Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance
Transcatheter closure of patent foramen ovale (PFO) and secundum type atrial septal defect (ASD) are common transcatheter procedures. Although they share many technical details, these procedures are targeting two different clinical indications. PFO closure is usually considered to prevent recurrent...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-07-01
|
Series: | Journal of Cardiovascular Development and Disease |
Subjects: | |
Online Access: | https://www.mdpi.com/2308-3425/8/7/78 |
id |
doaj-f6b571fe236441bb84d71a44a4063499 |
---|---|
record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gabriele Egidy Assenza Luca Spinardi Elisabetta Mariucci Anna Balducci Luca Ragni Cristina Ciuca Roberto Formigari Emanuela Angeli Gianfranco Vornetti Gaetano Domenico Gargiulo Andrea Donti |
spellingShingle |
Gabriele Egidy Assenza Luca Spinardi Elisabetta Mariucci Anna Balducci Luca Ragni Cristina Ciuca Roberto Formigari Emanuela Angeli Gianfranco Vornetti Gaetano Domenico Gargiulo Andrea Donti Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance Journal of Cardiovascular Development and Disease patent foramen ovale atrial septal defect multimodality imaging transcatheter closure |
author_facet |
Gabriele Egidy Assenza Luca Spinardi Elisabetta Mariucci Anna Balducci Luca Ragni Cristina Ciuca Roberto Formigari Emanuela Angeli Gianfranco Vornetti Gaetano Domenico Gargiulo Andrea Donti |
author_sort |
Gabriele Egidy Assenza |
title |
Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance |
title_short |
Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance |
title_full |
Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance |
title_fullStr |
Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance |
title_full_unstemmed |
Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative Guidance |
title_sort |
transcatheter closure of pfo and asd: multimodality imaging for patient selection and perioperative guidance |
publisher |
MDPI AG |
series |
Journal of Cardiovascular Development and Disease |
issn |
2308-3425 |
publishDate |
2021-07-01 |
description |
Transcatheter closure of patent foramen ovale (PFO) and secundum type atrial septal defect (ASD) are common transcatheter procedures. Although they share many technical details, these procedures are targeting two different clinical indications. PFO closure is usually considered to prevent recurrent embolic stroke/systemic arterial embolization, ASD closure is indicated in patients with large left-to-right shunt, right ventricular volume overload, and normal pulmonary vascular resistance. Multimodality imaging plays a key role for patient selection, periprocedural monitoring, and follow-up surveillance. In addition to routine cardiovascular examinations, advanced neuroimaging studies, transcranial-Doppler, and interventional transesophageal echocardiography/intracardiac echocardiography are now increasingly used to deliver safely and effectively such procedures. Long-standing collaboration between interventional cardiologist, neuroradiologist, and cardiac imager is essential and it requires a standardized approach to image acquisition and interpretation. Periprocedural monitoring should be performed by experienced operators with deep understanding of technical details of transcatheter intervention. This review summarizes the specific role of different imaging modalities for PFO and ASD transcatheter closure, describing important pre-procedural and intra-procedural details and providing examples of procedural pitfall and complications. |
topic |
patent foramen ovale atrial septal defect multimodality imaging transcatheter closure |
url |
https://www.mdpi.com/2308-3425/8/7/78 |
work_keys_str_mv |
AT gabrieleegidyassenza transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT lucaspinardi transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT elisabettamariucci transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT annabalducci transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT lucaragni transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT cristinaciuca transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT robertoformigari transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT emanuelaangeli transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT gianfrancovornetti transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT gaetanodomenicogargiulo transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance AT andreadonti transcatheterclosureofpfoandasdmultimodalityimagingforpatientselectionandperioperativeguidance |
_version_ |
1721287734215049216 |
spelling |
doaj-f6b571fe236441bb84d71a44a40634992021-07-23T13:47:41ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252021-07-018787810.3390/jcdd8070078Transcatheter Closure of PFO and ASD: Multimodality Imaging for Patient Selection and Perioperative GuidanceGabriele Egidy Assenza0Luca Spinardi1Elisabetta Mariucci2Anna Balducci3Luca Ragni4Cristina Ciuca5Roberto Formigari6Emanuela Angeli7Gianfranco Vornetti8Gaetano Domenico Gargiulo9Andrea Donti10Pediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, ItalyNeuroradiology Program, IRCCS Azienda Ospedaliero—Universitaria di Bologna, 40138 Bologna, ItalyPediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, ItalyPediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, ItalyPediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, ItalyPediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, ItalyInterventional Cardiology, Cardiology and Cardiac Surgery Program, Ospedale Bambino Gesu’, 00165 Roma, ItalyPediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, ItalyNeuroradiology Program, IRCCS Azienda Ospedaliero—Universitaria di Bologna, 40138 Bologna, ItalyPediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, ItalyPediatric Cardiology, Pediatric Cardiac Surgery and Adult Congenital Heart Disease Program, Department of Cardio—Thoracic and Vascular Medicine, IRCCS Azienda Ospedaliero—Universitaria di Bologna, Via G. Massarenti, 9, 40138 Bologna, ItalyTranscatheter closure of patent foramen ovale (PFO) and secundum type atrial septal defect (ASD) are common transcatheter procedures. Although they share many technical details, these procedures are targeting two different clinical indications. PFO closure is usually considered to prevent recurrent embolic stroke/systemic arterial embolization, ASD closure is indicated in patients with large left-to-right shunt, right ventricular volume overload, and normal pulmonary vascular resistance. Multimodality imaging plays a key role for patient selection, periprocedural monitoring, and follow-up surveillance. In addition to routine cardiovascular examinations, advanced neuroimaging studies, transcranial-Doppler, and interventional transesophageal echocardiography/intracardiac echocardiography are now increasingly used to deliver safely and effectively such procedures. Long-standing collaboration between interventional cardiologist, neuroradiologist, and cardiac imager is essential and it requires a standardized approach to image acquisition and interpretation. Periprocedural monitoring should be performed by experienced operators with deep understanding of technical details of transcatheter intervention. This review summarizes the specific role of different imaging modalities for PFO and ASD transcatheter closure, describing important pre-procedural and intra-procedural details and providing examples of procedural pitfall and complications.https://www.mdpi.com/2308-3425/8/7/78patent foramen ovaleatrial septal defectmultimodality imagingtranscatheter closure |