Usefulness of Serial Measurements of Inferior Vena Cava Diameter by Vscan TM to Identify Patients With Heart Failure at High Risk of Hospitalization

Khandwalla, Raj M.; Birkeland, Kade; Zimmer, Raymond; Henry, Timothy D.; Nazarian, Roland; Sudan, Madhuri; Mirocha, James; Cha, Jeena; Kedan, Ilan

doi:10.1016/j.amjcard.2017.02.007

Cited by 45 publications

(32 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prognostic power of IVC ultrasonography for HF hospitalization has been shown by other authors, [31][32][33][34][35] but only 1 of these studies compared the utility of the IVC measurement with NT-proBNP. 33 In this study, Pellicori et al analyzed the use of IVC ultrasound for a combined variable of cardiovascular mortality and HF hospitalization.…”

Section: Discussionmentioning

confidence: 98%

“…Given the difficulty of knowing the volemia status of patients with chronic HF, IVC ultrasound could be a powerful tool to optimize treatment and prevent hospitalization and death. Khandwalla et al found a strong relationship between IVC diameter and the risk of hospitalization for ADHF in patients with chronic HF . However, they did not evaluate the predictive utility of IVC ultrasonography for mortality, or compare it with natriuretic peptides.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Usefulness of inferior vena cava ultrasonography in outpatients with chronic heart failure

Curbelo

Aguilera

Rodríguez-Cortés

et al. 2018

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Usefulness of inferior vena cava ultrasonography in outpatients with chronic heart failure

Curbelo

Aguilera

Rodríguez-Cortés

et al. 2018

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

“…[50-53]; detection of complications after biopsy and treatment procedures [54][55][56][57][58]; diffuse liver disease (liver cirrhosis and fatty liver, defined by the detection of focal fatty sparing) [49,59]; 2) biliary system: detection of gall bladder stones, sludge or neoplasia; measurement of bile duct diameter (normal: <6 mm, after cholecystectomy <10 mm) [60]; cholecystitis; 3) pancreas: detection of focal lesions; diffuse parenchymal disorders with pancreatic duct pathology; 3) spleen: splenomegaly (size); lesion detection; lesion characterization; 4) kidney: detection of hydronephrosis; lesion detection including typical cyst; nephrolithiasis >5 mm; 5) aorta and inferior vena cava: abdominal aortic aneurysm [15,18,23,37,[61][62][63][64]; inferior vena cava evaluation [28,36,64]; 6) peritoneal cavity: detection of ascites [4,17,23,35]; guiding abdominal paracentesis [57,58,65,66].…”

Section: Data Acquisition and Analysismentioning

confidence: 99%

EchoScopy in scanning abdominal diseases; a prospective single center study

et al. 2019

View full text Add to dashboard Cite

Background and aims:The introduction of a new type of small handheld ultrasound device brings greater portability and affordability in a different setting. The basic ultrasound approach with these handheld devices has been defined by European Federation of Societies of Ultrasound in Medicine and Biology (EFSUMB) as "EchoScopy". The current study aimed to assess the image quality, indications and limitations of a portable pocket "EchoScopy" performed first compared with a high-end ultrasound system (second) in abdominal diseases.Material and methods: Three hundred consecutive patients (158 males and 142 females, age 55±19 [18-96]) years) were included. The ultrasound examinations were performed firstly by an EchoScope (Vscan™ Dual Probe) and secondly with a high-end ultrasound system (HEUS, GE Logiq E9). Compared with the always excellent image quality using HEUS, the image quality of the EchoScope was graded as good, sufficient or non-sufficient. Results: Out of all 300 patients, 221 had focal lesions, 31 patients were found with diffuse pathological findings, 20 with ascites, 25 after liver puncture and 45 without any pathological findings. The image quality of the pocket device was considered as being good or sufficient to delineate the pathology in 265/300 (88%). The detection rate of the EchoScope for abdominal focal lesion was 172/221 (78%). The higher frequency of the Dual Probe was helpful in 35/300 (12%). Conclusions: EchoScopy has proven to display sufficient image quality to answer specific questions, e.g., detection of ascites, splenomegaly, bile duct enlargement, hydronephrosis and other pathological findings which can be judged by "yes/no".

show abstract

“…7 DCIIVC is used for the real-time monitoring of uid removal during continuous renal replacement therapy and uid therapy for heart failure. 4,8,9,10 The qualitative assessment of DCIIVC has also been carried out in a prospective study and demonstrated that DCIIVC offers a rapid, non-invasive way to evaluate VS in critically ill patients. 11 Despite its accuracy and usefulness, DCIIVC is not widely used as a clinical indicator for FR.…”

Section: Discussionmentioning

confidence: 99%

“…DCIIVC is well known as a tool of point-of-care for restrictive uid therapy for heart failure or uid removal for hemodialysis. 4,5 We aimed to evaluate the clinical usefulness of DCIIVC as a tool of point-of-care for uid resuscitation (FR) in critically ill hypotensive patients.…”

Section: Introductionmentioning

confidence: 99%

Diameter and collapse index of inferior vena cava as a clinical indicator of resuscitation for critically ill hypotensive patients

Mun¹

2020

Preprint

View full text Add to dashboard Cite

Purpose The role of diameter and collapse index of inferior vena cava (DCIIVC) in reflecting intravascular volume status and fluid responsiveness remains unclear. We aimed to evaluate the effectiveness of DCIIVC as a clinical indicator for fluid resuscitation (FR) in critically ill hypotensive patients.Methods This retrospective study enrolled hypotensive patients admitted to the surgical intensive care unit (SICU) between May 2018 and April 2019. Between May and October 2018, fluid therapy was conducted by a physician’s decision (non-DCIIVC group, 32 patients). Between November 2018 and April 2019, DCIIVC was used as a guide (DCIIVC group, 30 patients). Clinical outcomes of the two periods were compared.Results Total amount of fluid intake (TAFI) of non-DCIIVC and DCIIVC group in 24 h was 4,130 and 3,560, respectively (p < 0.05). TAFI in 48 h was 8,420 and 6,910, respectively (p < 0.01). Lactate levels at admission, 24 and 48 h after admission were 4.1 vs 3.8, 3.2 vs 3.1, and 1.9 vs 2.1 mmol/L, respectively. Mean duration of mechanical ventilation, ICU stay, and hospital stay were 4.1 vs 4.5, 7.2 vs 6.3, and 18.1 vs 17.2, respectively. Overall mortality was 16.7% vs 13.3%. There was no significant difference in any other characteristic except TAFI.Conclusion DCIIVC can be used as a tool for indicating FR in critically ill hypotensive patients. This can help physicians infuse fluid restrictively, without adverse outcomes.

show abstract

Usefulness of Serial Measurements of Inferior Vena Cava Diameter by Vscan TM to Identify Patients With Heart Failure at High Risk of Hospitalization

Cited by 45 publications

References 29 publications

Usefulness of inferior vena cava ultrasonography in outpatients with chronic heart failure

Usefulness of inferior vena cava ultrasonography in outpatients with chronic heart failure

EchoScopy in scanning abdominal diseases; a prospective single center study

Diameter and collapse index of inferior vena cava as a clinical indicator of resuscitation for critically ill hypotensive patients

Contact Info

Product

Resources

About