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Transpulmonary Echocardiography to Guide Stent Implantation into Coarctation of the Aorta
Authors:Yozo Teramachi M.D.  Kenji Suda M.D.  Hironaga Yoshimoto M.D.  Shintaro Kishimoto M.D.  Yoshiyuki Kudo M.D.  Motofumi Iemura M.D.
Affiliation:1. Department of Pediatric Cardiology, St. Mary's Hospital, Kurume, Japan;2. Pediatrics and Child Health, Kurume University School of Medicine, Kurume, Japan
Abstract:Although stent implantation into aortic coarctation has been performed solely under fluoroscopy, we successfully applied intracardiac echocardiography (ICE) to guide this procedure in a 13‐year‐old patient. Placing an intracardiac echocardiographic catheter in the left pulmonary artery facing upward, we readily visualized the precise anatomy of coarctation, measured the pressure gradient, and monitored the stent inflation process. This report suggests a new application of ICE for intervention with structural and vascular diseases other than interatrial septum.
Keywords:intracardiac echocardiography  hypertension  endovascular treatment
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