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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| Veröffentlicht in: | Journal of interventional cardiology 2020, Vol.2020 (2020), p.1-7, Article 1462140 |
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| creator | Ten Berg, Jurrien M. Suttorp, Maarten Jan Swaans, Martin J. Renes, Laura E. Snijder, Roel J. R. Post, Martijn C. |
| 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. |
| doi_str_mv | 10.1155/2020/1462140 |
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R. ; Post, Martijn C.</creator><contributor>Nakai, Toshiko ; Toshiko Nakai</contributor><creatorcontrib>Ten Berg, Jurrien M. ; Suttorp, Maarten Jan ; Swaans, Martin J. ; Renes, Laura E. ; Snijder, Roel J. R. ; Post, Martijn C. ; Nakai, Toshiko ; Toshiko Nakai</creatorcontrib><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.</description><identifier>ISSN: 0896-4327</identifier><identifier>EISSN: 1540-8183</identifier><identifier>DOI: 10.1155/2020/1462140</identifier><identifier>PMID: 32982607</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Age ; Anesthesia ; Aneurysms ; Cardiac & Cardiovascular Systems ; Cardiac arrhythmia ; Cardiac Catheterization - methods ; Cardiovascular disease ; Cardiovascular System & Cardiology ; Defects ; Echocardiography ; Echocardiography, Transesophageal - methods ; Female ; General anesthesia ; Heart Septal Defects, Atrial - surgery ; Humans ; Life Sciences & Biomedicine ; Local anesthesia ; Male ; Middle Aged ; Patients ; Prosthesis Implantation - instrumentation ; Prosthesis Implantation - methods ; Science & Technology ; Septal Occluder Device ; Shunts ; Stroke ; Surgery, Computer-Assisted - methods ; Treatment Outcome</subject><ispartof>Journal of interventional cardiology, 2020, Vol.2020 (2020), p.1-7, Article 1462140</ispartof><rights>Copyright © 2020 Roel J. R. Snijder et al.</rights><rights>Copyright © 2020 Roel J. R. Snijder et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Roel J. R. Snijder et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>4</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000574367000002</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c537t-44e79add4740987dd99297c8294c8509f1ab751abb47832c8434548948caf4f53</citedby><cites>FETCH-LOGICAL-c537t-44e79add4740987dd99297c8294c8509f1ab751abb47832c8434548948caf4f53</cites><orcidid>0000-0003-2246-0617</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492935/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492935/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,878,886,2103,2115,4025,27928,27929,27930,28253,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32982607$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Nakai, Toshiko</contributor><contributor>Toshiko Nakai</contributor><creatorcontrib>Ten Berg, Jurrien M.</creatorcontrib><creatorcontrib>Suttorp, Maarten Jan</creatorcontrib><creatorcontrib>Swaans, Martin J.</creatorcontrib><creatorcontrib>Renes, Laura E.</creatorcontrib><creatorcontrib>Snijder, Roel J. R.</creatorcontrib><creatorcontrib>Post, Martijn C.</creatorcontrib><title>Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia</title><title>Journal of interventional cardiology</title><addtitle>J INTERV CARDIOL</addtitle><addtitle>J Interv Cardiol</addtitle><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.</description><subject>Age</subject><subject>Anesthesia</subject><subject>Aneurysms</subject><subject>Cardiac & Cardiovascular Systems</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac Catheterization - methods</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular System & Cardiology</subject><subject>Defects</subject><subject>Echocardiography</subject><subject>Echocardiography, Transesophageal - methods</subject><subject>Female</subject><subject>General anesthesia</subject><subject>Heart Septal Defects, Atrial - surgery</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Local anesthesia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Prosthesis Implantation - instrumentation</subject><subject>Prosthesis Implantation - methods</subject><subject>Science & Technology</subject><subject>Septal Occluder