Safety and feasibility of intracardiac echocardiography in comparison to transesophageal echocardiography-guided percutaneous interatrial septum defect closure: A systematic review

Andrea Laurentius, Brian Mendel, Hiradipta Ardining, Radityo Prakoso

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Interatrial septum defects are common congenital heart malformations that require widely involved minimally invasive treatment via percutaneous closure guided by transesophageal echocardiography (TEE). An improvised method for guiding percutaneous interatrial septum defect closure using intracardiac echocardiography (ICE), which has been shown to exhibit a guiding accuracy similar to TEE, has been established to overcome the needs of general anesthesia and thus prevent side effects among patients. Objective: We compare the safety and feasibility of ICE to TEE for guiding percutaneous interatrial closure. Study Group: Patients with congenital interatrial septum defects indicated for percutaneous closure are the focus of this study. Methods: We searched the relevant literature in six data-bases, using keywords refined with Boolean operators. We systematically reviewed and appraised 12 out of 211 studies using the Center for Evidence-Based Medicine Qualitative Studies Appraisal Tool prior to result analyses. Results: Twelve studies achieved overall low-risk bias, as this criterion encompassed prominent aspects of the disc-ussion for justifying the conclusion. The procedural time efficiency of percutaneous interatrial septal defect closure using ICE guidance was better than that using TEE guidance. ICE permitted a more detailed anatomical view of the atrial septum and posed less procedural stress for the patient than TEE. Conclusion: ICE provides an accurate and broad view of the atrial septum in guiding percutaneous closure without the need for general anesthesia. Considering the number of interatrial defect variations, ICE provides better guidance for the closure than does TEE, due to its sensitivity in detecting subtle rim defects with less procedural stress and time.

Original languageEnglish
Pages (from-to)219-232
Number of pages14
JournalWorld Heart Journal
Volume12
Issue number3
Publication statusPublished - 2020

Keywords

  • Atrial septal defect
  • Intracardiac echocardio-graphy
  • Patent foramen ovale
  • Percutaneous closure
  • Trans-esophageal echocardiography

Fingerprint Dive into the research topics of 'Safety and feasibility of intracardiac echocardiography in comparison to transesophageal echocardiography-guided percutaneous interatrial septum defect closure: A systematic review'. Together they form a unique fingerprint.

Cite this