Interventional closure of atrial septal defects without fluoroscopy in adult and pediatric patients

Abstract

Interventional closure of ASDs is safe and effective if guided with TEE alone. The results can compete with those with the use of fluoroscopy. TEE-guided closure of ASD should be considered in more catheter laboratories to avoid unnecessary radiation exposure for the patient and the examiner.

Transcatheter closure of atrial septal defects in children and adolescents: Single‐center experience with the GORE® septal occluder

“…We wish to emphasize (and agree with the U.K. group) that flawless echo‐guidance is mandatory during GSO delivery, especially during deployment on the left atrial side, in fact it may be more important than fluoroscopy . As a consequence thereof, we could reduce fluoroscopy‐exposure during most interventions, and began implanting the GSO under TEE guidance alone—a routine procedure in many institutions nowadays .…”

Platelet Activation Through the Efficacy of Aspirin in Congenital Heart Disease Patients Undergoing Transcatheter Closure of Atrial Septal Defects or Ventricular Septal Defects

“…Taking into account that nearly one-third of all CHD patients were in need of some therapeutic procedure, interventional closure has been proven, in numerous studies, to be a feasible and safe clinical therapy due to the low morbidity, prevention of sternotomy, faster recovery, as well as reduced hospital stay and costs (Meadows and Landzberg, 2011;Kotowycz et al, 2013). Furthermore, along with remarkable development of interventional equipment and experience, transcatheter closure has largely replaced surgery as the primary treatment of choice for a number of congenital cardiovascular conditions, including ASD and VSD (Huang et al, 2012;Schubert et al, 2012;Choi, 2013). Although excellent benefits have been reported for transcatheter closure of ASD and VSD with different devices, there is evidence provided that the presence of the closure apparatus may also carry several risks, including device thrombosis in particular (Zeng et al, 2010;Li et al, 2012).…”

Interventional ASD II closure in the presence of an abnormally localized left main coronary artery

“…As additional echo monitoring in a variety of interventional procedures is of utmost importance for the interventionalist, this technique should be available to control catheter moving and positioning, to check catheters or implanted devices for proper fitting, shape, and function and to significantly reduce X-ray exposure [10][11][12]. In multifenestrated defects, a sandwich layer of two or more occluders can be positioned and controlled perfectly by echocardiography.…”