Device</subject><subject>Shunts</subject><subject>Stroke</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Treatment Outcome</subject><issn>0896-4327</issn><issn>1540-8183</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNqNksGPEyEUxidG466rN89mEi8mWheYxwAXk02z1iZrNFHPE8q86dBMoQJjo3-9jK1d19NygAR-fHx87xXFc0reUsr5JSOMXFKoGQXyoDinHMhMUlk9LM6JVPUMKibOiicxbkgmOWePi7OKKclqIs6LXx-tCT4F7SJGv-v1GvVQXpveGx1a69dB73prysVoW-0Mlu0YrFuXnzGYMWmHfozl0iUMOgWbr37BXcrLfPBxDFjuber9mMoFuowM5ZXTGFOP0eqnxaNODxGfHdeL4tv766_zD7ObT4vl_OpmZngl0gwAhdJtCwKIkqJtlWJKGMkUGMmJ6qheCZ6nFQhZMSOhAg5SgTS6g45XF8XyoNt6vWl2wW51-Nl4bZs_Gz6sGx2SNQM2XGjopOqM5hxoi5LWNaUENUWkUrCs9e6gtRtXW2wNuhzdcEf07omzfbP2PxoB2XU1mXl1FAj--5ijaLY2GhyGQ5QNA6iVqgSDjL78D934Mbgc1UQBE4pwmak3ByqXMcaA3ckMJc3UIM3UIM2xQTL-4t8PnOC_HZGB1wdgjyvfRWMxV_2EEUK4gKoWZBpTHvL-9Nwmnax3cz-6dPtQb12r9_aevjEz2OlbOtdFgKh-AxAJ7vc</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Ten Berg, Jurrien M.</creator><creator>Suttorp, Maarten Jan</creator><creator>Swaans, Martin J.</creator><creator>Renes, Laura E.</creator><creator>Snijder, Roel J. R.</creator><creator>Post, Martijn C.</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>Wiley-Hindawi</general><general>Hindawi Limited</general><general>Hindawi-Wiley</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2246-0617</orcidid></search><sort><creationdate>2020</creationdate><title>Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia</title><author>Ten Berg, Jurrien M. ; Suttorp, Maarten Jan ; Swaans, Martin J. ; Renes, Laura E. ; Snijder, Roel J. R. ; Post, Martijn C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c537t-44e79add4740987dd99297c8294c8509f1ab751abb47832c8434548948caf4f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age</topic><topic>Anesthesia</topic><topic>Aneurysms</topic><topic>Cardiac & Cardiovascular Systems</topic><topic>Cardiac arrhythmia</topic><topic>Cardiac Catheterization - methods</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular System & Cardiology</topic><topic>Defects</topic><topic>Echocardiography</topic><topic>Echocardiography, Transesophageal - methods</topic><topic>Female</topic><topic>General anesthesia</topic><topic>Heart Septal Defects, Atrial - surgery</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Local anesthesia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Prosthesis Implantation - instrumentation</topic><topic>Prosthesis Implantation - methods</topic><topic>Science & Technology</topic><topic>Septal Occluder Device</topic><topic>Shunts</topic><topic>Stroke</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ten Berg, Jurrien M.</creatorcontrib><creatorcontrib>Suttorp, Maarten Jan</creatorcontrib><creatorcontrib>Swaans, Martin J.</creatorcontrib><creatorcontrib>Renes, Laura E.</creatorcontrib><creatorcontrib>Snijder, Roel J. 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R.</au><au>Post, Martijn C.</au><au>Nakai, Toshiko</au><au>Toshiko Nakai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia</atitle><jtitle>Journal of interventional cardiology</jtitle><stitle>J INTERV CARDIOL</stitle><addtitle>J Interv Cardiol</addtitle><date>2020</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><artnum>1462140</artnum><issn>0896-4327</issn><eissn>1540-8183</eissn><abstract>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.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>32982607</pmid><doi>10.1155/2020/1462140</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2246-0617</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Anesthesia Aneurysms Cardiac & Cardiovascular Systems Cardiac arrhythmia Cardiac Catheterization - methods Cardiovascular disease Cardiovascular System & Cardiology Defects Echocardiography Echocardiography, Transesophageal - methods Female General anesthesia Heart Septal Defects, Atrial - surgery Humans Life Sciences & Biomedicine Local anesthesia Male Middle Aged Patients Prosthesis Implantation - instrumentation Prosthesis Implantation - methods Science & Technology Septal Occluder Device Shunts Stroke Surgery, Computer-Assisted - methods Treatment Outcome |
| title | Microtransesophageal Echocardiographic Guidance during Percutaneous Interatrial Septal Closure without General Anaesthesia |
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