Clinical efficacy of intracardiac echocardiography guidance in transcatheter closure of latent patent fora-men ovale among divers
10.3969/j.issn.1006-5725.2025.09.014
- VernacularTitle:心腔内超声在"潜在型"卵圆孔未闭潜水员介入封堵术中的应用
- Author:
Yuanyuan FENG
1
;
Jing JIANG
1
;
Yan CHEN
1
;
Qingling FU
1
;
Dengyong CHEN
1
;
Kai TONG
1
Author Information
1. 中国人民解放军海军第九七一医院心血管内科(山东 青岛 266071)
- Publication Type:Journal Article
- Keywords:
intracardiac echocardiography;
patent foramen ovale;
divers;
decompression sick-ness;
transcatheter closure
- From:
The Journal of Practical Medicine
2025;41(9):1368-1372
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of intracardiac echocardiography(ICE)guid-ance in transcatheter closure of latent patent foramen ovale(PFO)among divers.Methods From Jan 2023 to Nov 2024,36 young divers with PFO,who only had right-to-left shunt during Valsalva maneuver on right heart contrast echocardiography,were enrolled from No.971 Hospital of the PLA Navy.They were divided into ICE group and transthoracic echocardiography(TTE)group based on intraoperative imaging.Clinical data including baseline characteristics,echocardiographic findings,complications,procedure time,and radiation dose were recorded.Results All 36 patients(19 in TTE group and 17 in ICE group)had 100％immediate closure success rate.No vascular complications,postoperative pericardial effusion,device displacement or embolism occurred.ICE could guide wire passage through foramen ovale,significantly reducing total procedure time,fluoroscopy time,and radia-tion dose(P<0.05).Conclusion ICE enables precise closure of potent PFO in divers and decreases fluoroscopy time and radiation dose,showing significant clinical value.
