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경피적 심방중격결손 폐쇄술 시 경흉부 및 경식도 초음파 검사 상의 결손의 크기와 풍선 폐쇄 직경과의 관계

Other Titles
 Comparison of defect size measured by transthoracic and transesophageal echocardiography with balloon occlusive diameter measured during transcatheter closure of atrial septal defect 
Authors
 허경  ;  김정은  ;  설준희  ;  최재영  ;  유병원  ;  권해식  ;  김유리아 
Citation
 Korean Journal of Pediatrics, Vol.50(10) : 970-975, 2007 
Journal Title
Korean Journal of Pediatrics
ISSN
 1738-1061 
Issue Date
2007
Abstract
Purpose
Accurate measurement of defect size is important in transcatheter closure of atrial septal defect (ASD). We performed this study to analyze the difference between the measured ASD size and balloon occlusive diameter (BOD) by transthoracic (TTE) or transesophageal echocardiography (TEE).

Methods
We investigated 78 patients who underwent transcatheter closure of ASD. The defect size and the distance between the surrounding structures were measured by TTE and TEE. The BOD was measured by TEE during cardiac catheterization. Clinical characteristics and echocardiographic data were compared and analyzed.

Results
The difference between BOD and diameter by TTE was 4.8±3.6 mm on short axis view, 5.4±3.2 mm on long axis view. The difference between BOD and diameter by TEE was 3.6±2.2 mm on short axis view, 4.2±3.1 mm on long axis view. The difference between BOD and the diameter of defects on TTE, TEE had statistically significant positive correlations with the age of the patients, distance between the, defect and posterior atrial septal wall, the distance between the defect and the mitral valve leaflet, and the diameter of defects and the length of the atrial septum on TTE (P<0.05).

Conclusion
BOD of ASD can be estimated by the diameter on TTE and TEE. BOD is expected to measure larger, depending on the size of defects, the distance from surrounding structures and the location of defects on echocardiography. Our data offers important information on details of transcatheter ASD closure which can be helpful in predicting suitability and judging the procedural appropriateness during the procedure.
Files in This Item:
T200700825.pdf Download
DOI
10.3345/kjp.2007.50.10.970
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Hae Sik(권해식)
Yoo, Byung Won(류병원) ORCID logo https://orcid.org/0000-0001-6895-1484
Sul, Jun Hui(설준희)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/97031
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