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Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA

Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA. Bill Lee Trapper 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.

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Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA

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  1. Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA Bill Lee Trapper Belk Acc# 109608

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

  3. Cardiomegaly, L atriomegaly • Interstitial pattern – poss. CHF

  4. Prox. descending aorta, MPA enlargement • Pulm. Vasc. enlargement

  5. ≈ $30,000 probe • Inner knob – flexes and extends probe • Outer knob – pans tranducer forward and backward • Side to side panning via manual rotation

  6. 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

  7. Transducer direction arrow • Marker toward head • Watch probe temp! – esophageal burn/perf. major complication of procedure

  8. Optimize PDA • Measure diameter of narrowest (distal) portion of ductus for Amplatzer sizing

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