Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists

Hahn, Rebecca T.; Abraham, Theodore P.; Adams, Mark; Bruce, Charles J.; Glas, Kathryn E.; Lang, Roberto M.; Reeves, Scott; Shanewise, Jack S.; Siu, Samuel C.; Stewart, William J.; Picard, Michael H.

doi:10.1016/j.echo.2013.07.009

Cited by 1,130 publications

(904 citation statements)

References 166 publications

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“…In all these hemodynamic scenarios, expert comprehensive TEE could have provided immediate anatomic and hemodynamic data to guide intraoperative anesthetic and surgical decision-making beyond the capabilities of a pulmonary arterial catheter. 73,74 The choice of TEE in this patient was in full agreement with the recent TEE guidelines from the American Society of Anesthesiologists, Society of Cardiovascular Anesthesiologists, and the American Society of Echocardiography, given the outlined cardiovascular risks. 73,74 The limitations of central pressure monitoring have been well established.…”

Section: Echocardiography In the Management Of Pheochromocytomamentioning

confidence: 83%

“…73,74 The choice of TEE in this patient was in full agreement with the recent TEE guidelines from the American Society of Anesthesiologists, Society of Cardiovascular Anesthesiologists, and the American Society of Echocardiography, given the outlined cardiovascular risks. 73,74 The limitations of central pressure monitoring have been well established. [73][74][75] Furthermore, Sandham et al 75 demonstrated no survival benefit for placing a pulmonary arterial catheter for goal-directed therapy in high-risk surgical patients.…”

Section: Echocardiography In the Management Of Pheochromocytomamentioning

confidence: 83%

“…73,74 The limitations of central pressure monitoring have been well established. [73][74][75] Furthermore, Sandham et al 75 demonstrated no survival benefit for placing a pulmonary arterial catheter for goal-directed therapy in high-risk surgical patients. A meta-analysis (n ¼ 5,051, 13 randomized controlled trials) showed no benefit in mortality, number of days hospitalized, inotrope exposure, or vasodilator therapy when using a pulmonary arterial catheter for critically ill patients in the ICU.…”

Section: Echocardiography In the Management Of Pheochromocytomamentioning

confidence: 99%

“…76 Direct cardiac imaging using TEE frequently can bypass these limitations. 73,74 Several studies suggested TEE may be beneficial in noncardiac surgical patients with hemodynamic instability, explaining its strong endorsement for this setting in recent guidelines. [77][78][79] These clinical studies implied that TEE may be a more sensitive tool, not only for quickly and accurately diagnosing the etiology of hemodynamic instability, but also for providing a means to monitor the effects of early intervention.…”

Section: Echocardiography In the Management Of Pheochromocytomamentioning

confidence: 99%

See 3 more Smart Citations

Perioperative Management of Adrenalectomy and Inferior Vena Cava Reconstruction in a Patient With a Large, Malignant Pheochromocytoma With Vena Caval Extension

Gregory

Yalamuri

McCartney

et al. 2017

Journal of Cardiothoracic and Vascular Anesthesia

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Section: Echocardiography In the Management Of Pheochromocytomamentioning

confidence: 83%

Section: Echocardiography In the Management Of Pheochromocytomamentioning

confidence: 83%

Section: Echocardiography In the Management Of Pheochromocytomamentioning

confidence: 99%

Section: Echocardiography In the Management Of Pheochromocytomamentioning

confidence: 99%

See 2 more Smart Citations

Perioperative Management of Adrenalectomy and Inferior Vena Cava Reconstruction in a Patient With a Large, Malignant Pheochromocytoma With Vena Caval Extension

Gregory

Yalamuri

McCartney

et al. 2017

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

“…Real-time 3D-TEE was performed using an iE33 system with transesophageal probe (model X7-2t, Phillips Medical Systems, Andover, MA, USA). TTE and TEE images were obtained according to the guidelines of the American Society of Echocardiography [11][12][13][14].…”

Section: Echocardiographymentioning

confidence: 99%

Impact of real-time three-dimensional transesophageal echocardiography on procedural success for mitral valve repair

et al. 2015

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Background For mitral valve repair, minimally invasive cardiac surgery as well as transcatheter valvular intervention have been developed. Under these conditions, threedimensional transesophageal echocardiography (3D-TEE) plays a key role for planning the surgical treatment strategy. However, few data exist regarding the role of 3D-TEE in mitral valve repair. Therefore, we examined the impact of 3D-TEE on procedural success of mitral valve repair. Methods and resultsWe examined 86 consecutive patients who underwent mitral valve repair for degenerative mitral valve prolapse. Among them, 39 patients were examined by only two-dimensional transesophageal echocardiography (2D-TEE) and 47 patients underwent 3D-TEE in addition to 2D-TEE. The cardiac surgeons and physicians discussed the repair procedure preoperatively with the echocardiographic images. As a result, 18 patients of the 2D-TEE group and 37 patients of the 3D-TEE group underwent mitral valve repair by small thoracotomy including robotic approach. Simple repair was done in 21 with 2D-TEE and 21 with 3D-TEE and complex repair was done in 18 with 2D-TEE and 26 with 3D-TEE.Importantly, three patients with 2D-TEE before surgery had to undergo reoperation due to recurrent severe mitral regurgitation with dehiscence of the annuloplasty rings, although none with 3D-TEE did. Conclusions These results demonstrate that 3D-TEE is helpful in assessing the morphology of mitral apparatus and complexity of mitral valve repair, particularly in minimally invasive cardiac surgery including robotic ones. We would suggest that sonographers, cardiologists, and cardiac surgeons should be familiar with 3D-TEE and work together throughout the perioperative period for better outcomes.

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Infective Endocarditis

1978

JAMA

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Guidelines for Performing a Comprehensive Transesophageal Echocardiographic Examination: Recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists

Cited by 1,130 publications

References 166 publications

Perioperative Management of Adrenalectomy and Inferior Vena Cava Reconstruction in a Patient With a Large, Malignant Pheochromocytoma With Vena Caval Extension

Perioperative Management of Adrenalectomy and Inferior Vena Cava Reconstruction in a Patient With a Large, Malignant Pheochromocytoma With Vena Caval Extension

Impact of real-time three-dimensional transesophageal echocardiography on procedural success for mitral valve repair

Infective Endocarditis

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