Visualization of patent ductus arteriosus using real-time three-dimensional echocardiogram : Comparative study with 2D echocardiogram and angiography

PURPOSE: To determine the feasibility and accuracy of real time 3D echocardiography (RT3DE) in determining the dimensions and anatomical type of the patent ductus arteriosus (PDA)

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 24(2012), 3 vom: 20. Juli, Seite 177-86
1. Verfasser: Roushdy, Alaa (VerfasserIn)
Weitere Verfasser: Fiky, Azza El, Din, Dina Ezz El
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2012
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article 2D, two-dimensional 3D, three-dimensional CHD, congenital heart disease Congenital heart disease MPR, multiplane reformatted mode PDA PDA, patent ductus arteriosus RAO, right anterior oblique RT3DE mehr... RVOT, right ventricular outflow tract Three-dimensional echocardiography
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100 1 |a Roushdy, Alaa  |e verfasserin  |4 aut 
245 1 0 |a Visualization of patent ductus arteriosus using real-time three-dimensional echocardiogram  |b Comparative study with 2D echocardiogram and angiography 
264 1 |c 2012 
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500 |a Date Completed 20.08.2013 
500 |a Date Revised 21.10.2021 
500 |a published: Print-Electronic 
500 |a Citation Status PubMed-not-MEDLINE 
520 |a PURPOSE: To determine the feasibility and accuracy of real time 3D echocardiography (RT3DE) in determining the dimensions and anatomical type of the patent ductus arteriosus (PDA) 
520 |a METHODS: The study included 42 pediatric patients with a mean age of 3.6 years (ranging from 2 months to 14 years) who were referred for elective percutaneous PDA closure. All patients underwent full 2D echocardiogram as well as RT3DE with off line analysis using Q lab software within 6 h from their angiograms. The PDA was studied as regard the anatomical type, length of the duct as well as the ampulla and the pulmonary end of the PDA. Data obtained by RT3DE was compared against 2D echocardiogram and the gold standard angiography 
520 |a RESULTS: Offline analysis of the PDA was feasible in 97.6% of the cases while determination of the anatomical type using gated color flow 3D acquisitions was achieved in 78.5% of the cases. The pulmonary end of the duct was rather elliptical using 3D echocardiogram. There was significant difference between the pulmonary end measured by 3D echocardiogram and angiography (P < 0.001). There was no significant difference between either the length or the ampulla of the PDA measured by 3D echocardiogram and that measured by angiography (P value = 0.325 and 0.611, respectively). There was a good agreement between both 2D or 3D echocardiogram and angiography in determining the anatomical type of the PDA (K = 0.744 and 0.773, respectively). However 3D echocardiogram could more accurately determine type A and type E ductus compared to 2D echocardiogram 
520 |a CONCLUSION: 3D echocardiogram was more accurate than 2D echocardiogram in determining the length and the ampulla of the PDA. The morphologic assessment of the PDA using gated 3D color flow was achieved in 78.5% of the patients. Nevertheless the use of 3D echocardiogram in assessment of small vascular structures like PDA in children with rapid heart rates is still of limited clinical value 
650 4 |a Journal Article 
650 4 |a 2D, two-dimensional 
650 4 |a 3D, three-dimensional 
650 4 |a CHD, congenital heart disease 
650 4 |a Congenital heart disease 
650 4 |a MPR, multiplane reformatted mode 
650 4 |a PDA 
650 4 |a PDA, patent ductus arteriosus 
650 4 |a RAO, right anterior oblique 
650 4 |a RT3DE 
650 4 |a RVOT, right ventricular outflow tract 
650 4 |a Three-dimensional echocardiography 
700 1 |a Fiky, Azza El  |e verfasserin  |4 aut 
700 1 |a Din, Dina Ezz El  |e verfasserin  |4 aut 
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