Intracardiac echocardiography for percutaneous closure of atrial septal defects: initial experiences in Japan
Transcatheter closure of secundum atrial septal defect (ASD) has been widely performed as a less invasive alternative to surgery with zero mortality so far in Japan. In the US and Europe, intracardiac echocardiography (ICE) has replaced transesophageal echocardiography (TEE) as a primary imaging too...
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| Veröffentlicht in: | Cardiovascular intervention and therapeutics 2013-10, Vol.28 (4), p.368-373 |
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| creator | Shimizu, Sayaka Kawamura, Akio Arai, Takahide Ohno, Yohei Mogi, Satoshi Kodaira, Masaki Anzai, Atsushi Kawakami, Takashi Kanazawa, Hideaki Hayashida, Kentaro Yuasa, Shinsuke Maekawa, Yuichiro Fukuda, Keiichi |
| description | Transcatheter closure of secundum atrial septal defect (ASD) has been widely performed as a less invasive alternative to surgery with zero mortality so far in Japan. In the US and Europe, intracardiac echocardiography (ICE) has replaced transesophageal echocardiography (TEE) as a primary imaging tool during percutaneous ASD closure. However, the experience of ICE in ASD closure is limited in Japan. Consecutive 51 patients underwent percutaneous ASD closure with ICE guidance. Clinical results were compared to those of 41 patients who underwent ASD closure with TEE guidance. Pediatric patients and patients with multiple ASDs who were expected to need multiple devices were excluded. Success rate was similar in both groups (ICE 96.1 %, TEE 92.7 %). Catheterization laboratory time was significantly shortened with ICE than with TEE (131 vs. 155 min,
p
= 0.0003). There were no complications related to the use of ICE. ICE-guided ASD closure is feasible in most adult patients. ICE is superior to TEE in shortening catheterization laboratory time and eliminating general anesthesia, and can potentially replace TEE as the primary image guide during percutaneous ASD closure. |
| doi_str_mv | 10.1007/s12928-013-0187-7 |
| format | Article |
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p
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p
= 0.0003). There were no complications related to the use of ICE. ICE-guided ASD closure is feasible in most adult patients. ICE is superior to TEE in shortening catheterization laboratory time and eliminating general anesthesia, and can potentially replace TEE as the primary image guide during percutaneous ASD closure.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Catheterization - methods</subject><subject>Cardiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Echocardiography - methods</subject><subject>Echocardiography, Transesophageal - methods</subject><subject>Female</subject><subject>Heart Septal Defects, Atrial - diagnostic imaging</subject><subject>Heart Septal Defects, Atrial - surgery</subject><subject>Humans</subject><subject>Interventional Radiology</subject><subject>Japan</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1868-4300</issn><issn>1868-4297</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLxTAQhYMoKld_gBvJ0k01rzaJOxGfCG50HabpVCu9TU1a0H9vrlWXBoYZJuccmI-QI85OOWP6LHFhhSkYl7mMLvQW2eemMoUSVm__zpKxPXKY0hvLT1hrldwle0JqZqUo98n6bpgieIhNB56ifw3fc3iJML5-0jZEOmL08wQDhjlR34c0R6ShpTDFDnqacJxya7BFP6Vz2g3dtNnjRzZ2OHhMeUfvYYThgOy00Cc8_Okr8nx99XR5Wzw83txdXjwUXlV8KnzllTVSWKi85pVUWtU1LxtZgmyqsgVV1g3WNRgJHhmYsmUVF9pAzYWXRq7IyZI7xvA-Y5rcukse-365wnGlpGK2KjdSvkh9DClFbN0YuzXET8eZ24B2C2iXQbsNaKez5_gnfq7X2Pw5frFmgVgEKX8NLxjdW5jjkE_-J_UL67GKXA</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Shimizu, Sayaka</creator><creator>Kawamura, Akio</creator><creator>Arai, Takahide</creator><creator>Ohno, Yohei</creator><creator>Mogi, Satoshi</creator><creator>Kodaira, Masaki</creator><creator>Anzai, Atsushi</creator><creator>Kawakami, Takashi</creator><creator>Kanazawa, Hideaki</creator><creator>Hayashida, Kentaro</creator><creator>Yuasa, Shinsuke</creator><creator>Maekawa, Yuichiro</creator><creator>Fukuda, Keiichi</creator><general>Springer Japan</general><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>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Intracardiac echocardiography for percutaneous closure of atrial septal defects: