Xu Weize,Ye Jingjing,Li Jianhua,et al.Percutaneous transcatheter closure of atrial septal defect under the guidance of transesophageal echocardiography in children.[J].Journal of Clinical Pediatric Surgery,,17():38-42.
Percutaneous transcatheter closure of atrial septal defect under the guidance of transesophageal echocardiography in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 01
Page:
38-42
Column:
论著
Date of publication:
2018-01-28
- Keywords:
- Echocardiography; Transophageal; Heart Septal Defects; Atrial; Transcatheter; Child
- Document code:
- A
- Abstract:
- ObjectiveTo investigate the feasibility,safety and effectiveness of transcatheter closure of atrial septal defect (ASD) only under the guidance of transesophageal echocardiography (TEE) in children.MethodsFrom Nov.2014 to Aug.2016,118 cases of children undergoing percutaneous transcatheter closure of atrial septal defect received the procedure completely guided and monitored by TEE. Patients were followed up at the interval of 2 days and 3-6 months by conducting transthoracic echocardiography（TTE）.Results118 cases were identified by TEE as atrial septal defect,and single hole was detected in all cases. The diameter of ASD was 3-24 mm（9.52±4.12mm）,the size of the Amplatzer occluder was 6 mm-32 mm(14.19±4.60 mm) There were no complications occurred during immediate postoperative check and follow-up procedure by TEE,such as occluder displacement,valvular injury,peripheral vascular injury and pericardial effusion.ConclusionPercutaneous transcatheter closure of atrial septal defect completely guided by TEE is safe and effective,The advantages of high success rate,low complication rate and reasonable price make it easy to promote in children patients.
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