Magro; Alberto Nascimben; Alberto Favaro; Loris Roncon; Loris Rincon
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  20     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-02-15     Completed Date:  2007-03-22     Revised Date:  2007-07-19    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-81     Citation Subset:  IM    
Affiliation:
Rovigo General Hospital, Interventional Cardiology Unit, 18 Legnago, Verona, Italy. jackyheart@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Echocardiography, Doppler, Color*
Echocardiography, Transesophageal*
Female
Heart Catheterization*
Heart Septal Defects, Atrial / pathology,  therapy*,  ultrasonography*
Humans
Male
Predictive Value of Tests
Prospective Studies
Severity of Illness Index
Treatment Failure
Treatment Outcome
Comments/Corrections
Erratum In:
J Interv Cardiol. 2007 Jun;20(3):241
Note: Rigateli, Gianluca [corrected to Rigatelli, Gianluca]; Rincon, Loris [corrected to Roncon, Loris]

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