Application effect of transthoracic echocardiography monitoring in percutaneous closure of patent foramen ovale
- VernacularTitle:经胸超声心动图监测引导在经皮卵圆孔未闭封堵术中的应用效果
- Author:
Chao ZHANG
1
;
Dong HAN
;
Dikun FAN
;
Jianchao GAO
;
Kan YANG
Author Information
- Keywords: transthoracic echocardiography; patent foramen ovale; interventional closure; mi-graine
- From: Journal of Clinical Medicine in Practice 2024;28(9):25-28
- CountryChina
- Language:Chinese
- Abstract: Objective To observe the effect of transthoracic echocardiography(TTE)monitoring in percutaneous closure of patent foramen ovale(PFO).Methods The data of 98 patients with PFO were retrospectively analyzed.All patients underwent interventional plugging.They were divided into X-ray group(n=50)and TTE group(n=48)according to different intraoperative guidance methods.The occlusions,complications,surgical indexes,right-to-left shunt(RLS)grading and the improve-ment of headache in patients with migraine were compared between the two groups.Results A total of 98 cases of PFO were successfully occluded,among which 2 cases in the TTE group received transesophageal ultrasound guidance due to poor intraoperative sound window.The operation time of the TTE group was significantly longer than that of the X-ray group(P＜0.05).After operation,RLS rating and Headache Impact Test-6(HIT-6)score of migraine patients in the two groups were signifi-cantly lower than those before operation(P＜0.05).Conclusion Simple TTE guided percutaneous PFO occlusion has a good improvement effect on RLS and migraine in PFO patients,and can avoid ra-diation damage caused by X-ray to doctors and patients.
