Magnetic Resonance Imaging of Atrial Septal Defects
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Purpose
An atrial septal defect (ASD) is a hole in the heart that can lead to heart failure. Depending on the size and severity of the ASD, They can be treated during a heart catheterization with a special device that can permanently seal the ASD, but knowing the exact size and severity of the ASD is crucial. Newer MRI techniques may provide a better way at diagnosing the size and severity of an ASD. We compared MRI to other standard clinical ways for evaluating an ASD.
| Condition |
|---|
|
Atrial Septal Defect |
| Study Type: | Observational |
| Study Design: | Observational Model: Defined Population Observational Model: Natural History Time Perspective: Longitudinal Time Perspective: Prospective |
| Official Title: | Imaging of Atrial Septal Defects by Velocity Encoded Cardiovascular Magnetic Resonance |
| Enrollment: | 44 |
| Study Start Date: | July 2002 |
| Study Completion Date: | July 2004 |
Background: Atrial septal defect (ASD) flow can be measured indirectly by velocity-encoded cardiovascular magnetic resonance (veCMR) of the pulmonary artery and aorta (Qp/Qs). Imaging the secundum ASD en face could potentially enable direct flow measurement and, additionally, provide valuable information regarding ASD size, shape, location, and proximity to other structures.
Methods: Patients referred for possible transcatheter ASD closure underwent a comprehensive standard evaluation including transesophageal and/or intracardiac echocardiography (ICE), and invasive oximetry. CMR was performed in parallel and included direct en face veCMR after an optimal double-oblique imaging plane was determined accounting for ASD flow direction and cardiac-cycle interatrial septal motion.
We hypothesized that En face veCMR using an optimized imaging plane can accurately determine ASD flow, size, and morphology, and that it would provide information incremental to comprehensive standard evaluation.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Suspected Atrial Septal Defect (ASD) undergoing evaluation for possible transcatheter closure
Exclusion Criteria:
- Contraindications to magnetic resonance imaging
- known sinus venosus or primum defects
Contacts and Locations| United States, North Carolina | |
| Duke Cardiovascular Magnetic Resonance Center | |
| Durham, North Carolina, United States, 27710 | |
| Principal Investigator: | Raymond J Kim, MD | Duke Cardiovascular Magnetic Resonance Center |
More Information
No publications provided by Duke University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00498446 History of Changes |
| Other Study ID Numbers: | ASD3938-1 |
| Study First Received: | July 9, 2007 |
| Last Updated: | July 9, 2007 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Heart Septal Defects Heart Septal Defects, Atrial Heart Defects, Congenital Cardiovascular Abnormalities |
Cardiovascular Diseases Heart Diseases Congenital Abnormalities |
ClinicalTrials.gov processed this record on May 23, 2013