Introduction: Transthoracic echocardiography (TTE) is used for the pre-interventional assessment of atrial septal defects (ASDs). However, the efficacy of TTE for guiding transcatheter closure of ASD still has not been widely assessed. The aim of this study was to evaluate the efficacy, and reliability of TTE in pre selecting ASDs for transcatheter closure using the Occlutech Figulla ASD occluder. Patients & methods: This was a prospective study carried out between April 1, 2019 and February 1, 2020. Forty-nine patients were referred for transcatheter closure of their ASDs at mean age of 22±18 years and mean weight of 36±17 kg. TTE was used to measure the largest ASD diameter in different views. The device diameter used for closure was chosen based on the largest diameter obtained by TTE plus 3-5 mm if ASD < 20 mm, and 5-6 mm if ASD > 20 mm. Results: The patients divided into two groups according to the size of ASD, group A when the size of the defect was < 20 mm, and group B when the size of the defect was > 20 mm. The average size of the defects for group A 16±4 mm, and 28±6mm for group B. the average size of the devices used was 19±5mm, and 33±7 mm for group A and B respectively. Transcatheter closure of ASD was successful in 41 patients (83.6%), and failed in 8 patients (16.4%). In 7 out of the 8 failed cases, the closure was achieved successfully using transesophageal echocardiography (TEE) guidance and one patient, was referred for surgical closure due to an acute complication due to large pericardial effusion and tamponade that resulted from injury to the left atrial appendage. The successful rate for selection of the appropriate ASD device was 83.6%. Conclusion: this study demonstrated that TTE is satisfactory & reliable in selecting the appropriate ASD device size & in guiding transcatheter closure of ASD.
| Published in | Pathology and Laboratory Medicine (Volume 5, Issue 2) |
| DOI | 10.11648/j.plm.20210502.14 |
| Page(s) | 38-42 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Atrial Septal Defect, Transthoracic Echocardiography, Transesophageal Echocardiography, Transcatheter Closure of ASD
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APA Style
Sadiq Al-Hamash, Khalid Ahmed Khalid, Omar Zidane Khalaf. (2021). Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects. Pathology and Laboratory Medicine, 5(2), 38-42. https://doi.org/10.11648/j.plm.20210502.14
ACS Style
Sadiq Al-Hamash; Khalid Ahmed Khalid; Omar Zidane Khalaf. Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects. Pathol. Lab. Med. 2021, 5(2), 38-42. doi: 10.11648/j.plm.20210502.14
AMA Style
Sadiq Al-Hamash, Khalid Ahmed Khalid, Omar Zidane Khalaf. Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects. Pathol Lab Med. 2021;5(2):38-42. doi: 10.11648/j.plm.20210502.14
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Download@article{10.11648/j.plm.20210502.14,
author = {Sadiq Al-Hamash and Khalid Ahmed Khalid and Omar Zidane Khalaf},
title = {Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects},
journal = {Pathology and Laboratory Medicine},
volume = {5},
number = {2},
pages = {38-42},
doi = {10.11648/j.plm.20210502.14},
url = {https://doi.org/10.11648/j.plm.20210502.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.plm.20210502.14},
abstract = {Introduction: Transthoracic echocardiography (TTE) is used for the pre-interventional assessment of atrial septal defects (ASDs). However, the efficacy of TTE for guiding transcatheter closure of ASD still has not been widely assessed. The aim of this study was to evaluate the efficacy, and reliability of TTE in pre selecting ASDs for transcatheter closure using the Occlutech Figulla ASD occluder. Patients & methods: This was a prospective study carried out between April 1, 2019 and February 1, 2020. Forty-nine patients were referred for transcatheter closure of their ASDs at mean age of 22±18 years and mean weight of 36±17 kg. TTE was used to measure the largest ASD diameter in different views. The device diameter used for closure was chosen based on the largest diameter obtained by TTE plus 3-5 mm if ASD 20 mm. Results: The patients divided into two groups according to the size of ASD, group A when the size of the defect was 20 mm. The average size of the defects for group A 16±4 mm, and 28±6mm for group B. the average size of the devices used was 19±5mm, and 33±7 mm for group A and B respectively. Transcatheter closure of ASD was successful in 41 patients (83.6%), and failed in 8 patients (16.4%). In 7 out of the 8 failed cases, the closure was achieved successfully using transesophageal echocardiography (TEE) guidance and one patient, was referred for surgical closure due to an acute complication due to large pericardial effusion and tamponade that resulted from injury to the left atrial appendage. The successful rate for selection of the appropriate ASD device was 83.6%. Conclusion: this study demonstrated that TTE is satisfactory & reliable in selecting the appropriate ASD device size & in guiding transcatheter closure of ASD.},
year = {2021}
}
TY - JOUR T1 - Reliability of Transthoracic Echocardiography to Guide Transcatheter Closure of Atrial Septal Defects AU - Sadiq Al-Hamash AU - Khalid Ahmed Khalid AU - Omar Zidane Khalaf Y1 - 2021/11/05 PY - 2021 N1 - https://doi.org/10.11648/j.plm.20210502.14 DO - 10.11648/j.plm.20210502.14 T2 - Pathology and Laboratory Medicine JF - Pathology and Laboratory Medicine JO - Pathology and Laboratory Medicine SP - 38 EP - 42 PB - Science Publishing Group SN - 2640-4478 UR - https://doi.org/10.11648/j.plm.20210502.14 AB - Introduction: Transthoracic echocardiography (TTE) is used for the pre-interventional assessment of atrial septal defects (ASDs). However, the efficacy of TTE for guiding transcatheter closure of ASD still has not been widely assessed. The aim of this study was to evaluate the efficacy, and reliability of TTE in pre selecting ASDs for transcatheter closure using the Occlutech Figulla ASD occluder. Patients & methods: This was a prospective study carried out between April 1, 2019 and February 1, 2020. Forty-nine patients were referred for transcatheter closure of their ASDs at mean age of 22±18 years and mean weight of 36±17 kg. TTE was used to measure the largest ASD diameter in different views. The device diameter used for closure was chosen based on the largest diameter obtained by TTE plus 3-5 mm if ASD 20 mm. Results: The patients divided into two groups according to the size of ASD, group A when the size of the defect was 20 mm. The average size of the defects for group A 16±4 mm, and 28±6mm for group B. the average size of the devices used was 19±5mm, and 33±7 mm for group A and B respectively. Transcatheter closure of ASD was successful in 41 patients (83.6%), and failed in 8 patients (16.4%). In 7 out of the 8 failed cases, the closure was achieved successfully using transesophageal echocardiography (TEE) guidance and one patient, was referred for surgical closure due to an acute complication due to large pericardial effusion and tamponade that resulted from injury to the left atrial appendage. The successful rate for selection of the appropriate ASD device was 83.6%. Conclusion: this study demonstrated that TTE is satisfactory & reliable in selecting the appropriate ASD device size & in guiding transcatheter closure of ASD. VL - 5 IS - 2 ER -
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