Key result
Early transcatheter ASD closure using only fluoroscopy monitoring was associated with device migration and lack of ASD rims, highlighting the importance of echocardiographic monitoring.
Why the study?
Does transesophageal echocardiography or transthoracic echocardiography provide better monitoring during transcatheter atrial septal defect closure compared to fluoroscopy?
Does transesophageal echocardiography or transthoracic echocardiography provide better monitoring during transcatheter atrial septal defect closure compared to fluoroscopy?
The text highlights the historical shift from fluoroscopy to echocardiographic monitoring during transcatheter ASD closure to prevent device migration.
The important point of transcatheter atrial septal defect (ASD) closure is the decision of indication and monitoring of device position during procedure. Transesophageal echocardiography (TEE) monitoring of transcatheter ASD closure began from the clamshell occluder procedure [1]. The early period of transcatheter ASD closure by clamshell occluder was done only by fluoroscopy monitoring. Device migration after implantation was experienced and lack of ASD rims was observed during surgical findings in those cases.
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Toshiki Kobayashi (2014) conducted an editorial in Atrial septal defect. Transesophageal echocardiography (TEE) or transthoracic echocardiography (TTE) vs. Fluoroscopy monitoring was evaluated. Early transcatheter ASD closure using only fluoroscopy monitoring was associated with device migration and lack of ASD rims, highlighting the importance of echocardiographic monitoring.
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