{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T16:34:13Z","timestamp":1790872453123,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T00:00:00Z","timestamp":1717977600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005391","name":"Tehran Heart Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005391","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Balloon sizing (BS) has been used for device size selection in percutaneous atrial septal defect (ASD) closure. Due to its limitations, alternative imaging techniques like three\u2010dimensional transesophageal echocardiography (3D\u2010TEE) are valuable for guiding ASD device size selection during ASD closure procedures. The purpose of this study was to compare ASD sizing using measurements obtained from 3D\u2013TEE to those utilizing the standard balloon sizing method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified 53 patients with single secundum type ASD without PFO who underwent percutaneous closure at the Tehran Heart Center between 2019 and 2022. Balloon sizing was performed in all patients with the stop\u2010flow technique, and the choice of device size was determined based on the sizing derived from BS. 3D\u2010TEE imaging was performed before the intervention, and the ASD shape and quality of ASD rims were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 53 patients who underwent single ASD device closure, multiple 3D TEE measurements significantly correlated with balloon sizing results. This included defect area, perimeter, and diameter obtained from 3D\u2010TEE images multi\u2010planar reconstruction. ASD perimeter detected by 3D TEE had the best correlation with BS results. When divided by the shape of ASD, there was no significant difference between our 3D\u2010images data and BS in round or oval\u2010shaped ASDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The 3D\u2010TEE study is reliable for assessing ASD configurational characteristics in percutaneous device closure candidates. 3D\u2010TEE has the potential to accurately determine the appropriate device size and reduce complications, costs, and procedural duration. Further research is needed to validate these findings and establish the role of 3D\u2010TEE measurements in guiding the best treatment decisions for ASD closure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.15822","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T07:50:33Z","timestamp":1718005833000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Three\u2010dimensional transesophageal echocardiography measurements of ASD sizing parameters in comparison to balloon sizing method in percutaneous ASD closure"],"prefix":"10.1111","volume":"41","author":[{"given":"Sima","family":"Narimani","sequence":"first","affiliation":[{"name":"Tehran Heart Center Cardiovascular Diseases Research Institute Tehran University of Medical Sciences  Tehran Iran"},{"name":"Department of Advanced Echocardiography Tehran Heart Center Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0241-6865","authenticated-orcid":false,"given":"Aryan","family":"Ayati","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Cardiovascular Diseases Research Institute Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amirhossein","family":"Tayebi","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Cardiovascular Diseases Research Institute Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arash","family":"Jalai","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Cardiovascular Diseases Research Institute Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Amirsardari","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Cardiovascular Diseases Research Institute Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Sahebjam","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Cardiovascular Diseases Research Institute Tehran University of Medical Sciences  Tehran Iran"},{"name":"Department of Advanced Echocardiography Tehran Heart Center Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arezou","family":"Zoroufian","sequence":"additional","affiliation":[{"name":"Tehran Heart Center Cardiovascular Diseases Research Institute Tehran University of Medical Sciences  Tehran Iran"},{"name":"Department of Advanced Echocardiography Tehran Heart Center Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx633"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015385.2019.1648711"},{"issue":"4","key":"e_1_2_10_4_1","first-page":"347","article-title":"Percutaneous versus surgical closure of atrial septal defects in children and adolescents","volume":"100","author":"Costa RN","year":"2013","journal-title":"Arq Bras Cardiol"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jeu316"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2016.02.068"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.02.19"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jez319.372"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2069.79619"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2012.12.010"},{"issue":"1","key":"e_1_2_10_11_1","first-page":"74","article-title":"Comparison between 2D transthoracic echocardiography, transesophageal echocardiography, and balloon sizing methods for device size selection in pediatric patients undergoing transcatheter closure of atrial septal defects","volume":"23","author":"Vesal A","year":"2022","journal-title":"Iranian Heart Journal"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jex153"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-017-1743-1"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-21-3206"},{"key":"e_1_2_10_15_1","unstructured":"ElMarsafawyH WafaA YoussofM LiW GatzoulisM.Added value of three dimensional transesophageal echocardiography in percutaneous closure of atrial septal defect. 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