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Cardiology in the Young Cardiology in the Young

Article contents

Transcatheter closure of atrial septal defects with transthoracic echocardiography

Published online by Cambridge University Press:  22 December 2010

Murat Şahin ,
Süheyla Özkutlu ,
Işıl Yıldırım ,
Tevfik Karagöz  and
Alpay Çeliker
Murat Şahin*
Affiliation:
Section of Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Sıhhiye, Ankara, Turkey
Süheyla Özkutlu
Affiliation:
Section of Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Sıhhiye, Ankara, Turkey
Işıl Yıldırım
Affiliation:
Section of Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Sıhhiye, Ankara, Turkey
Tevfik Karagöz
Affiliation:
Section of Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Sıhhiye, Ankara, Turkey
Alpay Çeliker
Affiliation:
Department of Pediatrics, Acıbadem Maslak Hospital, İstanbul, Turkey
*
Correspondence to: M. Şahin, MD, Section of Pediatric Cardiology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Sıhhıye, Ankara 06100, Turkey. Tel: +90 312 305 1157; Fax: +90 312 309 0220; E-mail: msahinn2001@gmail.com
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Abstract

Objectives

The aim of this study is to evaluate our clinical experience using an Amplatzer septal occluder for catheter closure of a secundum atrial septal defect under transthoracic echocardiography guidance without general anaesthesia.

Methods

Patients eligible for transcatheter atrial septal defect closure were selected using transthoracic echocardiography. The largest defect diameter measured in different views was selected as the reference diameter. All procedures were performed under conscious sedation with fluoroscopic and transthoracic echocardiographic guidance.

Results

Between November, 2006 and December, 2009 a secundum-type atrial septal defect was closed with the Amplatzer septal occluder in 40 patients with transthoracic echocardiographic guidance. The mean age and weight were 7.9 years and 26.9 kilograms, respectively. The mean atrial septal defect diameter was 11.4 millimetres, total septal diameter was 38.5 millimetres, and the mean device diameter and the difference between device and atrial septal defect diameter were 12.6 and 1.2 millimetres, respectively. There were no major complications. The mean follow-up time was 14.8 months.

Conclusion

In selected cases, in which the defects are small and the rims are adequate and transthoracic echocardiography provides high image quality, transthoracic echocardiography can be substituted with transoesophageal echocardiography. The ratio of defect size to total septal diameter can be used as a guide for patient selection; those that have a value of 0.33 or greater can be considered eligible for closure with transthoracic echocardiography. However, transthoracic echocardiography should not be used when there are large or multiple defects, or the rims are thin and soft and the image resolution is inadequate.

Keywords

InterventionsAmplatzer septal occludercatheter treatmentchildren
Type
Original Articles
Information
Cardiology in the Young , Volume 21 , Issue 2 , April 2011 , pp. 204 - 208
Copyright
Copyright © Cambridge University Press 2010

