{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:08:50Z","timestamp":1773000530674,"version":"3.50.1"},"reference-count":51,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T00:00:00Z","timestamp":1729036800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>For the repair of atrial\/ventricular septal defects (ASD\/VSD), transthoracic echocardiography (TTE) is easy to perform, cost\u2010effective, and does not require general anesthesia and intubation. Still, TTE is not universally accepted. To compare efficacy and safety of TTE versus transesophageal echocardiography (TEE) to guide percutaneous ASD\/VSD closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Embase, and the Cochrane library were searched for articles published from their inception to December 2023. The primary outcome was the procedural success rate. The secondary outcomes were residual shunt, late complications, procedure time, and fluoroscopy time. All meta\u2010analyses were performed using a random\u2010effects model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eight studies and 1295 patients were included. There were no significant differences between TTE and TEE regarding the procedural success rate (OR\u00a0=\u00a01.93, 95% CI: 0.90\u20134.13,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.092;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a052.2%,\n                      <jats:italic>P<\/jats:italic>\n                      <jats:sub>heterogeneity<\/jats:sub>\n                      \u00a0=\u00a00.063) and residual shunt rate (OR\u00a0=\u00a00.81, 95% CI: 0.38\u20131.76,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.600;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a00%,\n                      <jats:italic>P<\/jats:italic>\n                      <jats:sub>heterogeneity<\/jats:sub>\n                      \u00a0=\u00a00.518). Compared with TEE, TTE reduced the frequency of late complications (OR\u00a0=\u00a00.25, 95% CI: 0.14\u20130.43,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a013.8%,\n                      <jats:italic>P<\/jats:italic>\n                      <jats:sub>heterogeneity<\/jats:sub>\n                      \u00a0=\u00a00.326), reduced the procedure time (WMD\u00a0=\u00a0\u22128.92, 95% CI: \u221212.08, \u22125.75,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a087.4%,\n                      <jats:italic>P<\/jats:italic>\n                      <jats:sub>heterogeneity<\/jats:sub>\n                      \u00a0&lt;\u00a00.001), and reduced the fluoroscopy time (WMD\u00a0=\u00a0\u22125.08, 95% CI: \u22129.59, \u22120.56,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.028;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a095.6%,\n                      <jats:italic>P<\/jats:italic>\n                      <jats:sub>heterogeneity<\/jats:sub>\n                      \u00a0&lt;\u00a00.001). The sensitivity analyses showed that the results of the meta\u2010analyses were robust.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared with TEE, TTE showed no differences regarding the rates of success and residual shunt, but there were lower rates of late complications and shorter procedure and fluoroscopy times.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/echo.15955","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T10:30:57Z","timestamp":1729074657000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy and Safety of Transthoracic Versus Transesophageal Echocardiography for Monitoring Closure of Atrial or Ventricular Septal Defects: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"41","author":[{"given":"Lele","family":"Ben","sequence":"first","affiliation":[{"name":"Department of Structural Heart Disease Central China Fuwai Hospital, Zhengzhou University  Zhengzhou Henan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5581-202X","authenticated-orcid":false,"given":"Yuanhao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Structural Heart Disease Central China Fuwai Hospital, Zhengzhou University  Zhengzhou Henan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Structural Heart Disease Central China Fuwai Hospital, Zhengzhou University  Zhengzhou Henan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weizhen","family":"Xing","sequence":"additional","affiliation":[{"name":"Department of Structural Heart Disease Central China Fuwai Hospital, Zhengzhou University  Zhengzhou Henan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianping","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Structural Heart Disease Central China Fuwai Hospital, Zhengzhou University  Zhengzhou Henan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Structural Heart Disease Central China Fuwai Hospital, Zhengzhou University  Zhengzhou Henan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.309302"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.025"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyz009"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.scib.2023.04.027"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.09.010"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62145-5"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa554"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61339-6"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/14779072.2023.2206566"},{"issue":"14","key":"e_1_2_11_11_1","first-page":"e698","article-title":"2018 AHA\/ACC Guideline for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"139","author":"Stout K. 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