Journals / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2018 / Cilt: 24 - Sayı: 3

Transesophageal Echocardiography: Sine Qua Non in Cardiac Surgery

Transözefageal Ekokardiyografi: Kardiyak Cerrahide Olmazsa Olmaz

Pages
97–102
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results of the TEE assessmentsbefore and after CPB affected surgical decisionmakingin 3.5% (n=10) and 2.5% (n=8) of the cases,respectivelyConclusion: Perioperative TEE performed by the anesthesiologistcan provide important information, maylead to alterations in the surgical strategy and improvethe operative outcomes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Intraoperative transoesophageal echocardiography(TEE) performed during cardiac surgeryprovides information about the cardiac pathology andthe surgical repair.
📊
Key Findings & Data:The aim of this study is to determinethe importance of TEE in surgical decision makingphase in patients undergoing cardiac surgery.Material and Method: We reviewed the data for all patientswho underwent cardiac surgery and TEE betweenJanuary 2015 and December 2016.
💡
Conclusion & Impact:The results of the TEE assessmentsbefore and after CPB affected surgical decisionmakingin 3.5% (n=10) and 2.5% (n=8) of the cases,respectivelyConclusion: Perioperative TEE performed by the anesthesiologistcan provide important information, maylead to alterations in the surgical strategy and improvethe operative outcomes.
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Intraoperative transoesophageal echocardiography(TEE) performed during cardiac surgeryprovides information about the cardiac pathology andthe surgical repair. The aim of this study is to determinethe importance of TEE in surgical decision makingphase in patients undergoing cardiac surgery.Material and Method: We reviewed the data for all patientswho underwent cardiac surgery and TEE betweenJanuary 2015 and December 2016. Intraoperative TEEexamination was performed before and after the cardiopulmonarybypass (CPB). The data collected relatedto the type of surgery, preoperative echocardiographicfindings, TEE findings before and after CPB and anydifferences between them were evaluated.Results: A total of 284 patients who underwent cardiacsurgery during 2 years period were evaluated usingTEE. The initial TEE findings of 15.8% (n=45) of thepatients differed from those observed before cardiopulmonarybypass (CPB). The results of the TEE assessmentsbefore and after CPB affected surgical decisionmakingin 3.5% (n=10) and 2.5% (n=8) of the cases,respectivelyConclusion: Perioperative TEE performed by the anesthesiologistcan provide important information, maylead to alterations in the surgical strategy and improvethe operative outcomes.

Özet

Amaç: Kardiyak cerrahi sırasında intraoperatif transözefageal ekokardiyografi (TÖE) kardiyak patoloji ve cerrahi onarım hakkında bilgiler verir. Bu çalışmanın amacı, kardiyak cerrahi uygulanan hastalarda cerrahi karar aşamasında TÖE’nin önemini belirlemektir. Gereç ve Yöntem: Ocak 2015 ile Aralık 2016 tarihleri arasında TÖE ile kardiyak cerrahi olan hastaların verileri gözden geçirildi. Kardiyopulmoner baypas öncesi ve sonrası intraoperatif TÖE değerlendirmesi yapıldı. Cerrahinin tipi, ameliyat öncesi ekokardiyografi bulguları, kardiyopulmoner baypas öncesi ve sonrası TÖE bulguları ve aralarında oluşan farklılıklar değerlendirildi. Bulgular: İki yıllık periyotta kalp cerrahisi uygulanan toplam 284 hasta TÖE kullanılarak değerlendirildi. Hastaların %15.8 (n=45)’inde TÖE bulguları kardiyopulmoner baypas öncesi ekokardiyografi bulgular ile farklılık gösteriyordu. TÖE değerlendirme bulguları ile KPB öncesi ve sonrası cerrahi karar verme sırasıyla %3.5 (n=10) ve %2.5 (n=8) oranında etkilenmekteydi. Sonuç: Anestezist tarafından yapılan perioperatif TÖE cerrahi işlemler hakkında önemli bilgiler sağlayabilir, cerrahi işlemlerde değişikliğe neden olabilir ve erken cerrahi sonuçların başarısına katkı sağlayabilir.

🔖

Cite This Article

Koçyiğit, M., Şenay, Ş., Güllü, A. Ü., Koçyiğit, Ö. I., Alhan, C. (2022). Transesophageal Echocardiography: Sine Qua Non in Cardiac Surgery. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 24 - Sayı: 3, 97–102. https://ajindex.com/articles/526003

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Eltzschig HK, Rosenberger P, Löffler M, Fox JA, Aranki SF, Shernan SK. Impact of intraoperative transesophageal echocardiography on surgical decisions in 12,566 patients undergoing cardiac surgery. Ann Thorac Surg. 2008;85:845-53.
  2. Flachskampf FA, Badano L, Daniel WG, Feneck RO, Fox KF, Fraser AG et al. Recommendations for transoesophageal echocardiography: update 2010. European Journal of Echocardiography 2010;11:557-76.
  3. Hahn RT, Abraham T, Adams MS, Bruce CJ, Glas KE, Lang RM, et al. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26:921-64.
  4. Akiyama K, Arisawa S, Ide M, Iwaya M, Naito Y. Intraoperative cardiac assessment with transesophageal echocardiography for decision-making in cardiac anesthesia. Gen Thorac Cardiovasc Surg. 2013;61:320-9.
  5. Sharony R, Bizekis CS, Kanchuger M, Galloway AC, Saunders PC, Applebaum R, et al. Off-pump coronary artery bypass grafting reduces mortality and stroke inpatients with atheromatous aortas: A case control study. Circulation 2013;108:Suppl II:15-20
  6. Qaddoura FE, Abel MD, Mecklenburg KL, Chandrasekaran K, Schaff HV, Zehr KJ, et al. Role of intraoperative transesophageal echocardiography in patients having coronary artery bypass graft surgery. Ann Thorac Surg. 2004;78:1586-90.
  7. Buck T, Kortmann K, Plicht B, Kamler M, Tsagakis K, Thielmann M, et al. Critical importance of unsuspected findings detected by intraoperative transesophageal echocardiography for decision making during cardiac surgery. Clin Res Cardiol. 2013;102:351-9.
  8. Galhardo JC, Botelho ESL, Diego LADS. Intraoperative monitoring with transesophageal echocardiography in cardiac surgery. Rev Bras Anestesiol. 2011;61:495- 512.
  9. Kallmeyer IJ, Collard CD, Fox JA, Body SC, Shernan SK. The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients. Anesth Analg. 2011;92:1126-30.