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Tereshchenko A.S.

Chazov National Medical Research Center of Cardiology

Merkulov E.V.

Chazov National Medical Research Center of Cardiology

Arutyunyan G.K.

Chazov National Medical Research Center of Cardiology

Azimova M.R.

Chazov National Medical Research Center of Cardiology

Kostina K.N.

Chazov National Medical Research Center of Cardiology

Sivakova O.A.

Chazov National Medical Research Center of Cardiology

Sapelnikov O.V.

Chazov National Medical Research Center of Cardiology

Endovascular closure of patent foramen ovale under intracardiac echocardiography guidance without fluoroscopy

Authors:

Tereshchenko A.S., Merkulov E.V., Arutyunyan G.K., Azimova M.R., Kostina K.N., Sivakova O.A., Sapelnikov O.V.

More about the authors

Journal: Russian Cardiology Bulletin. 2024;19(3): 104‑110

DOI: 10.17116/Cardiobulletin202419031104

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Table of contents

ENDOVASCULAR CLOSURE OF PATENT FORAMEN OVALE UNDER INTRACARDIAC ECHOCARDIOGRAPHY GUIDANCE WITHOUT FLUOROSCOPY
ENDOVASCULAR CLOSURE OF PATENT FORAMEN OVALE UNDER INTRACARDIAC ECHOCARDIOGRAPHY GUIDANCE WITHOUT FLUOROSCOPY

To cite this article:

Tereshchenko AS, Merkulov EV, Arutyunyan GK, Azimova MR, Kostina KN, Sivakova OA, Sapelnikov OV. Endovascular closure of patent foramen ovale under intracardiac echocardiography guidance without fluoroscopy. Russian Cardiology Bulletin. 2024;19(3):104‑110. (In Russ.)
https://doi.org/10.17116/Cardiobulletin202419031104

Подписка 2025-2 (Russian Cardiology Bulletin)
 
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Intracardiac echocardiography (ICE) is a method of ultrasound imaging providing high-resolution images in real time. ICE for endovascular closure of patent foramen ovale (PFO) excludes general anesthesia, shortens surgery time, minimizes radiation exposure and reduces the number of necessary specialists. We consider the indications and limitations for this manipulation and compare ICE with transthoracic and transesophageal echocardiography. We present a case when fluoroscopic control was uninformative that required ICE. Finally, we describe own experience of ICE for endovascular closure of PFO without fluoroscopy.

Keywords:

intracardiac echocardiography
transthoracic echocardiography
transesophageal echocardiography
patent foramen ovale
endovascular surgery

Authors:

Tereshchenko A.S.

Chazov National Medical Research Center of Cardiology

Merkulov E.V.

Chazov National Medical Research Center of Cardiology

Arutyunyan G.K.

Chazov National Medical Research Center of Cardiology

Azimova M.R.

Chazov National Medical Research Center of Cardiology

Kostina K.N.

Chazov National Medical Research Center of Cardiology

Sivakova O.A.

Chazov National Medical Research Center of Cardiology

Sapelnikov O.V.

Chazov National Medical Research Center of Cardiology

Received:

24.10.2023

Accepted:

17.01.2024

List of references:

