The role of intraoperative epicardial echocardiography in pediatric cardiac surgery

Öztürk, Erkut; Öztürk, Erkut; Ayyıldız, Pelin; Gökalp, Selman; Kafalı, Hasan; Şahin, Murat; Ergül, Yakup; Haydın, Sertaç; Güzeltaş, Alper

doi:10.1111/echo.13874

Cited by 14 publications

(7 citation statements)

References 14 publications

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“…In the present study, 29.7% of the patients had a residual hemodynamically insignificant VSD (< 3 mm) and 85.4% (n=47) of these VSDs closed spontaneously within a mean follow-up period of 1.97±0.8 years. The moderately high insignificant residual VSD rate might be due to the post-CPB epicardial echocardiography routine [14] . This agreed with the conclusions by Schipper et al [8] who used transesophageal echocardiography.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Major Adverse Events after Surgical Closure of Ventricular Septal Defect in Patients Less than 1 Year of Age: A Single-Center Retrospective

Ergün¹,

Genç²,

Yıldız³

et al. 2019

Braz J Cardiovasc Surg

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Objective To reveal the risk factors that can lead to a complicated course and an increased morbidity in patients < 1 year old after surgical ventricular septal defect (VSD) closure. Methods We reviewed a consecutive series of patients who were admitted to our institution for surgical VSD closure who were under one year of age, between 2015 and 2018. Mechanical ventilation (MV) time > 24 hours, intensive care unit (ICU) stay longer than three days, and hospital stay longer than seven days were defined as “prolonged”. Unplanned reoperation, complete heart block requiring a permanent pacemaker implantation, sudden circulatory arrest, and death were considered as significant major adverse events (MAE). Results VSD closure was performed in 185 patients. The median age was five (1-12) months. There was prolonged MV time in 54 (29.2%) patients. Four patients (2.2%) required permanent pacemaker implantation. Hemodynamically significant residual VSD was observed in six (3.2%) patients. Extracorporeal membrane oxygenation-cardiopulmonary resuscitation was performed in one (0.5%) patient. Small age (< 4 months) ( P -value<0.001) and prolonged cardiopulmonary bypass time ( P =0.03) were found to delay extubation and to prolong MV time. Low birth weight at the operation was associated with MAE ( P =0.03). Conclusion Higher body weight during operation had a reducing effect on the MAE frequency and shortened the MV duration, ICU stay, and hospital stay. As a conclusion, for patients who are scheduled to undergo VSD closure, body weight should be taken into consideration.

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Section: Discussionmentioning

confidence: 99%

Risk Factors for Major Adverse Events after Surgical Closure of Ventricular Septal Defect in Patients Less than 1 Year of Age: A Single-Center Retrospective

Ergün¹,

Genç²,

Yıldız³

et al. 2019

Braz J Cardiovasc Surg

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“…Nowadays, EE is used intraoperatively either as a complementary modality to TEE or independently. Unlike TEE, EE can be performed using a standard phased‐array transducer and features low probability of complications 21 . Performed directly above the heart surface, EE provides great image quality and fast plane finding, as it is not impaired by intermediary anatomic structures (e.g., ribcage and lungs in TTE, or trachea and main bronchi in TEE).…”

Section: Discussionmentioning

confidence: 99%

A systematic methodology for epicardial and epiaortic echocardiography in swine research models

Galbas,

Meissner,

Asmussen

et al. 2024

Health Science Reports

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BackgroundPerioperative echocardiography is of paramount importance during cardiac surgery. Nonetheless, in the experimental large‐animal setting, it might be challenging obtaining optimal imaging when using conventional imaging acquisition techniques, such as transthoracic and transesophageal screenings. Open‐chest surgery allows epicardial echocardiographic assessment with direct contact between probe and heart, thus providing superior quality. Standard protocols regarding the use of epicardial ultrasound in swine for research purposes are lacking.MethodsEpicardial echocardiography was performed in 10 female German Landrace pigs undergoing cardiac surgery. A structured and comprehensive protocol for epicardial echocardiography was elaborated including apical, ventricular long and short axis, as well as epiaortic planes. All experiments were approved by the local board for animal welfare and conducted in accordance with the German animal protection law (TierSchG) and the ARRIVE guidelines.ConclusionsSystematic protocols using epicardial echocardiography may serve as an additional tool to assess cardiac dimensions and function in experimental scenarios with swine models.

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“…6 Although TEE is the preferred approach nowadays, e-echo remains in use, particularly in patients with contraindications to TEE. 32 The e-echo is particularly suited to evaluate the right ventricular outflow tract and branch pulmonary arteries. The transducer may be held in both long-and short-axis orientations over the right ventricular outflow ( Figure 9A).…”

Section: Tetralogy Of Fallotmentioning

confidence: 99%

Epicardial Echocardiography in Pediatric and Congenital Heart Surgery

Stern

Emani

Peek

et al. 2019

World J Pediatr Congenit Heart Surg

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Epicardial echocardiography (e-echo) is a useful approach to intraoperative imaging for the smallest patients and in those with contraindications to transesophageal echocardiography (TEE). The e-echo has additional advantages that include improved visualization of anterior and vascular structures and three-dimensional capabilities. In this review, we describe the advantages and disadvantages of e-echo versus TEE for pediatric and congenital heart surgery with the goal of enhancing the utility and feasibility of the former among congenital heart surgeons. We also review the technique for performance of an e-echo and provide demonstrations of the images obtained for select lesions.

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The role of intraoperative epicardial echocardiography in pediatric cardiac surgery

Cited by 14 publications

References 14 publications

Risk Factors for Major Adverse Events after Surgical Closure of Ventricular Septal Defect in Patients Less than 1 Year of Age: A Single-Center Retrospective

Risk Factors for Major Adverse Events after Surgical Closure of Ventricular Septal Defect in Patients Less than 1 Year of Age: A Single-Center Retrospective

A systematic methodology for epicardial and epiaortic echocardiography in swine research models

Epicardial Echocardiography in Pediatric and Congenital Heart Surgery

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