Single-plane balloon sizing of atrial septal defects with intracardiac echocardiography: an advantageous alternative to fluoroscopy

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
Thomas BartelSilvana Müller

Abstract

We sought to evaluate intracardiac echocardiography (ICE) in comparison with transesophageal echocardiography and fluoroscopy for sizing of atrial septal defects (ASDs). In 43 patients (mean age 40 +/- 15 years) with ASD, the native defect size was measured by transesophageal echocardiography and ICE. On subsequent balloon sizing, the stretched balloon diameter was measured by both fluoroscopy in two perpendicular planes and by ICE in just a single standard cut plane. All ASDs were successfully closed with Amplatzer occluders (AGA Medical Corp., Plymouth, Minn). Conventional fluoroscopy-based balloon sizing revealed diameters of 17.5 +/- 5.4 mm, transesophageal echocardiography diameters of 11.8 +/- 3.3 mm (P < .001), and ICE measurement of native ASD diameters of 13.5 +/- 4.1 mm (P < .001). Single-plane ICE balloon sizing revealed diameters of 16.9 +/- 5.2 mm and corresponded well with fluoroscopy: R = 0.98, P < .001. As a sizing tool, ICE is an accurate alternative to fluoroscopy and helps to decrease radiation exposure.

References

May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·X GuK Amplatz
Mar 19, 2002·Journal of the American College of Cardiology·Massimo ChessaAlessandro Frigiola
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Citations

Apr 20, 2013·European Heart Journal Cardiovascular Imaging·Thomas Bartel, Silvana Müller
Oct 23, 2013·European Heart Journal·Thomas BartelRebecca T Hahn
May 12, 2012·Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society·Kelvin K L WongDerek Abbott
Mar 2, 2010·International Journal of Cardiology·Aphrodite TzifaShakeel A Qureshi
Dec 22, 2009·Medical Engineering & Physics·Kelvin K L WongDerek Abbott
Sep 23, 2014·Archives of Cardiovascular Diseases·Anass AssaidiAlain Fraisse
Feb 11, 2020·The International Journal of Cardiovascular Imaging·Michiyo YamanoSatoaki Matoba

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