Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

352
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
352

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Maternal Stress and Ethnic Disparities in Pre-Eclampsia: The Significance of a Migrant Perspective.

Journal of clinical medicine·2026
Same author

Right ventricular function, exercise capacity and quality of life in adults with congenital heart disease and the effect of a home-based exercise program.

International journal of cardiology. Congenital heart disease·2026
Same author

Evaluation of the Diagnostic Yield of Exome-Based Panels for Congenital Heart Defects in Different Clinical Settings.

Circulation. Genomic and precision medicine·2026
Same author

Titin modulation and left ventricular remodelling in chronic primary mitral regurgitation.

Frontiers in cardiovascular medicine·2026
Same author

Moving Forward Together: Physical Fitness Assessment among Children Living with Obesity: A Multi-Stakeholder Conference.

The Journal of pediatrics·2026
Same author

Accelerated epigenetic ageing in congenital heart disease: the AccelerAGE study.

European heart journal·2026

Related Experiment Video

Updated: Feb 22, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

4.4K

How to Size ASDs for Percutaneous Closure.

Isabelle Boon1, Katrien Vertongen1, Bernard P Paelinck2

  • 1Ghent University, Sint Pietersnieuwstraat 33, 9000, Ghent, Belgium.

Pediatric Cardiology
|September 29, 2017
PubMed
Summary

Balloon sizing for atrial septal defects (ASD) may be replaced by echocardiography. Both 2D and 3D transesophageal echocardiography (TEE) offer accurate device sizing, with 2D TEE being the simplest and most accurate method.

Keywords:
ASDDeviceEchocardiographyPercutaneous closureSizingThree dimensional

More Related Videos

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
10:52

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence

Published on: December 23, 2022

6.2K
Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
07:21

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices

Published on: September 8, 2023

1.1K

Related Experiment Videos

Last Updated: Feb 22, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

4.4K
Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
10:52

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence

Published on: December 23, 2022

6.2K
Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
07:21

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices

Published on: September 8, 2023

1.1K

Area of Science:

  • Cardiology
  • Medical Imaging
  • Interventional Cardiology

Background:

  • Percutaneous closure is the standard treatment for secundum-type atrial septal defects (ASD).
  • Balloon sizing (BS) has traditionally been used to determine appropriate device size for ASD closure.
  • Advancements in 2D and 3D transesophageal echocardiography (TEE) have questioned the necessity of BS.

Purpose of the Study:

  • To compare the accuracy and efficacy of balloon sizing (BS), 2D-TEE, and 3D-TEE for determining device size in percutaneous ASD closure.
  • To evaluate procedural success rates and complications across different sizing methods.

Main Methods:

  • A study involving 236 patients with secundum-type ASD and a minimum 1-year follow-up.
  • Patients were divided into three groups based on the sizing method: BS (n=90), 2D-TEE (n=87), and 3D-TEE (n=59).
  • Two additional techniques for measuring stretched ASD dimensions were employed: a stiff guidewire with 2D TEE and 3D TEE alone.

Main Results:

  • A strong correlation (R=0.821) was observed between maximum baseline ASD dimensions and device size across all groups.
  • The relative expansion rate did not significantly differ between BS and 3D-TEE.
  • 2D-TEE demonstrated a significantly lower expansion rate but was identified as the simplest method without compromising accuracy. 3D-TEE resulted in more undersizing.

Conclusions:

  • 2D-TEE is a simple and accurate method for device sizing in ASD closure, comparable to traditional BS.
  • While 3D-TEE provides fast shape assessment, it may lead to increased undersizing.
  • Accurate sizing of ASDs, particularly those with floppy septa, remains a clinical challenge.