Transcatheter closure of congenital heart disease under the guidance of transthoracic echocardiography_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 HU Lian , CAO Yong , WEI Guoxiong , LIU Chao , LIANG Hua , YU Guangshui

Department of Cardiovascular Surgery, Gaozhou People’s Hospital, Gaozhou, Guangdong 525200, P.R.China;

Corresponding author：

HU Lian, Email: hulian2@163.com

Keywords：

Transthoracic echocardiography; congenital heart disease; transcatheter closure

DOI：

10.7507/1007-4848.201603017

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the feasibility of transcatheter closure of congenital heart disease (CHD) under the guidance of transthoracic echocardiography (TTE). Methods A total of 37 patients with CHD who received transcatheter closure under the guidance of transthoracic echocardiography from November 2013 through November 2015 in our hospital were recruited. There were 15 males and 22 females, aged 1 to 16 years. Among them 32 patients suffered atrial septal defect and 5 patients had patent ductus arteriosus. The transcatheter closure of CHD was performed under the guidance of TTE. The patients underwent echocardiography follow-up at one, three and six months after surgery. Results Closure devices were successfully implanted in 37 patients under TTE guidance. The procedure was simple and safe. During the follow-up, no severe complication such as valvular injury, pericardial effusion, residual shunt and peripheral vascular injury occurred. Conclusion Transcatheter closure of CHD under TTE guidance is a feasible method and worth further clinical application.

Citation： HULian, CAOYong, WEIGuoxiong, LIUChao, LIANGHua, YUGuangshui. Transcatheter closure of congenital heart disease under the guidance of transthoracic echocardiography. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(1): 52-55. doi: 10.7507/1007-4848.201603017 Copy

1.	Du ZD, Hijazi ZM, Kleinman CS, et al. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol, 2002, 39(11): 1836-1844.
2.	Perisinakis K, Damilakis J, Theoeharopoulos N, et al. Accurate assessment of patient effective radiation dose and associated detriment risk from radiofrequency catheter ablation procedures. Circulation, 2001, 104(1): 58-62.
3.	Maioli M, Toso A, Leoneini M, et al. Persistent renal damage after contrast-induced acute kidney injury: incidence, evolution, risk factors, and prognosis. Circulation, 2012, 125(25): 3099-3107.
4.	Rognin A, Goldstein J, Bar O, et al. Brain and neck tumors among physicians performing interventional procedures. Am J Cardiol, 2013, 111(9): 1368-1372.
5.	Moore J, Hegde S, El-Said H, et al. Transcatheter device closure of atrial septal defects: a safety review. JACC Cardiovasc Interv, 2013, 6(5): 433-442.
6.	Wagdi P, Ritter M. Patient radiation dose during percutaneous interventional closure of interatrial communications. J Cardiol, 2009, 53(3): 368-373.
7.	Yakoumakis EN, Gialousis GI, Papadopoulou D, et al. Estimation of children’s radiation dose from cardiac catheterizations, performed for the diagnosis or the treatment of acongenital heart diseaseusing TLD dosimetry and Monte Carlo simulation. J Radiol Prot, 2009, 29(2): 251-261.
8.	潘湘斌, 逢坤静, 胡盛寿, 等. 经食管超声心动图引导下介入治疗房间隔缺损幼儿的有效性和安全性. 中华心血管病杂志, 2013, 41(9): 744-746.
9.	欧阳文斌, 潘湘斌, 逄坤静, 等. 单纯食管超声引导经皮封堵治疗房间隔缺损. 中华实用儿科临床杂志, 2014, 29(18): 1425-1527.
10.	潘湘斌, 欧阳文斌, 李守军, 等. 单纯超声心动图引导下行动脉导管未闭封堵术的安全性和有效性. 中华心血管病杂志, 2015, 43(1): 31-33.
11.	Meinel FG, Nance JW Jr, Harris BS, et al. Radiation risks from cardiovascular imaging tests. Circulation, 2014, 130(5): 442-445.
12.	García-Montes JA, Camacho-Castro A, Sandoval-Jones JP, et al. Closure of large patent ductus arteriosus using the Amplatzer Septal Occluder. Cardiol Young, 2015, 25(3): 491-495.
13.	Sungur M, Karakurt C, Ozbarlas N, et al. Closure of patent ductus arteriosus in children, small infants, and premature babies with Amplatzer duct occluder II additional sizes: multicenter study. Cathter Cardiovasc Interv, 2013, 82(2): 245-252.
14.	El-Said HG, Bratincsak A, Foerster SR, et al. Safety of percutaneous patent ductus arteriosus closure: an unselected muhieenter population experience. J Am Heart Assoc, 2013, 2(6): e000424.
15.	Zhang CJ, Huang YG, Huang XS, et al. Transcatheter closure of large patent ductus arteriosus with severe pulmonary arterial hypertension in adults: immediate and two-year follow-up results. Chin Med J (Engl), 2012, 125(21): 3844-3850.
16.	Ewert P, Berger F, Daehnert I, et al. Transcatheter closure of atrial septal defects without fluoroscopy: feasibility of a new method. Circulation, 2000, 101(8): 847-849.
17.	逄坤静, 王浩, 孟红, 等. 经胸二维超声心动图引导儿童房间隔缺损经皮封堵治疗术. 中华超声影像学杂志, 2014, 23(7): 573-576.
18.	Tzifa A, Gordon J, Tibby SM, et al. Transeatheter atrial septal defect closure guided by colour flow Doppler. Int J Cardiol, 2011, 149(3): 299-303.
19.	王首正, 刘矗, 王珊, 等. 单纯超声引导下经股静脉行动脉导管封堵术的应用研究. 中华医学杂志, 2015, 95(27): 2183-2185.
20.	李红昕, 郭文彬, 郭兰敏, 等. 非体外循环房间隔缺损封堵术50例临床分析. 中华外科杂志, 2005, 43(10): 653-654.

