Contemporary Echocardiographic Evaluation of Mitral Regurgitation and Guidance for Percutaneous Mitral Valve Repair

Marchetti, Davide; Di Lenarda, Francesca; Novembre, Maria Laura; Paolisso, Pasquale; Schillaci, Matteo; Melotti, Eleonora; Doldi, Marco; Terzi, Riccardo; Gallazzi, Michele; Conte, Edoardo; Volpato, Valentina; Bartorelli, Antonio; Andreini, Daniele

doi:10.3390/jcm12227121

Cited by 2 publications

(2 citation statements)

References 52 publications

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“…The observed reduction in the duration of hospital stays and 30‐day readmission rates in Group E (echocardiographically guided) aligns with the work of Smith et al, who highlighted the role of echocardiographic guidance in enhancing procedural precision and reducing perioperative risks 13,14 . Additionally, Jones and colleagues' findings on the importance of accurate device placement resonate with our observation of reduced complication rates in Group E 15 .…”

Section: Discussionsupporting

confidence: 87%

Evaluating the effectiveness of echocardiographic guidance in diminishing postoperative wound complications for left atrial appendage closure: A clinical retrospective study

Li,

Huang

et al. 2024

International Wound Journal

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Echocardiographic guidance in left atrial appendage (LAA) closure procedures is increasingly recognized for its potential to enhance patient outcomes in atrial fibrillation (AF). This retrospective study assesses its impact on hospital stay duration, readmission rates and surgical site wound complications in 200 AF patients. Divided equally into an echocardiographically guided group (Group E) and a non‐guided group (Group N), the analysis focused on detailed patient data encompassing hospital stay, 30‐day readmission and wound complications. Findings revealed that Group E experienced a significantly shorter average hospital stay of 3.5 days, compared with 6.5 days in Group N, along with a lower 30‐day readmission rate (5% vs. 18% in Group N). Furthermore, Group E showed a considerable reduction in surgical site wound complications, such as infections and hematomas. The study concludes that echocardiographic guidance in LAA closure procedures markedly improves postoperative wound outcomes, underscoring its potential as a standard practice in cardiac surgeries for AF patients. This approach not only optimizes patient safety and postoperative recovery but also enhances healthcare resource utilization.

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Section: Discussionsupporting

confidence: 87%

Evaluating the effectiveness of echocardiographic guidance in diminishing postoperative wound complications for left atrial appendage closure: A clinical retrospective study

Li,

Huang

et al. 2024

International Wound Journal

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“…However, TTE can be limited in diagnosis by patient position and gas interference. TTE cannot monitor the patient's cardiac activity dynamically like TEE because of the time limitation of the examination [12].…”

Section: Discussionmentioning

confidence: 99%

TEE-Guided Cardiac Surgery in a Child with Mitral Valve Prolapse, Hyperthyroidism and Myasthenia Gravis: A Case Report

Wu,

2024

CCR

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Intraoperative transesophageal echocardiography is used to more accurately assess a patient's cardiac condition and is important for the guidance of cardiac surgery. This case reports a pediatric cardiac surgery performed under TEE guidance in a patient with multiple complications. A 5-year-old child presented with diarrhea as the first symptom. At the age of 2 years, she was admitted to the hospital with ptosis of the right upper eyelid, morning lightness and evening heaviness, hand tremor, and the presence of a murmur in the mid to late stages of cardiac systole on auscultation. She was diagnosed with mitral valve prolapse and myasthenia gravis, which resolved with treatment. Subsequently, she was diagnosed with hyperthyroidism due to obvious protrusion of the eyeballs, and was admitted to the hospital for heart valve surgery after her thyroid function was controlled. Intraoperative TEE suggested mitral valve prolapse combined with embolization of the P2 region. In the complex case of this child, the suture points during mitral valvuloplasty and the scar tissue caused by the mitral valvuloplasty annulus may limit the growth of the annulus as well as the leaflet motion. Therefore, it was recommended that the surgeon perform mitral valve extension to maximize the prognosis. TEE herein guided the cardiac surgical decision making to maximize the prognosis of the child.

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Contemporary Echocardiographic Evaluation of Mitral Regurgitation and Guidance for Percutaneous Mitral Valve Repair

Cited by 2 publications

References 52 publications

Evaluating the effectiveness of echocardiographic guidance in diminishing postoperative wound complications for left atrial appendage closure: A clinical retrospective study

Evaluating the effectiveness of echocardiographic guidance in diminishing postoperative wound complications for left atrial appendage closure: A clinical retrospective study

TEE-Guided Cardiac Surgery in a Child with Mitral Valve Prolapse, Hyperthyroidism and Myasthenia Gravis: A Case Report

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