New echocardiographic diameter for Amplatzer sizing in adult patients with secundum atrial septal defect: Preliminary results

Carcagní, Addolorata; Presbitero, Patrizia

doi:10.1002/ccd.20083

Cited by 24 publications

(17 citation statements)

References 55 publications

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“…Recently, Carcagni and Presbitero [16] suggested using the thickest part of the rim around the ASD (2.5 mm thick), providing much better correlation with the BSD and very little scatter. Their results need to be confirmed.…”

Section: Discussionmentioning

confidence: 99%

Sizing of Atrial Septal Defects in Adults

Helgason¹,

Johansson²,

Söderberg³

et al. 2005

Cardiology

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In a retrospective study of 51 consecutive patients undergoing transcatheter closure of secundum type atrial septal defects (ASDs), we examined the reliability of transesophageal echocardiography (TEE) prior to catheterization and compared the diameter with that obtained by balloon measurement during catheterization. The TEE diameter was 16.3 ± 4.6 mm compared with 22.5 ± 6.0 mm for the stretched diameter obtained during catheterization (p < 0.001). There was no gender difference. The degree of left-to-right shunting correlated poorly with the size of the defect. We conclude that although TEE is accurate for diagnosis of an ASD, the measurement of its size to determine the size of the closure device is at best inaccurate.

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Section: Discussionmentioning

confidence: 99%

Sizing of Atrial Septal Defects in Adults

Helgason¹,

Johansson²,

Söderberg³

et al. 2005

Cardiology

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show abstract

“…The Amplatzer septal occluder has a central waist for closure of the defect and two disks for fixation. Accurate assessment of the location and size of the ASD and surrounding rims is essential for determining whether implantation of an Amplatzer septal occluder or surgical repair is appropriate (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). TTE is a useful screening tool for the detection of ASD.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, some anatomic conditions have been described as being troublesome for Amplatzer septal occluder closure. These conditions include small atrial capacity, which can limit full expansion of the disks of the Amplatzer occluder; floppy septum, which can cause prolapse of the occluder; thin septum, which can easily be torn after deployment of the occluder, and large ASD, which can be underestimated with resultant dislodgment of the occluder (15)(16)(17).…”

Section: Discussionmentioning

confidence: 99%

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The reliability of transthoracic and transesophageal echocardiography in predicting the size of atrial septal defect

Mesihović-Dinarević¹

2012

AMA

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Objective. To determine the reliability of transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) in predicting the size of an atrial septal defect (ASD). Material and methods. The study included 16 patients who underwent the catheter-based procedures to close an atrial septal defect between February 2008 and December 2011 at the Paediatrics Clinic, CCU Sarajevo, after clinical and TTE and TEE evaluation. In order to determine the assumed diameter of the balloon (A-SBD), we used the formula of quantification A-SBD=TTE defect diameter×1:09 + 3.9 mm and A-SBD=1.1× transesophageal diameter of ASD+2.0 mm. The ASD was examined using the long-axis view, the basal short-axis view, the apical four-chamber view and the subcostal view to observe its position, diameter and relation to neighbouring structures. The largest diameter was selected as the reference diameter. Results. Of the total number of treated patients, 11 were female. Treatment was conducted by a foreign and local team of invasive cardiologists. The average age of the patients was 8.43 years (2 -17 years). Apart from a transient disturbance of rhythm in the youngest patients, there were no other intra and postprocedural complications. The obtained formulas represent "our" default size of the SBD, based on measurements of TTE and TEE: A-SBD (TTE)=6.02+0.86×TTE and A-SBD (TEE)=3.93+0.86×TEE. Conclusion. ASD diameter determined by TTE and TEE can reliably determine the appropriate size needed Amplatzer Septal Occluder device.

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“…During balloon occlusion, color Doppler evaluation of the atrial septum to rule out additional atrial defects should be carried out. However, I do not routinely perform balloon sizing, but rely on the TEE sizing; I utilize the thick margins of the defect to measure the size of the ASD, leaving out the flail margins, a method similar to that suggested by Carcagnì and Presbitero (2004).…”

Section: Methods Of Device Implantationmentioning

confidence: 99%

Atrial Septal Defect - A Review

Rao¹

2012

Atrial Septal Defect

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New echocardiographic diameter for Amplatzer sizing in adult patients with secundum atrial septal defect: Preliminary results

Cited by 24 publications

References 55 publications

Sizing of Atrial Septal Defects in Adults

Sizing of Atrial Septal Defects in Adults

The reliability of transthoracic and transesophageal echocardiography in predicting the size of atrial septal defect

Atrial Septal Defect - A Review

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