1. Du ZD, Hijazi ZM, Kleinman CS, et al. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol, 2002, 39(11): 1836-1844.
2. Perisinakis K, Damilakis J, Theoeharopoulos N, et al. Accurate assessment of patient effective radiation dose and associated detriment risk from radiofrequency catheter ablation procedures. Circulation, 2001, 104(1): 58-62.
3. Maioli M, Toso A, Leoneini M, et al. Persistent renal damage after contrast-induced acute kidney injury: incidence, evolution, risk factors, and prognosis. Circulation, 2012, 125(25): 3099-3107.
4. Rognin A, Goldstein J, Bar O, et al. Brain and neck tumors among physicians performing interventional procedures. Am J Cardiol, 2013, 111(9): 1368-1372.
5. Moore J, Hegde S, El-Said H, et al. Transcatheter device closure of atrial septal defects: a safety review. JACC Cardiovasc Interv, 2013, 6(5): 433-442.
6. Wagdi P, Ritter M. Patient radiation dose during percutaneous interventional closure of interatrial communications. J Cardiol, 2009, 53(3): 368-373.
7. Yakoumakis EN, Gialousis GI, Papadopoulou D, et al. Estimation of children’s radiation dose from cardiac catheterizations, performed for the diagnosis or the treatment of acongenital heart diseaseusing TLD dosimetry and Monte Carlo simulation. J Radiol Prot, 2009, 29(2): 251-261.
8. 潘湘斌, 逢坤静, 胡盛寿, 等. 经食管超声心动图引导下介入治疗房间隔缺损幼儿的有效性和安全性. 中华心血管病杂志, 2013, 41(9): 744-746.
9. 欧阳文斌, 潘湘斌, 逄坤静, 等. 单纯食管超声引导经皮封堵治疗房间隔缺损. 中华实用儿科临床杂志, 2014, 29(18): 1425-1527.
10. 潘湘斌, 欧阳文斌, 李守军, 等. 单纯超声心动图引导下行动脉导管未闭封堵术的安全性和有效性. 中华心血管病杂志, 2015, 43(1): 31-33.
11. Meinel FG, Nance JW Jr, Harris BS, et al. Radiation risks from cardiovascular imaging tests. Circulation, 2014, 130(5): 442-445.
12. García-Montes JA, Camacho-Castro A, Sandoval-Jones JP, et al. Closure of large patent ductus arteriosus using the Amplatzer Septal Occluder. Cardiol Young, 2015, 25(3): 491-495.
13. Sungur M, Karakurt C, Ozbarlas N, et al. Closure of patent ductus arteriosus in children, small infants, and premature babies with Amplatzer duct occluder II additional sizes: multicenter study. Cathter Cardiovasc Interv, 2013, 82(2): 245-252.
14. El-Said HG, Bratincsak A, Foerster SR, et al. Safety of percutaneous patent ductus arteriosus closure: an unselected muhieenter population experience. J Am Heart Assoc, 2013, 2(6): e000424.
15. Zhang CJ, Huang YG, Huang XS, et al. Transcatheter closure of large patent ductus arteriosus with severe pulmonary arterial hypertension in adults: immediate and two-year follow-up results. Chin Med J (Engl), 2012, 125(21): 3844-3850.
16. Ewert P, Berger F, Daehnert I, et al. Transcatheter closure of atrial septal defects without fluoroscopy: feasibility of a new method. Circulation, 2000, 101(8): 847-849.
17. 逄坤静, 王浩, 孟红, 等. 经胸二维超声心动图引导儿童房间隔缺损经皮封堵治疗术. 中华超声影像学杂志, 2014, 23(7): 573-576.
18. Tzifa A, Gordon J, Tibby SM, et al. Transeatheter atrial septal defect closure guided by colour flow Doppler. Int J Cardiol, 2011, 149(3): 299-303.
19. 王首正, 刘矗, 王珊, 等. 单纯超声引导下经股静脉行动脉导管封堵术的应用研究. 中华医学杂志, 2015, 95(27): 2183-2185.
20. 李红昕, 郭文彬, 郭兰敏, 等. 非体外循环房间隔缺损封堵术50例临床分析. 中华外科杂志, 2005, 43(10): 653-654.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Transcatheter closure of congenital heart disease under the guidance of transthoracic echocardiography

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