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- Kim Nam Kyun
- Division of Pediatric Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System
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- Park Su-Jin
- Division of Pediatric Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System
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- Shin Jae Il
- Department of Pediatrics, Severance Children’s Hospital, Yonsei University Health System
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- Choi Jae Young
- Division of Pediatric Cardiology, Severance Cardiovascular Hospital, Yonsei University Health System
書誌事項
- タイトル別名
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- – Safe and Effective Guidance for Transcatheter Closure in Atrial Septal Defects –
この論文をさがす
説明
Background: Intracardiac echocardiography (ICE) was introduced as a new guidance system for transcatheter closure of secundum atrial septal defect (ASD) with Amplatzer septal occluder® (ASO). The aim of this study was to investigate the clinical outcome of ICE-guided transcatheter closure of ASD compared with the trans-esophageal echocardiography (TEE)-guided method. Methods and Results: From May 2003 to April 2010, 560 patients who underwent transcatheter closure of ASD using ASO in a single institute were analyzed retrospectively. In the TEE-guided group (n=237), all the patients underwent general anesthesia. The median age was 24.2 years (range, 14 months–63 years) and the average weight was 42.3±21.6kg (range, 8.2–82kg). One patient underwent surgery due to migration of device. The remaining 236 patients underwent the procedure successfully without significant complication. In the ICE-guided group (n=323), the median age was 30.5 years (range, 7 months–75 years). One patient underwent surgery because of mitral valve encroachment by left atrial disk after device placement. Another patient also underwent surgery due to device embolization. The remaining 321 procedures were performed successfully without major complications. Procedure time was 104.2min and 87.7min, respectively (P<0.001). Conclusions: ICE-guided ASD occlusion with ASO is safe and effective and provides accurate anatomical information, sufficient to perform the procedure. In addition, there were benefits of avoidance of general anesthesia, and shorter procedure time. (Circ J 2012; 76: 2119–2123)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 76 (9), 2119-2123, 2012
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205103479936
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- NII論文ID
- 10030696448
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- NII書誌ID
- AA11591968
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- COI
- 1:STN:280:DC%2BC38bmsleltQ%3D%3D
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- ISSN
- 13474820
- 13469843
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- PubMed
- 22975637
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