  1. Han KN, Ma XT, Yang SW, Zhou YJ. Intracardiac echocardiography in the diagnosis and closure of patent foramen ovale. Journal of Geriatric Cardiology. 2021;18(9):697-701.  https://doi.org/10.11909/j.issn.1671-5411.2021.09.009
  2. Ramazanov GR, Kovaleva EA, Akhmatkhanova LKh-B, Petrikov SS. Patent foramen ovale as a cause of cryptogenic ischemic stroke. Russian Neurological Journal. 2022;27(2):53-59. (In Russ.). https://doi.org/10.30629/2658-7947-2022-27-2-53-59
  3. Hart R, Diener H, Coutts S, Easton JD, Granger CB, O’Donnell MJ, Sacco RL, Connolly SJ; Cryptogenic Stroke/ESUS International Working Group. Embolic strokes of undetermined source: the case for a new clinical construct. Lancet Neurology. 2014;13(4):429-438.  https://doi.org/10.1016/s1474-4422(13)70310-7
  4. Komarov AL, Krivosheeva EN, Makeev MI, Merkulov EV, Tripoten MI, Panchenko EP. Patent foramen ovale as the cause of recurrent embolic strokes. Case report. Terapevticheskii Arkhiv. 2022;94(9):1109-1114. (In Russ.). https://doi.org/10.26442/00403660.2022.09.201842
  5. Saver JL, Carroll JD, Thaler DE, Smalling RW, MacDonald LA, Marks DS, Tirschwell DL; RESPECT Investigators. Long-Term Outcomes of Patent Foramen Ovale Closure or Medical Therapy after Stroke. The New England Journal of Medicine. 2017;377(11):1022-1032. https://doi.org/10.1056/NEJMoa1610057
  6. Søndergaard L, Kasner SE, Rhodes JF, Andersen G, Iversen HK, Nielsen-Kudsk JE, Settergren M, Sjöstrand C, Roine RO, Hildick-Smith D, Spence JD, Thomassen L; Gore REDUCE Clinical Study Investigators. Patent Foramen Ovale Closure or Antiplatelet Therapy for Cryptogenic Stroke. The New England Journal of Medicine. 2017;377(11):1033-1042. https://doi.org/10.1056/NEJMoa1707404
  7. Lee PH, Song JK, Kim JS, Heo R, Lee S, Kim DH, Song JM, Kang DH, Kwon SU, Kang DW, Lee D, Kwon HS, Yun SC, Sun BJ, Park JH, Lee JH, Jeong HS, Song HJ, Kim J, Park SJ. Cryptogenic Stroke and High-Risk Patent Foramen Ovale: The DEFENSE-PFO Trial. JACC: Journal of the American College of Cardiology. 2018;71(20):2335-2342. https://doi.org/10.1016/j.jacc.2018.02.046
  8. Safronov SN, Korshunov DI, Nosenko NS. Preoperative and intraoperative 2D transesophageal echocardiography for endovascular closure of atrial septal defect. Medical alphabet. 2023;1(7):22-26. (In Russ.). https://doi.org/10.33667/2078-5631-2023-7-22-26
  9. Zietz A, Sutter R, De Marchis GM. Deep vein thrombosis and pulmonary embolism among patients with a cryptogenic stroke linked to patent foramen ovale – A review of the literature. Frontiers in Neurology. 2020;11:336.  https://doi.org/10.3389/fneur.2020.00336
  10. Gianni C, Della Rocca DG, Horton RP, Burkhardt JD, Natale A, Al-Ahmad A. Real-Time 3D Intracardiac Echocardiography. Cardiac Electrophysiology Clinics. 2021;13(2):419-426.  https://doi.org/10.1016/j.ccep.2021.03.006
  11. Enriquez A, Saenz LC, Rosso R, Silvestry FE, Callans D, Marchlinski FE, Garcia F. Use of Intracardiac Echocardiography in Interventional Cardiology: Working With the Anatomy Rather Than Fighting It. Circulation. 2018;137(21):2278-2294. https://doi.org/10.1161/CIRCULATIONAHA.117.031343
  12. Sapelnikov OV, Partigulova AS, Saidova MA, Akchurin RS. The role of intracardiac echocardiography in clinical electrophysiology. Cardiology. 2015;1:64-69. (In Russ.).
  13. Ardashev AV, Mangutov DA, Rybatchenko MS, Zhelyakov EG, Shavarov AA, Chernov MY, Pestovskaya OR, Korneev NV. Comparison of Sensitivity of Transthoracic, Transesophageal, and Intracardiac Echocardiography for Guiding Transseptal Puncture During Radiofrequency Ablation in the Left Atrium. Cardiology. 2010;50:22-28. (In Russ.).
  14. Kostin VS, Sapelnikov OV, Uskach TM, Cherkashin DI, Grishin IR, Kulikov AA, Gusejnli EG, Vereshchagina AV, Ardus DF, Akchurin RS. Non-fluoroscopic approach to cryoballoon ablation for atrial fibrillation. (1 year follow-up results). Russian Cardiology Bulletin. 2021;16(4):49-57. (In Russ.). https://doi.org/10.17116/Cardiobulletin20211604149
  15. Sapelnikov OV, Ardus DF, Kostin VS, Uskach TM, Cherkashin DI, Grishin IR, Bogatyreva KB, Emelyanov AV, Kulikov AA, Nikolaeva OA, Akchurin RS. Nonfluoroscopic catheter ablation in patients with atrial fibrillation. Russian Journal of Cardiology. 2020;25(12):3928. (In Russ.). https://doi.org/10.15829/1560-4071-2020-3928
  16. Szegedi N, Kroptkin E, Traykoc V, Abdrakhmanov A, Lorgat F, Sapelnikov O, Simons S, Amin M. Routine use of a 3D mapping system in the ablation of supraventricular arrhythmias with as low as reasonably achievable X-ray exposure (AALARA): protocol for a prospective, observational, multicentre, multinational, open-label registry study. BMJ Open. 2023;13(8):e072181. https://doi.org/10.1136/bmjopen-2023-072181
  17. Ponomarenko AV, Yelemessov NA, Peregudov IS, Zhizhov RE, Baranova VV, Fisher EV, Shabanov VV, Chernyavskiy AM, Romanov AB. Transseptal puncture through the atrial septal occluder in patient with atrial fibrillation for guided radiofrequency ablation procedure using remote magnetic navigation: A clinical case. Circulation Pathology and Cardiac Surgery. 2021;25(1):114-119. (In Russ.). https://doi.org/10.21688/1681-3472-2021-1-114-119
  18. Kent DM, Saver JL, Ruthazer R, Furlan AJ, Reisman M, Carroll JD, Smalling RW, Jüni P, Mattle HP, Meier B, Thaler DE. Risk of Paradoxical Embolism (RoPE)-Estimated Attributable Fraction Correlates With the Benefit of Patent Foramen Ovale Closure: An Analysis of 3 Trials. Stroke. 2020;51(10):3119-3123. https://doi.org/10.1161/STROKEAHA.120.029350

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