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Eight-French intracardiac echocardiography – safe and effective guidance for transcatheter closure in atrial septal defects –.

Authors
 Nam Kyun Kim  ;  Su-Jin Park  ;  Jae Il Shin  ;  Jae Young Choi 
Citation
 CIRCULATION JOURNAL, Vol.76(9) : 2119-2123, 2012 
Journal Title
CIRCULATION JOURNAL
ISSN
 1346-9843 
Issue Date
2012
MeSH
Adolescent ; Adult ; Aged ; Cardiac Catheterization/methods* ; Child ; Child, Preschool ; Echocardiography/methods* ; Female ; Heart Septal Defects, Atrial/diagnostic imaging* ; Heart Septal Defects, Atrial/therapy* ; Humans ; Infant ; Male ; Middle Aged ; Retrospective Studies
Keywords
Atrial septal defect ; Heart ; Intracardiac echocardiography ; Transcatheter closure
Abstract
BACKGROUND: Intracardiac echocardiography (ICE) was introduced as a new guidance system for transcatheter closure of secundum atrial septal defect (ASD) with Amplatzer septal occluder (ASO). The aim of this study was to investigate the clinical outcome of ICE-guided transcatheter closure of ASD compared with the trans-esophageal echocardiography (TEE)-guided method.

METHODS AND RESULTS: From May 2003 to April 2010, 560 patients who underwent transcatheter closure of ASD using ASO in a single institute were analyzed retrospectively. In the TEE-guided group (n=237), all the patients underwent general anesthesia. The median age was 24.2 years (range, 14 months-63 years) and the average weight was 42.3 ± 21.6 kg (range, 8.2-82 kg). One patient underwent surgery due to migration of device. The remaining 236 patients underwent the procedure successfully without significant complication. In the ICE-guided group (n=323), the median age was 30.5 years (range, 7 months-75 years). One patient underwent surgery because of mitral valve encroachment by left atrial disk after device placement. Another patient also underwent surgery due to device embolization. The remaining 321 procedures were performed successfully without major complications. Procedure time was 104.2 min and 87.7 min, respectively (P<0.001).

CONCLUSIONS: ICE-guided ASD occlusion with ASO is safe and effective and provides accurate anatomical information, sufficient to perform the procedure. In addition, there were benefits of avoidance of general anesthesia, and shorter procedure time.
Files in This Item:
T201203700.pdf Download
DOI
22975637
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyun(김남균) ORCID logo https://orcid.org/0000-0001-6923-230X
Park, Su Jin(박수진)
Shin, Jae Il(신재일) ORCID logo https://orcid.org/0000-0003-2326-1820
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89965
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