Transesophageal echocardiography for the diagnosis of pulmonary embolism with acute cor pulmonale: a comparison with radiological procedures

Vieillard‐Baron, Antoine; Qanadli, Salah D.; Antakly, Y.; Fourme, Thierry; Loubières, Yann; Jardin, François; Dubourg, Olivier

doi:10.1007/s001340050591

Cited by 118 publications

(50 citation statements)

References 18 publications

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“…TEE is helpful to detect proximal pulmonary embolisms and its usefulness increases in the patients with cardiopulmonary arrest (13,14) because other diagnostic techniques are difficult to use. As shown in the present study, TEEuse, although increasing, is still rare.…”

Section: Resultsmentioning

confidence: 99%

Recent Developments in Diagnostic Imaging Techniques and Management for Acute Pulmonary Embolism: Multicenter Registry by The Japanese Society of Pulmonary Embolism Research

et al. 2003

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Section: Resultsmentioning

confidence: 99%

Recent Developments in Diagnostic Imaging Techniques and Management for Acute Pulmonary Embolism: Multicenter Registry by The Japanese Society of Pulmonary Embolism Research

et al. 2003

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“…In case of clinical suspicion of pulmonary embolism, in a patient who had a cardiac arrest following by circulatory failure, it may provide a diagnosis in a few minutes at the bedside by visualizing a clot in the pulmonary arteries [43]. In severe ARDS patients, this is the gold standard approach in order to diagnose ACP [44] and open formaen ovale which occurs in 20-22% of patients [45].…”

Section: Interest Of Toe-focus In Specific Situationsmentioning

confidence: 99%

Executive summary on the use of ultrasound in the critically ill: consensus report from the 3rd Course on Acute Care Ultrasound (CACU)

Malbrain¹,

Tavernier²,

Haverals³

et al. 2017

Anaesthesiol Intensive Ther

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Over the past decades, ultrasound (US) has gained its place in the armamentarium of monitoring tools in the intensive care unit (ICU). Critical care ultrasonography (CCUS) is the combination of general CCUS (lung and pleural, abdominal, vascular) and CC echocardiography, allowing prompt assessment and diagnosis in combination with vascular access and therapeutic intervention. This review summarises the findings, challenges lessons from the 3 rd Course on Acute Care Ultrasound (CACU) held in November 2015, Antwerp, Belgium. It covers the different modalities of CCUS; touching on the various aspects of training, clinical benefits and potential benefits. Despite the benefits of CCUS, numerous challenges remain, including the delivery of CCUS training to future intensivists. Some of these are discussed along with potential solutions from a number of national European professional societies. There is a need for an international agreed consensus on what modalities are necessary and how best to deliver training in CCUS.

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“…Therefore, indirect markers are utilized for diagnosis. Right ventricular dysfunction, leftward bowing of the intra-atrial septum, and moderate to severe tricuspid regurgitation all have high sensitivity for PE [5,6]. McConnell's sign--akinesia of the RV free wall with sparing of the apex--(Video 2, http:// www.ijcasereportsandimages.com/archive/2015/006-2015-ijcri/CR-10520-06-2015-hoefnagel/ijcri-1052006201520-hoefnagel-full-text.php) has a sensitivity of 77% and specificity of 94% for PE [7].…”

Section: Discussionmentioning

confidence: 99%

Intraoperative transesophageal echocardiographic detection of intracardiac thrombus and pulmonary embolism during orthotopic liver transplant

Hoefnagel¹

2015

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comIntraoperative transesophageal echocardiographic detection of intracardiac thrombus and pulmonary embolism during orthotopic liver transplant Amie Hoefnagel ABSTRACT Introduction: Transesophageal echocardio-graphy (TEE) utilization during liver transplantation is beginning to gain favor in many medical centers. The intraoperative course during liver transplant includes periods of increased and decreased peripheral vascular resistance, large amounts of third spacing, high volume replacement needs, and the possibility of acute right heart failure and circulatory collapse at reperfusion. Additionally, these patients may have underlying systolic dysfunction and coronary artery disease. Intraoperative TEE provides the anesthesiologist with the only single monitoring modality that can be used to diagnose all of these. Fear of bleeding complications due to esophageal varices, and the lack of provider competency with TEE are often sited as reasons to avoid TEE in this patient population. Case Report: This is a case of an intracardiac thrombus and pulmonary embolism in a 44-yearold male undergoing orthotopic liver transplantation for Laennec's cirrhosis. Conclusion:In this case, the routine use of intraoperative TEE provided for diagnosis of a massive intracardiac thrombus and pulmonary embolism during the dissection phase of liver transplantation, adding to the growing body of case reports supporting TEE as a diagnostic tool during orthotopic liver transplantation.

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Transesophageal echocardiography for the diagnosis of pulmonary embolism with acute cor pulmonale: a comparison with radiological procedures

Cited by 118 publications

References 18 publications

Recent Developments in Diagnostic Imaging Techniques and Management for Acute Pulmonary Embolism: Multicenter Registry by The Japanese Society of Pulmonary Embolism Research

Recent Developments in Diagnostic Imaging Techniques and Management for Acute Pulmonary Embolism: Multicenter Registry by The Japanese Society of Pulmonary Embolism Research

Executive summary on the use of ultrasound in the critically ill: consensus report from the 3rd Course on Acute Care Ultrasound (CACU)

Intraoperative transesophageal echocardiographic detection of intracardiac thrombus and pulmonary embolism during orthotopic liver transplant

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