Transesophageal Echocardiography in Closing the Left Atrial Appendage
Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA
description
Transcript of Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA
Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA
Bill LeeTrapper Belk Acc# 109608
TEE PDA Trapper Belk (ID# 146088) 9 Mo, MC Bloodhound PDA Dx’d at UGA – referred for
occlusion
Cardiomegaly, L atriomegaly
Interstitial pattern – poss. CHF
Prox. descending aorta, MPA enlargement
Pulm. Vasc. enlargement
≈ $30,000 probe Inner knob – flexes and
extends probe Outer knob – pans
tranducer forward and backward
Side to side panning via manual rotation
Position probe on prox. desc. aorta
Use inner knob to improve contact b/w probe and ventral esoph.
Use outer knob and manual rotation to optimize
Transducer direction arrow
Marker toward head Watch probe temp! –
esophageal burn/perf. major complication of procedure
Optimize PDA Measure diameter of narrowest (distal)
portion of ductus for Amplatzer sizing