Application of novel wire system for echo-guiding percutaneous atrial septal defect closure_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Yao , WEN Bin , ZHANG Fengwen , OUYANG Wenbin ,  PAN Xiangbin

Department of Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P.R.China;

Corresponding author：

PAN Xiangbin, Email: xiangbin428@hotmail.com

Keywords：

Atrial septal defect; echocardiography; new guide wire; percutaneous intervention

DOI：

10.7507/1007-4848.201805056

Video：

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Objective To evaluate the efficacy and safety of a novel wire for echo-guiding percutaneous atrial septal defect (ASD) closure.Methods Twenty sheep were randomly divided into two groups, an experimental group and a control group (n=10 in each group). In both groups, an animal model of ASD was established by transthoracic balloon dilatation, and percutaneous closure of atrial septal defect was finished only by echography guiding. The total procedure time, passing time (time needed for the guide wire to enter the left atrium), frequency of delivery sheath dropping into right atrium, frequency of arrhythmias and rate of complications were compared between the two groups.Results ASD model was uneventfully established in all animals. ASD devices were successfully implanted in all sheep. Compared with the control group, the experimental group had significantly less mean procedure time and mean passing time, lower frequency of guide wire dropping into right atrium and frequency of atrial and ventricular premature contractions, respectively (15.36±4.86 min vs. 25.82±7.85 min, 2.69±0.82 min vs. 5.58±3.34 min, 0% vs. 40.0%, 4.41±2.61 vs. 9.60±3.68, 0.75±0.36 vs. 1.34±0.68; all P<0.05) . Two groups did not have serious complications within postoperative one week.Conclusion The novel wire system is not only safe and effective in the treatment of ASD occlusion, but also easy to operate.

Citation： LIU Yao, WEN Bin, ZHANG Fengwen, OUYANG Wenbin, PAN Xiangbin. Application of novel wire system for echo-guiding percutaneous atrial septal defect closure. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(2): 165-168. doi: 10.7507/1007-4848.201805056 Copy

1.	Rao PS, Harris AD. Recent advances in managing septal defects: atrial septal defects. F1000Res, 2017, 6: 2042.
2.	潘湘斌, 李守军, 胡盛寿, 等. 经胸超声心动图引导房间隔缺损封堵术的可行性. 中华心血管病杂志, 2014, 42(9): 744-747.
3.	潘湘斌, 逄坤静, 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.
4.	Pan XB, Ou-Yang WB, Pang KJ, et al. Percutaneous closure of atrial septal defects under transthoracic echocardiography guidance without fluoroscopy or intubation in children. J Interv Cardiol, 2015, 28(4): 390-395.
5.	O'Byrne ML, Glatz AC, Gillespie MJ. Transcatheter device closure of atrial septal defects: more to think about than just closing the hole. Curr Opin Cardiol, 2018, 33(1): 108-116.
6.	Roberson DA, Cui VW. Three-dimensional transesophageal echocardiography of atrial septal defect device closure. Curr Cardiol Rep, 2014, 16(2): 453.
7.	Ali M, Salah El-Din H, Bakhoum S, et al. Feasibility of percutaneous closure of atrial septal defects in adults under transthoracic echocardiography guidance using the Figulla atrial septal defect occluder device. J Saudi Heart Assoc, 2018, 30(1): 21-27.
8.	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.
9.	Qiu X, Lü B, Xu N, et al. Feasibility of device closure for multiple atrial septal defects using 3D printing and ultrasound-guided intervention technique. Zhonghua Yi Xue Za Zhi, 2017, 97(16): 1214-1217.
10.	Krishnamoorthy KM, Sasikumar D, Bijulal S. Letter to the editor and response: percutaneous closure of atrial septal defects under transthoracic echocardiography without fluoroscopy. J Interv Cardiol, 2016, 29(4): 439-440.
11.	Snijder RJ, Suttorp MJ, Berg JM, et al. Percutaneous closure of secundum type atrial septal defects: More than 5-year follow-up. World J Cardiol, 2015, 7(3): 150-156.
12.	Sadiq N, Ullah M, Sultan M, et al. Transthoracic echocardiography as a measuring and guiding tool for transcatheter device closure of secundum atrial septal defect in young children. J Invasive Cardiol, 2014, 26(6): 245-248.
13.	Demirkol S, Barçın C, Balta Ş, et al. Percutaneous closure of second secundum atrial septal defect under guidance of three-dimensional transesophageal echocardiography guidance. Anadolu Kardiyol Derg, 2013, 13(4): E22-E23.
14.	Oto A, Aytemir K, Ozkutlu S, et al. Transthoracic echocardiography guidance during percutaneous closure of patent foramen ovale. Echocardiography, 2011, 28(10): 1074-1080.
15.	Zaqout M, Suys B, De Wilde H, et al. Transthoracic echocardiography guidance of transcatheter atrial septal defect closure in children. Pediatr Cardiol, 2009, 30(7): 992-994.

