Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA

Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA

Bill LeeTrapper Belk Acc# 109608

TEE PDA Trapper Belk (ID# 146088) 9 Mo, MC Bloodhound PDA Dx’d at UGA – referred for

occlusion

Cardiomegaly, L atriomegaly

Interstitial pattern – poss. CHF

Prox. descending aorta, MPA enlargement

Pulm. Vasc. enlargement

≈ $30,000 probe Inner knob – flexes and

extends probe Outer knob – pans

tranducer forward and backward

Side to side panning via manual rotation

Position probe on prox. desc. aorta

Use inner knob to improve contact b/w probe and ventral esoph.

Use outer knob and manual rotation to optimize

Transducer direction arrow

Marker toward head Watch probe temp! –

esophageal burn/perf. major complication of procedure

Optimize PDA Measure diameter of narrowest (distal)

portion of ductus for Amplatzer sizing