{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:00:22Z","timestamp":1747184422299,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T00:00:00Z","timestamp":1560729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005047","name":"Natural Science Foundation of Liaoning Province","doi-asserted-by":"publisher","award":["201602886"],"award-info":[{"award-number":["201602886"]}],"id":[{"id":"10.13039\/501100005047","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Traditional X\u2010ray\u2010guided transcatheter closure of atrial septal defects (<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>s) via the right femoral vein carries a risk of radiation damage, which is greatly exacerbated by age and vascular conditions. Transesophageal echocardiography (<jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content>) guidance for the closure procedure not only broadens the indications of interventional therapy for <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>s but also avoids radiation exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess the value of <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content>\u2010guided <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> device closure via the right internal jugular vein (<jats:styled-content style=\"fixed-case\">RIJV<\/jats:styled-content>) in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Nineteen pediatric patients with secondary <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> underwent <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content>\u2010guided <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> device closure via the <jats:styled-content style=\"fixed-case\">RIJV<\/jats:styled-content> from July 22, 2015 to July 19, 2017. After the <jats:styled-content style=\"fixed-case\">RIJV<\/jats:styled-content> was successfully accessed, one Fustar curve\u2010adjustable delivery sheath was inserted. The implant depth was adjusted, and the tip of the sheath was curved to facilitate passage through the <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> for the delivery and release of the occluder. <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> was used to guide the entire procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all 19 patients, the <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>s were successfully closed and the occluder was confirmed to have a stable position and good shape, with no residual shunt. During the follow\u2010up period (2\u00a0months to 2\u00a0years), no pericardial effusion, thrombosis, tachyarrhythmia, atrioventricular block, or other complications were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An adjustable delivery sheath can be used to treat <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> via the <jats:styled-content style=\"fixed-case\">RIJV<\/jats:styled-content>. This procedure has varied indications, and its advantages include a short operation path, procedural accuracy, minimal trauma, and quick recovery, especially for young patients with large <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>s and cases in which a femoral vein approach is difficult. The procedure has great clinical significance and merits attention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.14396","type":"journal-article","created":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T18:39:59Z","timestamp":1560796799000},"page":"1357-1363","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Analysis of the therapeutic effect of transesophageal echocardiography\u2010guided percutaneous device closure of atrial septal defects via the right internal jugular vein in children"],"prefix":"10.1111","volume":"36","author":[{"given":"Minglei","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Comprehensive Cardiac Ward Dalian Children's Hospital Dalian China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zipu","family":"Li","sequence":"additional","affiliation":[{"name":"Heart Center Qingdao women and children's hospital of Qingdao University Qingdao 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