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Файл:ECHO 2013 / Echocardiography in Congenital and Structural Heart Disease Assessment of Device – Repaired Patients
.pdf
Ventricular Septal Defect Closure
Ventricular Septal Defect Closure
Ventricular Septal Defect Closure
Ventricular Septal Defect Closure
PFO CLOSURE
PFO Closure
“Echo-dependent” procedure
Purpose of the intervention is to eliminate the shunt, not just place a device
Assess the device position and the shunt during and after implant
Sizing the defect for proper device selection
PFO Closure
Echo Assessment of the PFO
Sizing the defect – a PFO is not a hole
It is a dynamic flap, with properties that will influence device size
•Tunnel length
•Slot width
•Rigidity/compliance of septum primum tissue
PFO Closure - Sizing
TEE Image
PFO Closure - Sizing
“Tunnel Length” |
“Slot Width” |
|
TEE Image – Orthogonal Angles
PFO Closure - Sizing
ICE Image – Balloon Sizing
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