Transcatheter closure of congenital heart disease under the guidance of transthoracic echocardiography_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 HU Lian , CAO Yong , WEI Guoxiong , LIU Chao , LIANG Hua , YU Guangshui

Department of Cardiovascular Surgery, Gaozhou People’s Hospital, Gaozhou, Guangdong 525200, P.R.China;

Corresponding?author：

HU Lian, Email: hulian2@163.com

Keywords：

Transthoracic echocardiography; congenital heart disease; transcatheter closure

DOI：

10.7507/1007-4848.201603017

Video：

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Objective To explore the feasibility of transcatheter closure of congenital heart disease (CHD) under the guidance of transthoracic echocardiography (TTE). Methods A total of 37 patients with CHD who received transcatheter closure under the guidance of transthoracic echocardiography from November 2013 through November 2015 in our hospital were recruited. There were 15 males and 22 females, aged 1 to 16 years. Among them 32 patients suffered atrial septal defect and 5 patients had patent ductus arteriosus. The transcatheter closure of CHD was performed under the guidance of TTE. The patients underwent echocardiography follow-up at one, three and six months after surgery. Results Closure devices were successfully implanted in 37 patients under TTE guidance. The procedure was simple and safe. During the follow-up, no severe complication such as valvular injury, pericardial effusion, residual shunt and peripheral vascular injury occurred. Conclusion Transcatheter closure of CHD under TTE guidance is a feasible method and worth further clinical application.

Citation： HULian, CAOYong, WEIGuoxiong, LIUChao, LIANGHua, YUGuangshui. Transcatheter closure of congenital heart disease under the guidance of transthoracic echocardiography. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(1): 52-55. doi: 10.7507/1007-4848.201603017 Copy

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2.	Perisinakis K, Damilakis J, Theoeharopoulos N, et al. Accurate assessment of patient effective radiation dose and associated detriment risk from radiofrequency catheter ablation procedures. Circulation, 2001, 104(1): 58-62.
3.	Maioli M, Toso A, Leoneini M, et al. Persistent renal damage after contrast-induced acute kidney injury: incidence, evolution, risk factors, and prognosis. Circulation, 2012, 125(25): 3099-3107.
4.	Rognin A, Goldstein J, Bar O, et al. Brain and neck tumors among physicians performing interventional procedures. Am J Cardiol, 2013, 111(9): 1368-1372.
5.	Moore J, Hegde S, El-Said H, et al. Transcatheter device closure of atrial septal defects: a safety review. JACC Cardiovasc Interv, 2013, 6(5): 433-442.
6.	Wagdi P, Ritter M. Patient radiation dose during percutaneous interventional closure of interatrial communications. J Cardiol, 2009, 53(3): 368-373.
7.	Yakoumakis EN, Gialousis GI, Papadopoulou D, et al. Estimation of children’s radiation dose from cardiac catheterizations, performed for the diagnosis or the treatment of acongenital heart diseaseusing TLD dosimetry and Monte Carlo simulation. J Radiol Prot, 2009, 29(2): 251-261.
8.	潘湘斌, 逢坤靜, 胡盛壽, 等. 經食管超聲心動圖引導下介入治療房間隔缺損幼兒的有效性和安全性. 中華心血管病雜志, 2013, 41(9): 744-746.
9.	歐陽文斌, 潘湘斌, 逄坤靜, 等. 單純食管超聲引導經皮封堵治療房間隔缺損. 中華實用兒科臨床雜志, 2014, 29(18): 1425-1527.
10.	潘湘斌, 歐陽文斌, 李守軍, 等. 單純超聲心動圖引導下行動脈導管未閉封堵術的安全性和有效性. 中華心血管病雜志, 2015, 43(1): 31-33.
11.	Meinel FG, Nance JW Jr, Harris BS, et al. Radiation risks from cardiovascular imaging tests. Circulation, 2014, 130(5): 442-445.
12.	García-Montes JA, Camacho-Castro A, Sandoval-Jones JP, et al. Closure of large patent ductus arteriosus using the Amplatzer Septal Occluder. Cardiol Young, 2015, 25(3): 491-495.
13.	Sungur M, Karakurt C, Ozbarlas N, et al. Closure of patent ductus arteriosus in children, small infants, and premature babies with Amplatzer duct occluder II additional sizes: multicenter study. Cathter Cardiovasc Interv, 2013, 82(2): 245-252.
14.	El-Said HG, Bratincsak A, Foerster SR, et al. Safety of percutaneous patent ductus arteriosus closure: an unselected muhieenter population experience. J Am Heart Assoc, 2013, 2(6): e000424.
15.	Zhang CJ, Huang YG, Huang XS, et al. Transcatheter closure of large patent ductus arteriosus with severe pulmonary arterial hypertension in adults: immediate and two-year follow-up results. Chin Med J (Engl), 2012, 125(21): 3844-3850.
16.	Ewert P, Berger F, Daehnert I, et al. Transcatheter closure of atrial septal defects without fluoroscopy: feasibility of a new method. Circulation, 2000, 101(8): 847-849.
17.	逄坤靜, 王浩, 孟紅, 等. 經胸二維超聲心動圖引導兒童房間隔缺損經皮封堵治療術. 中華超聲影像學雜志, 2014, 23(7): 573-576.
18.	Tzifa A, Gordon J, Tibby SM, et al. Transeatheter atrial septal defect closure guided by colour flow Doppler. Int J Cardiol, 2011, 149(3): 299-303.
19.	王首正, 劉矗, 王珊, 等. 單純超聲引導下經股靜脈行動脈導管封堵術的應用研究. 中華醫學雜志, 2015, 95(27): 2183-2185.
20.	李紅昕, 郭文彬, 郭蘭敏, 等. 非體外循環房間隔缺損封堵術50例臨床分析. 中華外科雜志, 2005, 43(10): 653-654.