initial experiences in Japan</title><author>Shimizu, Sayaka ; Kawamura, Akio ; Arai, Takahide ; Ohno, Yohei ; Mogi, Satoshi ; Kodaira, Masaki ; Anzai, Atsushi ; Kawakami, Takashi ; Kanazawa, Hideaki ; Hayashida, Kentaro ; Yuasa, Shinsuke ; Maekawa, Yuichiro ; Fukuda, Keiichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-c6c498329a6c7163474bb15d35a3d65fa45bdebba83ace0a85f061278ab12c383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiac Catheterization - methods</topic><topic>Cardiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Echocardiography - methods</topic><topic>Echocardiography, Transesophageal - methods</topic><topic>Female</topic><topic>Heart Septal Defects, Atrial - diagnostic imaging</topic><topic>Heart Septal Defects, Atrial - surgery</topic><topic>Humans</topic><topic>Interventional Radiology</topic><topic>Japan</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shimizu, Sayaka</creatorcontrib><creatorcontrib>Kawamura, Akio</creatorcontrib><creatorcontrib>Arai, Takahide</creatorcontrib><creatorcontrib>Ohno, Yohei</creatorcontrib><creatorcontrib>Mogi, Satoshi</creatorcontrib><creatorcontrib>Kodaira, Masaki</creatorcontrib><creatorcontrib>Anzai, Atsushi</creatorcontrib><creatorcontrib>Kawakami, Takashi</creatorcontrib><creatorcontrib>Kanazawa, Hideaki</creatorcontrib><creatorcontrib>Hayashida, Kentaro</creatorcontrib><creatorcontrib>Yuasa, Shinsuke</creatorcontrib><creatorcontrib>Maekawa, Yuichiro</creatorcontrib><creatorcontrib>Fukuda, Keiichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular intervention and therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shimizu, Sayaka</au><au>Kawamura, Akio</au><au>Arai, Takahide</au><au>Ohno, Yohei</au><au>Mogi, Satoshi</au><au>Kodaira, Masaki</au><au>Anzai, Atsushi</au><au>Kawakami, Takashi</au><au>Kanazawa, Hideaki</au><au>Hayashida, Kentaro</au><au>Yuasa, Shinsuke</au><au>Maekawa, Yuichiro</au><au>Fukuda, Keiichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intracardiac echocardiography for percutaneous closure of atrial septal defects: initial experiences in Japan</atitle><jtitle>Cardiovascular intervention and therapeutics</jtitle><stitle>Cardiovasc Interv and Ther</stitle><addtitle>Cardiovasc Interv Ther</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>28</volume><issue>4</issue><spage>368</spage><epage>373</epage><pages>368-373</pages><issn>1868-4300</issn><eissn>1868-4297</eissn><abstract>Transcatheter closure of secundum atrial septal defect (ASD) has been widely performed as a less invasive alternative to surgery with zero mortality so far in Japan. In the US and Europe, intracardiac echocardiography (ICE) has replaced transesophageal echocardiography (TEE) as a primary imaging tool during percutaneous ASD closure. However, the experience of ICE in ASD closure is limited in Japan. Consecutive 51 patients underwent percutaneous ASD closure with ICE guidance. Clinical results were compared to those of 41 patients who underwent ASD closure with TEE guidance. Pediatric patients and patients with multiple ASDs who were expected to need multiple devices were excluded. Success rate was similar in both groups (ICE 96.1 %, TEE 92.7 %). Catheterization laboratory time was significantly shortened with ICE than with TEE (131 vs. 155 min,
p
= 0.0003). There were no complications related to the use of ICE. ICE-guided ASD closure is feasible in most adult patients. ICE is superior to TEE in shortening catheterization laboratory time and eliminating general anesthesia, and can potentially replace TEE as the primary image guide during percutaneous ASD closure.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>23709325</pmid><doi>10.1007/s12928-013-0187-7</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Cardiac Catheterization - methods Cardiology Child Child, Preschool Echocardiography - methods Echocardiography, Transesophageal - methods Female Heart Septal Defects, Atrial - diagnostic imaging Heart Septal Defects, Atrial - surgery Humans Interventional Radiology Japan Male Medicine Medicine & Public Health Middle Aged Original Article Treatment Outcome Young Adult |
| title | Intracardiac echocardiography for percutaneous closure of atrial septal defects: initial experiences in Japan |
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