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Transesophageal Echocardiography Assisted Amplatzer Occlusion of PDA
Bill LeeTrapper Belk Acc# 109608
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TEE PDA Trapper Belk (ID# 146088) 9 Mo, MC Bloodhound PDA Dx’d at UGA – referred for
occlusion
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Cardiomegaly, L atriomegaly
Interstitial pattern – poss. CHF
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Prox. descending aorta, MPA enlargement
Pulm. Vasc. enlargement
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≈ $30,000 probe Inner knob – flexes and
extends probe Outer knob – pans
tranducer forward and backward
Side to side panning via manual rotation
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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
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Transducer direction arrow
Marker toward head Watch probe temp! –
esophageal burn/perf. major complication of procedure
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Optimize PDA Measure diameter of narrowest (distal)
portion of ductus for Amplatzer sizing
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