1. Rao PS, Harris AD. Recent advances in managing septal defects: atrial septal defects. F1000Res, 2017, 6: 2042.
2. 潘湘斌, 李守军, 胡盛寿, 等. 经胸超声心动图引导房间隔缺损封堵术的可行性. 中华心血管病杂志, 2014, 42(9): 744-747.
3. 潘湘斌, 逄坤静, 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.
4. Pan XB, Ou-Yang WB, Pang KJ, et al. Percutaneous closure of atrial septal defects under transthoracic echocardiography guidance without fluoroscopy or intubation in children. J Interv Cardiol, 2015, 28(4): 390-395.
5. O'Byrne ML, Glatz AC, Gillespie MJ. Transcatheter device closure of atrial septal defects: more to think about than just closing the hole. Curr Opin Cardiol, 2018, 33(1): 108-116.
6. Roberson DA, Cui VW. Three-dimensional transesophageal echocardiography of atrial septal defect device closure. Curr Cardiol Rep, 2014, 16(2): 453.
7. Ali M, Salah El-Din H, Bakhoum S, et al. Feasibility of percutaneous closure of atrial septal defects in adults under transthoracic echocardiography guidance using the Figulla atrial septal defect occluder device. J Saudi Heart Assoc, 2018, 30(1): 21-27.
8. 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.
9. Qiu X, Lü B, Xu N, et al. Feasibility of device closure for multiple atrial septal defects using 3D printing and ultrasound-guided intervention technique. Zhonghua Yi Xue Za Zhi, 2017, 97(16): 1214-1217.
10. Krishnamoorthy KM, Sasikumar D, Bijulal S. Letter to the editor and response: percutaneous closure of atrial septal defects under transthoracic echocardiography without fluoroscopy. J Interv Cardiol, 2016, 29(4): 439-440.
11. Snijder RJ, Suttorp MJ, Berg JM, et al. Percutaneous closure of secundum type atrial septal defects: More than 5-year follow-up. World J Cardiol, 2015, 7(3): 150-156.
12. Sadiq N, Ullah M, Sultan M, et al. Transthoracic echocardiography as a measuring and guiding tool for transcatheter device closure of secundum atrial septal defect in young children. J Invasive Cardiol, 2014, 26(6): 245-248.
13. Demirkol S, Barçın C, Balta Ş, et al. Percutaneous closure of second secundum atrial septal defect under guidance of three-dimensional transesophageal echocardiography guidance. Anadolu Kardiyol Derg, 2013, 13(4): E22-E23.
14. Oto A, Aytemir K, Ozkutlu S, et al. Transthoracic echocardiography guidance during percutaneous closure of patent foramen ovale. Echocardiography, 2011, 28(10): 1074-1080.
15. Zaqout M, Suys B, De Wilde H, et al. Transthoracic echocardiography guidance of transcatheter atrial septal defect closure in children. Pediatr Cardiol, 2009, 30(7): 992-994.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of novel wire system for echo-guiding percutaneous atrial septal defect closure

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