Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia
Objective. To study the safety and efficacy of microtransesophageal echocardiography (micro-TEE) and TEE during percutaneous atrial septal defect (ASD) and patent foramen ovale (PFO) closure. Background. TEE has proven to be safe during ASD and PFO closure under general anaesthesia. Micro-TEE makes...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Journal of Interventional Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2020/1462140 |
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| author | Roel J. R. Snijder Laura E. Renes Martin J. Swaans Maarten Jan Suttorp Jurrien M. Ten Berg Martijn C. Post |
| author_facet | Roel J. R. Snijder Laura E. Renes Martin J. Swaans Maarten Jan Suttorp Jurrien M. Ten Berg Martijn C. Post |
| author_sort | Roel J. R. Snijder |
| collection | DOAJ |
| description | Objective. To study the safety and efficacy of microtransesophageal echocardiography (micro-TEE) and TEE during percutaneous atrial septal defect (ASD) and patent foramen ovale (PFO) closure. Background. TEE has proven to be safe during ASD and PFO closure under general anaesthesia. Micro-TEE makes it possible to perform these procedures under local anaesthesia. We are the first to describe the safety and efficacy of micro-TEE for percutaneous closure. Methods. All consecutive patients who underwent ASD and PFO closure between 2013 and 2018 were included. The periprocedural complications were registered. Residual shunts were diagnosed using transthoracic contrast echocardiography (TTCE). All data were compared between the use of TEE or micro-TEE within the ASD and PFO groups separately. Results. In total, 82 patients underwent ASD closure, 46 patients (49.1 ± 15.0 years) with TEE and 36 patients (47.8 ± 12.1 years) using micro-TEE guidance. Median device diameter was, respectively, 26 mm (range 10–40 mm) and 27 mm (range 10–35 mm). PFO closure was performed in 120 patients, 55 patients (48.6 ± 9.2 years, median device diameter 25 mm, range 23–35 mm) with TEE and 65 patients (mean age 51.0 ± 11.8 years, median device diameter 27 mm, range 23–35 mm) using micro-TEE. There were no major periprocedural complications, especially no device embolizations within all groups. Six months after closure, there was no significant difference in left-to-right shunt after ASD closure and no significant difference in right-to-left shunt after PFO closure using TEE or micro-TEE. Conclusion. Micro-TEE guidance without general anaesthesia during percutaneous ASD and PFO closure is as safe as TEE, without a significant difference in the residual shunt rate after closure. |
| format | Article |
| id | doaj-art-57a4f89fca5541de8166110ea1ee1872 |
| institution | Kabale University |
| issn | 0896-4327 1540-8183 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Interventional Cardiology |
| spelling | doaj-art-57a4f89fca5541de8166110ea1ee18722025-02-03T06:46:34ZengWileyJournal of Interventional Cardiology0896-43271540-81832020-01-01202010.1155/2020/14621401462140Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General AnaesthesiaRoel J. R. Snijder0Laura E. Renes1Martin J. Swaans2Maarten Jan Suttorp3Jurrien M. Ten Berg4Martijn C. Post5Department of Cardiology, St. Antonius Hospital, Nieuwegein, NetherlandsDepartment of Emergency Medicine, St. Antonius Hospital, Nieuwegein, NetherlandsDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, NetherlandsDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, NetherlandsDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, NetherlandsDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, NetherlandsObjective. To study the safety and efficacy of microtransesophageal echocardiography (micro-TEE) and TEE during percutaneous atrial septal defect (ASD) and patent foramen ovale (PFO) closure. Background. TEE has proven to be safe during ASD and PFO closure under general anaesthesia. Micro-TEE makes it possible to perform these procedures under local anaesthesia. We are the first to describe the safety and efficacy of micro-TEE for percutaneous closure. Methods. All consecutive patients who underwent ASD and PFO closure between 2013 and 2018 were included. The periprocedural complications were registered. Residual shunts were diagnosed using transthoracic contrast echocardiography (TTCE). All data were compared between the use of TEE or micro-TEE within the ASD and PFO groups separately. Results. In total, 82 patients underwent ASD closure, 46 patients (49.1 ± 15.0 years) with TEE and 36 patients (47.8 ± 12.1 years) using micro-TEE guidance. Median device diameter was, respectively, 26 mm (range 10–40 mm) and 27 mm (range 10–35 mm). PFO closure was performed in 120 patients, 55 patients (48.6 ± 9.2 years, median device diameter 25 mm, range 23–35 mm) with TEE and 65 patients (mean age 51.0 ± 11.8 years, median device diameter 27 mm, range 23–35 mm) using micro-TEE. There were no major periprocedural complications, especially no device embolizations within all groups. Six months after closure, there was no significant difference in left-to-right shunt after ASD closure and no significant difference in right-to-left shunt after PFO closure using TEE or micro-TEE. Conclusion. Micro-TEE guidance without general anaesthesia during percutaneous ASD and PFO closure is as safe as TEE, without a significant difference in the residual shunt rate after closure.http://dx.doi.org/10.1155/2020/1462140 |
| spellingShingle | Roel J. R. Snijder Laura E. Renes Martin J. Swaans Maarten Jan Suttorp Jurrien M. Ten Berg Martijn C. Post Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia Journal of Interventional Cardiology |
| title | Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia |
| title_full | Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia |
| title_fullStr | Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia |
| title_full_unstemmed | Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia |
| title_short | Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia |
| title_sort | microtransesophageal echocardiographic guidance during percutaneous interatrial septal closure without general anaesthesia |
| url | http://dx.doi.org/10.1155/2020/1462140 |
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