Intracardiac Echocardiography Guidance for Percutaneous Transcatheter Closure of Atrial Septal Defectsã- Nationwide Registry Data Analysis.
Circ J
; 87(4): 517-524, 2023 03 24.
Article
en En
| MEDLINE
| ID: mdl-36624061
ABSTRACT
BACKGROUND:
Transesophageal echocardiography (TEE) has been used for percutaneous atrial septal defect (ASD) closure, with intracardiac echocardiography (ICE) guidance recently being introduced.MethodsâandâResults:
The Japanese Structural Heart Disease Registry was established by the Japanese Association of Cardiovascular Intervention and Therapeutics. This study analyzed data from the Registry for 2,859 consecutive cases undergoing percutaneous ASD closure between January 2015 and December 2020. ASD closure was performed under ICE guidance (n=519; 18.2%), TEE guidance (n=1,428; 49.9%), or TEE plus ICE guidance ("Both"; n=900 cases; 31.5%). The success rates were similar in the TEE, ICE, and both groups (99.0%, 99.2%, vs. 98.0%, respectively; P=0.054), as were complication rates (1.2%, 0.5%, vs. 2.1%, respectively; P=0.24). In the TEE and Both groups, 92.4% and 79.6% of patients required general anesthesia, compared with only 2.9% of patients in the ICE group (P<0.001). Fluoroscopic time was longer in the ICE and Both groups than in the TEE group (median [interquartile range] 19 [14-28] and 21 [13-30] vs. 12 [8-19] min, respectively; P<0.001). Rim deficiency and larger defect diameter were inversely related, whereas hospital volume was positively related to ICE guidance.CONCLUSIONS:
Percutaneous transcatheter ASD closure was as feasible under ICE as under TEE guidance. ICE guidance is used for less challenging cases in high-volume centers in Japan.Palabras clave
Texto completo:
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Banco de datos:
MEDLINE
Asunto principal:
Cateterismo Cardíaco
/
Defectos del Tabique Interatrial
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Año:
2023
Tipo del documento:
Article