-
Views
-
Cite
Cite
Jackie S. McGhie, Annemien E. van den Bosch, Meindina G. Haarman, Ben Ren, Jolien W. Roos-Hesselink, Maarten Witsenburg, Marcel L. Geleijnse, Characterization of atrial septal defect by simultaneous multiplane two-dimensional echocardiography, European Heart Journal - Cardiovascular Imaging, Volume 15, Issue 10, October 2014, Pages 1145–1151, https://doi.org/10.1093/ehjci/jeu098
- Share Icon Share
Abstract
The aim of this study was to assess the value of two-dimensional (2D) transthoracic simultaneous multiplane imaging (SMPI) in the evaluation of suitability for percutaneous atrial septal secundum defect (ASD) closure compared with the golden standard 2D transoesophageal echocardiography (TEE).
Twenty-nine patients with an ASD underwent both SMPI and TEE. Ten patients (34%) were male (age 41 ± 18 years, range 20–74). SMPI assessment of ASD size and rims included xPlane and I-rotate modes. Rims were defined as suitable for ASD percutaneous closure using a cut-off value of 5 mm. There were no significant differences between SMPI in xPlane mode and TEE regarding the sizes of the anterior–posterior dimension (13.7 ± 4.5 vs. 14.5 ± 5.2 mm) and superior–inferior dimension (13.5 ± 3.9 vs. 14.1 ± 5.0 mm, respectively). Agreement for the aortic, atrioventricular, inferior, right upper pulmonary vein, and superior rims was 100, 100, 100, 96, and 96%, respectively.
The SMPI technique can reliably assess the dimensions and rim size of a secundum ASD for pre-interventional selection when compared with TEE and has thus the potential to replace TEE.