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Analysis of the Application of Esophageal Echocardiography-Guided Percutaneous Intervention for Atrial Septal Defect Closure

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DOI: 10.23977/medsc.2022.030406 | Downloads: 13 | Views: 554

Author(s)

Jian Tang 1,2, Yaxiong Li 1,2, Fuqiang Li 1,2, Tao Li 1,2, Tian Chen 1,2, Mingliang Yan 1,2, Lueli Wang 1,2, Tianchen Zhang 1,2

Affiliation(s)

1 Dept. of Cardiovascular Surgery, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, 650051, China
2 Yunnan Cardiovascular Surgery Institution, Kunming, Yunnan, 650051, China

Corresponding Author

Jian Tang

ABSTRACT

Objective: To investigate the indications, methods, safety and efficacy of percutaneous interventional atrial septal defect closure under the guidance of transesophageal echocardiography. Methods: A total of 600 patients undergoing percutaneous interventional atrial septal defect closure under the guidance of esophageal echocardiography in our hospital from April 2017 to April 2021 were selected for retrospective analysis, and the preoperative and postoperative conditions were counted to evaluate the operation. completeness and validity of the formula. All operations were performed in the cardiac surgical operating room, guided by transesophageal echocardiography, under general anesthesia, transfemoral vein puncture to seal the atrial septal defect, and esophageal ultrasound was used to monitor the entire surgical process. All patients underwent re-examination of transthoracic echocardiography at 1 month, 3 months, and 12 months after operation. Results: 4 cases of intraoperative esophageal ultrasound showed that the mitral valve function was affected by the occluder (accounting for 0.6%), and the repair of atrial septal defect under cardiopulmonary bypass was timely transferred; 7 cases of poor shape of the occluder were corrected for the repair room under cardiopulmonary bypass. Septal defect (accounting for 1.1%); one case fell off to the descending aorta on the 3rd day after operation, and was then taken out under cardiopulmonary bypass in the hybrid operating room and repaired atrial septal defect (accounting for 0.16%). No adverse complication occurred during follow-up. The remaining 588 patients were successfully blocked by percutaneous intervention under the guidance of esophageal echocardiography (98%), of which 6 patients had residual shunts after surgery (1%), and the shunts were all less than 3 mm, and there was no serious short-term or long-term shunt. complication.

KEYWORDS

Atrial septal defect, Transesophageal echocardiography, Interventional therapy

CITE THIS PAPER

Jian Tang, Yaxiong Li, Fuqiang Li, Tao Li, Tian Chen, Mingliang Yan, Lueli Wang, Tianchen Zhang, Analysis of the Application of Esophageal Echocardiography-Guided Percutaneous Intervention for Atrial Septal Defect Closure. MEDS Clinical Medicine (2022) Vol. 3: 38-42. DOI: http://dx.doi.org/10.23977/medsc.2022.030406.

REFERENCES

[1] PAN Xiangbin, PANG Kunjing, Ouyang Wenbin, et al. Clinical analysis of transthoracic echocardiography-guided interventional treatment of atrial septal defect alone. Guangzhou, Guangdong, China: 20142.
[2] Liu YL, Dai RP, Wang H, et al. Study of transesophageal echocardiography-guided atrial septal defect sealing treatment. Chinese Journal of Cardiovascular Diseases, no.01, pp.15-17, 2001.
[3] Zhu Xiangyang. Chinese Expert Consensus on Interventional Treatment of Common Congenital Heart Diseases I. Interventional Treatment of Atrial Septal Defects. Journal of Interventional Radiology, no.01, pp.3-9, 2011.
[4] Hu, Shengshou, Pan, Xiangbin, Chang, Qian. Expert consensus on interventional treatment of common cardiovascular diseases via surgical route. China Circulation Magazine, no.02, pp.105-119, 2017.

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