Do We Need More Than a Transthoracic Echocardiography When Evaluating Children with Congenital Heart Disease before Cardiac Surgery?

Alghamdi, Mohammed H.; Ismail, Muna; Yelbuz, T. Mesud; Alhabshan, Fahad

doi:10.1111/chd.12312

Cited by 15 publications

(3 citation statements)

References 11 publications

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“…Each echocardiogram can be a posteriori interpreted and discussed, as a cross-sectional imaging examination. This is particularly important in a specialty where most medical and surgical decisions are based on echocardiographic findings ( 18 – 21 ).…”

Section: Sonographer’s Impactsmentioning

confidence: 99%

Organization of Pediatric Echocardiography Laboratories: Impact of Sonographers on Clinical, Academic, and Financial Performance

et al. 2022

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Echocardiography has evolved the first-line imaging for diagnosis and management of pediatric and congenital heart disease all over the world. While it recognized as essential component of pediatric cardiac care delivery, organization of pediatric echocardiography services is very heterogeneous across the world, mainly related to significant differences in material and human resources in heterogeneous health care systems. In this paper, we focus on the role of pediatric sonographers, defined as expert technicians in pediatric echocardiography. While in some services sonographers are an essential part of the organizational structure, other laboratories operate only with physicians trained in echocardiography. The impact of sonographers on clinical, academic and financial performance will be discussed. Two organizational models (with and without sonographers) will be compared, and the advantages and disadvantages of each model will be evaluated. Different models of care provision are possible and decisions on organizational models need to be adjusted to the demands and available resources.

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Section: Sonographer’s Impactsmentioning

confidence: 99%

Organization of Pediatric Echocardiography Laboratories: Impact of Sonographers on Clinical, Academic, and Financial Performance

et al. 2022

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“…Factors complementing this modality include noninvasive technique, easy availability, cost effectiveness, repeatability and portability due to which it is considered the imaging modality of choice in initial workup for evaluating children with CHD. 3 Recent advances and expansion in pediatric cardiac surgery have rendered other imaging modalities as complementary to echocardiography in acting as a guide to surgery. 4 Nevertheless, echocardiography has an important role in morphology assessment of cases with CHD before, during and after surgery.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Cardiac Computed Tomography and Echocardiography for the Diagnosis of Congenital Heart Diseases

Abdullah¹,

Hussain²,

Nawaz³

et al. 2023

Pak Heart J

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Objectives: To compare the diagnostic accuracy of cardiac Computed Tomography (CT) and echocardiography for the diagnosis of congenital heart diseases (CHD) at Rehman Medical Institute (RMI), Peshawar. Methodology: We conducted a cross sectional study at Rehman Medical Institute between January 2020 to July 2022. Patients of different ages referred for suspicion of congenital heart diseases were enrolled. The data was collected prospectively which included demographics, Echocardiography findings, CT scan results and procedure notes. Data was analyzed on SPSS the results of descriptive variables expressed as median and percentile. A p-value <0.05 was considered significant. Results: We included 129 patients, with 73 male and 56 females having age from few days to 18 years. The malformations were divided into intra and extra cardiac groups. 665 malformations were confirmed and analyzed keeping surgical and conventional angiography findings as gold standard. Among these 283 were intra and 99 extra cardiac findings. The echo and CT scan missed 2 and 4 intracardiac anomalies respectively. In case of extracardiac anomalies echo missed 14 anomalies however CT correctly diagnosed all. Both intra and extracardiac results are significant with a p value <0.05. Conclusion: We conclude that Echocardiography is preferred modality for intracardiac anomalies evident by 99.3% diagnostic accuracy while CTA provides better demonstration of extra cardiac abnormalities having diagnostic accuracy of 99.9%. Echocardiography and CTA are both complementary for assessment and evaluation of congenital heart diseases acting as guide to surgery.

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“…Pediatric cardiology includes heterogeneous congenital and acquired heart diseases. Echocardiography is the key non-invasive diagnostic imaging tool that is usually sufficient to manage most children with heart disease ( 1 , 2 ). However, cross-sectional imaging modalities such as magnetic resonance imaging (MRI) and computed tomography (CT) are increasingly used in pediatric cardiology, and can provide additional anatomical, structural, and functional information ( 3 – 5 ).…”

Section: Introductionmentioning

confidence: 99%

Nuclear Imaging in Pediatric Cardiology: Principles and Applications

et al. 2022

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Nuclear imaging plays a unique role within diagnostic imaging since it focuses on cellular and molecular processes. Using different radiotracers and detection techniques such as the single photon emission scintigraphy or the positron emission tomography, specific parameters can be assessed: myocardial perfusion and viability, pulmonary perfusion, ventricular function, flow and shunt quantification, and detection of inflammatory processes. In pediatric and congenital cardiology, nuclear imaging can add complementary information compared to other imaging modalities such as echocardiography or magnetic resonance imaging. In this state-of-the-art paper, we appraise the different techniques in pediatric nuclear imaging, evaluate their advantages and disadvantages, and discuss the current clinical applications.

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Do We Need More Than a Transthoracic Echocardiography When Evaluating Children with Congenital Heart Disease before Cardiac Surgery?

Abstract: Despite the emergence of other imaging modalities, a TTE can be used as the sole diagnostic imaging modality for a preoperative assessment in the majority of children with CHD. Other imaging modalities can be employed with limited indications.

Cited by 15 publications

References 11 publications

Organization of Pediatric Echocardiography Laboratories: Impact of Sonographers on Clinical, Academic, and Financial Performance

Organization of Pediatric Echocardiography Laboratories: Impact of Sonographers on Clinical, Academic, and Financial Performance

Comparison of Cardiac Computed Tomography and Echocardiography for the Diagnosis of Congenital Heart Diseases

Nuclear Imaging in Pediatric Cardiology: Principles and Applications

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