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Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus

BACKGROUND: Transcatheter closure of patent ductus arteriosus (TC-PDA), conventionally guided by aortography, has become the standard treatment of this disease. The purposes of this study were to evaluate whether intracardiac echocardiography (ICE) may be used for measuring PDA size and be used as a...

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Autores principales: Yoshimoto, Hironaga, Yasuto, Maeda, Inoue, Tadashi, Kagiyama, Yoshiyuki, Teramachi, Yozo, Takase, Ryuta, Koteda, Yusuke, Fukumoto, Yoshihiro, Iemura, Motofumi, Suda, Kenji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7414339/
https://www.ncbi.nlm.nih.gov/pubmed/32802008
http://dx.doi.org/10.1155/2020/5147193
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author Yoshimoto, Hironaga
Yasuto, Maeda
Inoue, Tadashi
Kagiyama, Yoshiyuki
Teramachi, Yozo
Takase, Ryuta
Koteda, Yusuke
Fukumoto, Yoshihiro
Iemura, Motofumi
Suda, Kenji
author_facet Yoshimoto, Hironaga
Yasuto, Maeda
Inoue, Tadashi
Kagiyama, Yoshiyuki
Teramachi, Yozo
Takase, Ryuta
Koteda, Yusuke
Fukumoto, Yoshihiro
Iemura, Motofumi
Suda, Kenji
author_sort Yoshimoto, Hironaga
collection PubMed
description BACKGROUND: Transcatheter closure of patent ductus arteriosus (TC-PDA), conventionally guided by aortography, has become the standard treatment of this disease. The purposes of this study were to evaluate whether intracardiac echocardiography (ICE) may be used for measuring PDA size and be used as a guide for TC-PDA. METHODS: This study had 2 phases. In phase 1, we compared the measurements of PDA size: pulmonary artery side diameter (PA-D), length, and aortic side diameter (Ao-D) of PDA, as measured by ICE with those measured by aortography or cardiac computed tomography (AoG/CCT) in 23 patients who underwent TC-PDA. In phase 2, we compared the demographics, fluoroscopic time, contrast volume, and complications of the TC-PDAs between 10 adult patients with ICE guidance and 16 without it. RESULTS: In phase 1, we found great correlation and agreement between ICE and AoG/CCT in PA-D (r = 0.985, bias −0.077 to 0.224), but moderate to poor correlation and agreement in length (r = 0.653, bias −0.491 to 3.065) and Ao-D (r = 0.704, bias 0.738 to 4.732), respectively. Nevertheless, all patients underwent successful TC-PDA with ICE guidance that allowed us to continuously monitor the whole process. In phase 2, TC-PDA required a significantly lower contrast volume with ICE guidance than without it, and there was no significant difference in the remaining variables between the 2 groups. CONCLUSION: ICE is comparable to AoG/CCT in providing accurate PA-D of the PDA and may be a safe alternative to guide TC-PDA as compared to conventional aortography.
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spelling pubmed-74143392020-08-14 Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus Yoshimoto, Hironaga Yasuto, Maeda Inoue, Tadashi Kagiyama, Yoshiyuki Teramachi, Yozo Takase, Ryuta Koteda, Yusuke Fukumoto, Yoshihiro Iemura, Motofumi Suda, Kenji J Interv Cardiol Research Article BACKGROUND: Transcatheter closure of patent ductus arteriosus (TC-PDA), conventionally guided by aortography, has become the standard treatment of this disease. The purposes of this study were to evaluate whether intracardiac echocardiography (ICE) may be used for measuring PDA size and be used as a guide for TC-PDA. METHODS: This study had 2 phases. In phase 1, we compared the measurements of PDA size: pulmonary artery side diameter (PA-D), length, and aortic side diameter (Ao-D) of PDA, as measured by ICE with those measured by aortography or cardiac computed tomography (AoG/CCT) in 23 patients who underwent TC-PDA. In phase 2, we compared the demographics, fluoroscopic time, contrast volume, and complications of the TC-PDAs between 10 adult patients with ICE guidance and 16 without it. RESULTS: In phase 1, we found great correlation and agreement between ICE and AoG/CCT in PA-D (r = 0.985, bias −0.077 to 0.224), but moderate to poor correlation and agreement in length (r = 0.653, bias −0.491 to 3.065) and Ao-D (r = 0.704, bias 0.738 to 4.732), respectively. Nevertheless, all patients underwent successful TC-PDA with ICE guidance that allowed us to continuously monitor the whole process. In phase 2, TC-PDA required a significantly lower contrast volume with ICE guidance than without it, and there was no significant difference in the remaining variables between the 2 groups. CONCLUSION: ICE is comparable to AoG/CCT in providing accurate PA-D of the PDA and may be a safe alternative to guide TC-PDA as compared to conventional aortography. Hindawi 2020-07-30 /pmc/articles/PMC7414339/ /pubmed/32802008 http://dx.doi.org/10.1155/2020/5147193 Text en Copyright © 2020 Hironaga Yoshimoto et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Yoshimoto, Hironaga
Yasuto, Maeda
Inoue, Tadashi
Kagiyama, Yoshiyuki
Teramachi, Yozo
Takase, Ryuta
Koteda, Yusuke
Fukumoto, Yoshihiro
Iemura, Motofumi
Suda, Kenji
Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus
title Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus
title_full Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus
title_fullStr Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus
title_full_unstemmed Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus
title_short Intracardiac Echocardiography as a Guide for Transcatheter Closure of Patent Ductus Arteriosus
title_sort intracardiac echocardiography as a guide for transcatheter closure of patent ductus arteriosus
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7414339/
https://www.ncbi.nlm.nih.gov/pubmed/32802008
http://dx.doi.org/10.1155/2020/5147193
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