CONTRAST ECHOCARDIOGRAPHY DURING CARDIAC-CATHETERIZATION in PATIENTS WITH CONGENITAL HEART-DISEASES

CONTRAST ECHOCARDIOGRAPHY DURING CARDIAC-CATHETERIZATION in PATIENTS WITH CONGENITAL HEART-DISEASES

Autor Andrade, José Lazaro Autor UNIFESP Google Scholar
Morhy, Samira Saady Autor UNIFESP Google Scholar
Campos Filho, Orlando Google Scholar
Carvalho, Antonio Carlos Autor UNIFESP Google Scholar
Tebexreni, Antonio S. Google Scholar
Lima, Valter C. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo Contrast echocardiography performed during cardiac catheterization has mostly been limited to a few published case reports. We studied 37 patients with congenital heart disease to assess the capability of the method to diagnose cardiac shunts and valve regurgitation. Injections of 5% dextrose in water through an angiographic catheter were made to evaluate septal integrity and valve competence compared with conventional contrast angiography. An overall sensitivity of 93% and specificity of 78% were found. in four cases of atrial septal defect and seven of mitral regurgitation, the sensitivity was 1 00%. It was slightly lower for eleven cases of ventricular septal defect (91%) and four of patent ductus arteriosus (75%). When assessing aortic, tricuspid and pulmonary valve competence, the method proved to be more sensitive than conventional angiography to detect mild regurgitation. Contrast echocardiography is a sensitive and safe technique that may be used in association with conventional angiography reducing the need for radiographic: contrast and ionizing radiation time.
Palavra-chave ANGIOGRAPHY
CARDIAC SHUNTS
VALVE REGURGITATION
ECHO-CATHETERIZATION
Idioma Inglês
Data de publicação 1993-06-01
Publicado em Catheterization and Cardiovascular Diagnosis. New York: Wiley-liss, v. 29, n. 2, p. 117-121, 1993.
ISSN 0098-6569 (Sherpa/Romeo, fator de impacto)
Publicador Wiley-Blackwell
Extensão 117-121
Fonte http://dx.doi.org/10.1002/ccd.1810290206
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:A1993LE00700005
Endereço permanente http://repositorio.unifesp.br/handle/11600/25328

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