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Influence of Echocardiographic Guidance on Positioning of the Buttoned Occluder for Transcatheter Closure of Atrial Septal Defects
Author(s) -
LLOYD THOMAS R.,
VERMILION ROGER P.,
ZAMORA ROLANDO,
LUDOMIRSKY ACHI,
BEEKMAN ROBERT H.
Publication year - 1996
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1996.tb00878.x
Subject(s) - medicine , cardiology , regurgitation (circulation) , atrioventricular valve , fluoroscopy , atrial septum , surgery , ventricle
Ideal position of the buttoned device for occlusion of atrial septal defects was achieved more often with transesophageal than with transthoracic echocardiographic guidance (10/11 vs 7/23; P = 0.001). Patients with ideal device position were less likely to have residual shunts, device unbuttoning, or atrioventricular valve regurgitation (2/17 vs 11/17; P = 0.002). We therefore recommend the use of transesophageal echocardiography to guide implantation of the buttoned device.