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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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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. |
format | Online Article Text |
id | pubmed-7414339 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
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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