Role of real-time three-dimensional transoesophageal echocardiography for guiding transcatheter patent foramen ovale closure.
Patent foramen ovale (PFO) is a relatively common congenital condition which has been implicated in cryptogenic stroke as a result of paradoxical thromboembolism by right-to-left shunting. Many studies have demonstrated that transcatheter PFO closure significantly reduced the incidence of recurrent strokes in a small group of high-risk patients with PFO and atrial septal aneurysm compared with antithrombotic drugs. Two-dimensional transoesophageal echocardiography (2D TEE) has become the election technique for guiding patent foramen ovale closure. Real-time Three-dimensional transoesophageal echocardiography (3D TEE) may be potentially superior to 2D TEE in the accurate assessment of the morphology and efficacy of transcatheter closure devices because of a better spacial orientation.
Martin-Reyes
Roberto
R
Laboratory of Echocardiography, Department of Cardiology, La Paz University Hospital, Paseo de la Castellana, 261, CP 28046, Madrid, Spain. rmartinreyes@yahoo.es
López-Fernández
Teresa
T
Moreno-Yangüela
Mar
M
Moreno
Raul
R
Navas-Lobato
Miguel Angel
MA
Refoyo
Elena
E
Guzmán
Gabriela
G
Domínguez-Melcón
Francisco
F
López-Sendón
Jose Luis
JL
D006328:Cardiac Catheterization / Q000379:methods*; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005500:Follow-Up Studies; D054092:Foramen Ovale, Patent / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D016896:Treatment Outcome