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Oclusão percutânea de comunicação interatrial ou de forame oval guiada por ecocardiograma intracardíaco / Percutaneous closure of atrial septal defect or foramen ovale guided by intracardiac echocardiography
Oliveira, Edmundo Clarindo; Moura, Marco Antônio Gonçalves de; Barbosa, José Augusto de Almeida.
  • Oliveira, Edmundo Clarindo; Hospital Felício Rocho, Belo Horizonte. Minas Gerais - MG. BR
  • Moura, Marco Antônio Gonçalves de; Hospital Felício Rocho, Belo Horizonte. Minas Gerais - MG. BR
  • Barbosa, José Augusto de Almeida; Hospital Felício Rocho, Belo Horizonte. Minas Gerais - MG. BR
Rev. bras. cardiol. invasiva ; 23(3): 216-219, jul.-set.2015. ilus, tab
Article in Portuguese | LILACS | ID: lil-794201
RESUMO
O ecocardiograma transesofágico (ECO-TE) é o método mais utilizado para guiar otratamento percutâneo da comunicação interatrial (CIA) e do forame oval (FOP), mas a necessidade de um outro profissional para realizá-lo e de anestesia geral constituem inconvenientes para seu emprego. Oecocardiograma intracardíaco (ECO-IC) apresenta-se como alternativa ao ECO-TE, pois pode ser realizado pelo próprio operador e demanda apenas anestesia local, com leve ou nenhuma sedação. Nosso objetivo foi relatar a experiência do serviço com a oclusão de CIA/FOP guiada por ECO-IC.

Métodos:

O ECO-IC utiliza cateter de ultrassom, que é introduzido por via venosa em câmaras cardíacas direitas e, por meio de posicionamento variável do transdutor, obtém as imagens adequadas para a intervenção. Foram avaliadas as taxas de sucesso do procedimento e as complicações.

Resultados:

De 2011 a 2015, foram realizados 201 procedimentos guiados pelo ECO-IC, sendo 139 empacientes com CIA e 62 com FOP. A maioria dos pacientes era do sexo feminino (64,2%), as idades variaramde 7 a 78 anos (36,6 ± 19,3 anos) e o peso variou de 28 a 92 kg (62,5 ± 13,0 kg). Foram utilizadas próteses Occlutech Figulla®, e todas as intervenções tiveram sucesso, com tempos de fluoroscopia de 5,7 ± 2,4 minutos e tempo de procedimento de 21,5 ± 6,4 minutos. Dois pacientes (2,0%) apresentaram taquicardia supraventricular transitória e outros dois pacientes evoluíram com fístula arteriovenosa na via de acesso, com resolução espontânea no primeiro mês.

Conclusões:

O ECO-IC forneceu informações anatômicas precisas para guiar o fechamento da CIA/FOP com sucesso e eliminou as principais desvantagens do ECO-TE...
ABSTRACT
Transesophageal echocardiography (TEE) is the most widely used method to guide the percutaneous treatment of atrial septal defect (ASD) and patent foramen ovale (PFO), but the necessity of another professional to perform it and the need for general anesthesia are potential disadvantages. Intracardiac echocardiography (ICE) is seen as an alternative to TEE, as it can be performed by the interventionist and requires only local anesthesia with mild or no sedation. The aim of this study was to report our experience with ASD/PFO occlusion guided by ICE.

Methods:

The ICE uses an ultrasound catheter, which is intravenously inserted in the right heart chambers and acquires images for the intervention through variable positioning of the transducer. Success and complication rates of the procedure were evaluated.

Results:

From 2011 to 2015, 201 procedures guided by ICE were performed, comprising 139 in patients with ASD and 62 in those with PFO. Most patients were female (64.2%), ages ranged from 7 to 78 years (36.6 ±19.3 years), and weight ranged from 28 to 92 kg (62.5 ± 13.0 kg). Occlutech Figulla® prostheses were used and all interventions were successful, with fluoroscopy time of 5.7 ± 2.4 minutes and procedure time of 21.5 ± 6.4 minutes. Two patients (2.0%) had transient supraventricular tachycardia and two others had arteriovenous fistula at the access site, with spontaneous resolution in the first month of follow-up.

Conclusions:

ICE provided accurate anatomical information to guide the closure of the ASD/PFO and successfully eliminated the main drawbacks of TEE...
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Echocardiography, Transesophageal / Foramen Ovale / Heart Defects, Congenital / Heart Septal Defects, Atrial Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Child / Female / Humans / Male Language: Portuguese Journal: Rev. bras. cardiol. invasiva Journal subject: Cardiology / General Surgery Year: 2015 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Felício Rocho, Belo Horizonte/BR

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Full text: Available Index: LILACS (Americas) Main subject: Echocardiography, Transesophageal / Foramen Ovale / Heart Defects, Congenital / Heart Septal Defects, Atrial Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Child / Female / Humans / Male Language: Portuguese Journal: Rev. bras. cardiol. invasiva Journal subject: Cardiology / General Surgery Year: 2015 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Felício Rocho, Belo Horizonte/BR