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Titolo:
Echocardiographic characteristics of successful deployment of the Das AngelWings atrial septal defect closure device: Initial multicenter experience in the United States
Autore:
Banerjee, A; Bengur, AR; Li, JS; Homans, DC; Toher, C; Bank, AJ; Marx, GR; Rhodes, J; Das, GS;
Indirizzi:
Tufts Univ, New England Med Ctr, Boston, MA 02111 USA Tufts Univ Boston MA USA 02111 New England Med Ctr, Boston, MA 02111 USA Childrens Hosp & Med Ctr, Div Cardiol, Cincinnati, OH USA Childrens Hosp &Med Ctr Cincinnati OH USA v Cardiol, Cincinnati, OH USA Childrens Hosp & Med Ctr, Div Pediat Cardiol, Cincinnati, OH USA ChildrensHosp & Med Ctr Cincinnati OH USA t Cardiol, Cincinnati, OH USA Duke Univ, Med Ctr, Durham, NC USA Duke Univ Durham NC USADuke Univ, Med Ctr, Durham, NC USA Univ Minnesota, Minneapolis, MN USA Univ Minnesota Minneapolis MN USAUniv Minnesota, Minneapolis, MN USA
Titolo Testata:
AMERICAN JOURNAL OF CARDIOLOGY
fascicolo: 8, volume: 83, anno: 1999,
pagine: 1236 - 1241
SICI:
0002-9149(19990415)83:8<1236:ECOSDO>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSCATHETER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Banerjee, A Tufts Univ, New England Med Ctr, 750 Washington St, Boston, MA02111 USA Tufts Univ 750 Washington St Boston MA USA 02111 MA 02111 USA
Citazione:
A. Banerjee et al., "Echocardiographic characteristics of successful deployment of the Das AngelWings atrial septal defect closure device: Initial multicenter experience in the United States", AM J CARD, 83(8), 1999, pp. 1236-1241

Abstract

AngelWings device is a newer transcatheter device used for closure of secundum atrial septal defects (ASD) and patent foramen ovale (PFO), which consists of a self-centering, 2-disk system. Transesophageal echocardiography (TEE) plays a pivotal role in the deployment of the 2 disks of this device, on the appropriate sides of the atrial septum. The objective of this study is to describe the echocardiographic findings associated with successful deployment of the AngelWings device for closure of ASD and PFO. We evaluated the TEE studies of 70 patients enrolled in 4 United States centers, for closure of ASD and PFO with the AngelWings device. The TEE characteristics of successful and unsuccessful deployments were analyzed. Residual shunts across the atrial septum were assessed by TEE at the end of the procedure, 24 hours later by transthoracic echocardiography, and at 6 months by TEE. The deployment of the device was successful in 65 patients (93%), In the unsuccessful group, ASD size by TEE was larger (13.4 +/- 3.1 vs 8.9 +/- 4.7 mmr, p<0.05). TEE was successful in identifying snagging of the device by intracardiac structures and prolapse of corners of the left or right atrial disk through the ASD, features that were difficult to identify by fluoroscopy. The echocardiographic characteristics outlined here are important guidelinesfor successful deployment of the AngelWings device. (C) 1999 by Excerpta Medica, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/04/20 alle ore 19:37:04