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References

1. Carlson, KM, Justino, H, O'Brien, RE, et al. Transcatheter atrial septal defect closure: modified balloon sizing technique to avoid overstretching the defect and oversizing the Amplatzer septal occluder. Catheter Cardiovasc Interv 2005; 66: 390–396.CrossRefGoogle ScholarPubMed
2. Podnar, T, Martanovic, P, Gavora, P, Masura, J. Morphological variations of secundum-type atrial septal defects: feasibility for percutaneous closure using Amplatzer septal occluders. Catheter Cardiovasc Interv 2001; 53: 386–391.CrossRefGoogle ScholarPubMed
3. Hellenbrand, WE, Fahey, JT, McGowan, FX, Weltin, GG, Kleinman, CS. Transesophageal echocardiographic guidance of transcatheter closure of atrial septal defect. Am J Cardiol 1990; 66: 207–213.CrossRefGoogle ScholarPubMed
4. Wilkinson, JL, Goh, TH. Early clinical experience with use of the ‘Amplatzer Septal Occluder’ device for atrial septal defect. Cardiol Young 1998; 8: 295–302.CrossRefGoogle ScholarPubMed
5. Berger, F, Ewert, P, Dahnert, I, et al. Interventional occlusion of atrial septum defects larger than 20 mm in diameter. Z Kardiol 2000; 89: 1119–1125.CrossRefGoogle ScholarPubMed
6. Ferreira Martins, JD, Anderson, RH. The anatomy of interatrial communications – what does the interventionist need to know? Cardiol Young 2000; 10: 464–473.CrossRefGoogle ScholarPubMed
7. Tseng, HC, Hsiao, PN, Lin, YH, Wang, JK, Tsai, SK. Transesophageal echocardiographic monitoring for transcatheter closure of atrial septal defect. J Formos Med Assoc 2000; 99: 684–688.Google ScholarPubMed
8. Celiker, A, Ozkutlu, S, Karagoz, T, Ayabakan, C, Bilgic, A. Transcatheter closure of interatrial communications with Amplatzer device: results, unfulfilled attempts and special considerations in children and adolescents. Anadolu Kardiyol Derg 2005; 5: 159–164.Google ScholarPubMed
9. Masura, J, Gavora, P, Formanek, A, Hijazi, ZM. Transcatheter closure of secundum atrial septal defects using the new self-centering amplatzer septal occluder: initial human experience. Cathet Cardiovasc Diagn 1997; 42: 388–393.3.0.CO;2-7>CrossRefGoogle ScholarPubMed
10. Thanopoulos, BD, Laskari, CV, Tsaousis, GS, Zarayelyan, A, Vekiou, A, Papadopoulos, GS. Closure of atrial septal defects with the Amplatzer occlusion device: preliminary results. J Am Coll Cardiol 1998; 31: 1110–1116.CrossRefGoogle ScholarPubMed
11. Waight, DJ, Cao, QL, Hijazi, ZM. Closure of patent foramen ovale in patients with orthodeoxia-platypnea using the amplatzer devices. Catheter Cardiovasc Interv 2000; 50: 195–198.3.0.CO;2-F>CrossRefGoogle ScholarPubMed
12. Hijazi, ZM, Cao, Q, Patel, HT, Rhodes, J, Hanlon, KM. Transesophageal echocardiographic results of catheter closure of atrial septal defect in children and adults using the Amplatzer device. Am J Cardiol 2000; 85: 1387–1390.CrossRefGoogle Scholar
13. Hijazi, Z, Wang, Z, Cao, Q, Koenig, P, Waight, D, Lang, R. Transcatheter closure of atrial septal defects and patent foramen ovale under intracardiac echocardiographic guidance: feasibility and comparison with transesophageal echocardiography. Catheter Cardiovasc Interv 2001; 52: 194–199.3.0.CO;2-4>CrossRefGoogle ScholarPubMed
14. Fu, YC, Hijazi, JM. Closure of secundum atrial septal defect using the Amplatzer septal occluder. In: Sievert H, Qureshi SA, Wilson N, Hijazi ZM (eds). Percutaneous Interventions for Congenital Heart Disease, 1st edn. Informa Healthcare, London, 2007; 265–275.CrossRefGoogle Scholar
15. ASD device closure. In: Bergersen L, Foerster S, Marshall AC, Meadows J (eds). Congenital Heart Disease The Catheterization Manual, 1st edn. Springer Science + Business Media, New York, 2009; 115–121.Google ScholarPubMed
16. Jan, SL, Hwang, B, Lee, PC, Fu, YC, Chiu, PS, Chi, CS. Intracardiac ultrasound assessment of atrial septal defect: comparison with transthoracic echocardiographic, angiocardiographic, and balloon-sizing measurements. Cardiovasc Intervent Radiol 2001; 24: 84–89.CrossRefGoogle ScholarPubMed
17. Li, GS, Kong, GM, Ji, QS, et al. Reliability of transthoracic echocardiography in estimating the size of Amplatzer septal occluder and guiding percutaneous closure of atrial septal defects. Chin Med J (Engl) 2008; 121: 973–976.Google Scholar
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