1. Du ZD, Hijazi ZM, Kleinman CS, et al. Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: results of a multicenter nonrandomized trial. J Am Coll Cardiol, 2002, 39(11): 1836-1844.
2. Perisinakis K, Damilakis J, Theoeharopoulos N, et al. Accurate assessment of patient effective radiation dose and associated detriment risk from radiofrequency catheter ablation procedures. Circulation, 2001, 104(1): 58-62.
3. Maioli M, Toso A, Leoneini M, et al. Persistent renal damage after contrast-induced acute kidney injury: incidence, evolution, risk factors, and prognosis. Circulation, 2012, 125(25): 3099-3107.
4. Rognin A, Goldstein J, Bar O, et al. Brain and neck tumors among physicians performing interventional procedures. Am J Cardiol, 2013, 111(9): 1368-1372.
5. Moore J, Hegde S, El-Said H, et al. Transcatheter device closure of atrial septal defects: a safety review. JACC Cardiovasc Interv, 2013, 6(5): 433-442.
6. Wagdi P, Ritter M. Patient radiation dose during percutaneous interventional closure of interatrial communications. J Cardiol, 2009, 53(3): 368-373.
7. Yakoumakis EN, Gialousis GI, Papadopoulou D, et al. Estimation of children’s radiation dose from cardiac catheterizations, performed for the diagnosis or the treatment of acongenital heart diseaseusing TLD dosimetry and Monte Carlo simulation. J Radiol Prot, 2009, 29(2): 251-261.
8. 潘湘斌, 逢坤靜, 胡盛壽, 等. 經食管超聲心動圖引導下介入治療房間隔缺損幼兒的有效性和安全性. 中華心血管病雜志, 2013, 41(9): 744-746.
9. 歐陽文斌, 潘湘斌, 逄坤靜, 等. 單純食管超聲引導經皮封堵治療房間隔缺損. 中華實用兒科臨床雜志, 2014, 29(18): 1425-1527.
10. 潘湘斌, 歐陽文斌, 李守軍, 等. 單純超聲心動圖引導下行動脈導管未閉封堵術的安全性和有效性. 中華心血管病雜志, 2015, 43(1): 31-33.
11. Meinel FG, Nance JW Jr, Harris BS, et al. Radiation risks from cardiovascular imaging tests. Circulation, 2014, 130(5): 442-445.
12. García-Montes JA, Camacho-Castro A, Sandoval-Jones JP, et al. Closure of large patent ductus arteriosus using the Amplatzer Septal Occluder. Cardiol Young, 2015, 25(3): 491-495.
13. Sungur M, Karakurt C, Ozbarlas N, et al. Closure of patent ductus arteriosus in children, small infants, and premature babies with Amplatzer duct occluder II additional sizes: multicenter study. Cathter Cardiovasc Interv, 2013, 82(2): 245-252.
14. El-Said HG, Bratincsak A, Foerster SR, et al. Safety of percutaneous patent ductus arteriosus closure: an unselected muhieenter population experience. J Am Heart Assoc, 2013, 2(6): e000424.
15. Zhang CJ, Huang YG, Huang XS, et al. Transcatheter closure of large patent ductus arteriosus with severe pulmonary arterial hypertension in adults: immediate and two-year follow-up results. Chin Med J (Engl), 2012, 125(21): 3844-3850.
16. Ewert P, Berger F, Daehnert I, et al. Transcatheter closure of atrial septal defects without fluoroscopy: feasibility of a new method. Circulation, 2000, 101(8): 847-849.
17. 逄坤靜, 王浩, 孟紅, 等. 經胸二維超聲心動圖引導兒童房間隔缺損經皮封堵治療術. 中華超聲影像學雜志, 2014, 23(7): 573-576.
18. Tzifa A, Gordon J, Tibby SM, et al. Transeatheter atrial septal defect closure guided by colour flow Doppler. Int J Cardiol, 2011, 149(3): 299-303.
19. 王首正, 劉矗, 王珊, 等. 單純超聲引導下經股靜脈行動脈導管封堵術的應用研究. 中華醫學雜志, 2015, 95(27): 2183-2185.
20. 李紅昕, 郭文彬, 郭蘭敏, 等. 非體外循環房間隔缺損封堵術50例臨床分析. 中華外科雜志, 2005, 43(10): 653-654.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Transcatheter closure of congenital heart disease under the guidance of transthoracic echocardiography

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