Percutaneous Closure of Atrial Septal Defects Under Transthoracic Echocardiography Guidance Without Fluoroscopy or Intubation in Children |
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| Authors: | Xiang‐Bin Pan M.D. Wen‐Bin Ou‐yang M.D. Kun‐Jing Pang M.D. Feng‐Wen Zhang M.D. Shou‐Zheng Wang M.D. Yao Liu M.D. Da‐Wei Zhang M.D. Gai‐Li Guo M.D. Peng‐Sheng Tian M.D. Sheng‐Shou Hu M.D. |
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| Affiliation: | National Center for Cardiovascular Disease, China and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China |
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| Abstract: | Objective Demonstrate the benefits of percutaneous atrial septal defect (ASD) closure under guidance of transthoracic echocardiography (TTE) without fluoroscopy. Methods From February 2013 to April 2014, 127 consecutive patients with an isolated type II ASD were recruited to undergo percutaneous closure under either TTE (n = 60, TTE group) or TEE (n = 67, TEE group) guidance. The TTE group received local anesthesia or sedation with propofol, and the TEE group received general anesthesia with endotracheal intubation. Follow‐up examinations were performed for both groups at 1 month, 3 months, 6 months, and 1 year after discharge and annually thereafter. Results The TTE group had a significantly shorter procedure time and respirator ventilation duration than the TEE group. The dose of propofol required, the cost, and the pharyngeal complication rate were significantly lower in the TTE group than in the TEE group. The median follow‐up of 11.6 months was uneventful in all patients. Conclusions Percutaneous ASD closure with TTE guidance as the only imaging tool avoids fluoroscopy, endotracheal intubation, and probe insertion and is associated with a satisfactory procedural success rate and lower costs. This procedure is a safe and reliable treatment for ASD. |
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