Early Follow-up Of Only Transesophageal Echocardiography To Guide The Right Jugular Internal Vein For Closure Of Atrail Septal Defect
Taibing Fan, Weijie Liang.
People's hospital affiliated to zhengzhou university, Zhengzhou, China.
OBJECTIVE: To summarize the preliminary experience and early-stage follow-up results of simple transesophageal echocardiography (TEE) to guide right jugular internal vein for closure of atrial septal defect (ASD),and to investigate its feasibility.
METHODS: A total of 32 ASD patients (15male,17 female) treated by transcatheter ASD closure under solely guidance of TEE were summarized in our center from February 2015 to June 20116.Mean age,3-26(8.6±4.3)years old,body weight,13-60(30.1±8.4)Kg,average diameter of ASD,5-20(11±2.8)mm.All patients were treated by right jugular intenal vein transcatheter closure under solely guidance of TEE.The efficiency of immediate post-opration under TEE was estimated,and follow-ups were done at 24 hours,1 month,3,6 and 12 months after the procedures by transthoracic echocardiography,X-ray examination and eletrocardiogram.
RESULTS: A total of 31 patients were treated successfully under solely guidance of TEE.The diameter of device was 10-28(15.5±4.1)mm.The procedural time was(20.5±7.2)min.One patient who had 2 ASD was treated by traditional thoracic surgery,because the small ASD had 5mm residual shunt after the procedures.There were 3 cases with trival residual shunt after the procedures imemediately.All patients could move at once after operation. The average follew-up time was3 - 12 (10.6±2.2) months.No patients suffered from residual shunt,occluder malposition,peripheral vascular injury,pericardial effusion or cardiac perforation during the follow-up.
CONCLUSIONS: For some selected patients,simple TEE guiding right jugular internal vein for clusure of ASD is applicable.The method not only prevents injury from radiation,but also shortens the inbed time and avoid the lower limbs braking,with good early-stage follow-up results are desirable.
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