Usefulness of transesophageal echocardiography in the pediatric catheterization laboratory

Tumbarello, Roberto; Sanna, Antonio; Cardu, Gabriele; Bande, A; Napoleone, Alessandra; Bini, R

doi:10.1016/0002-9149(93)90548-q

Cited by 30 publications

(12 citation statements)

References 27 publications

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“…Intraoperative multiplane TEE is widely used for evaluating PDA anatomy in humans providing useful information regarding ductal morphology, size, device deployment, device release, and the presence and severity of any residual flow. 11,12 When angiography was compared with TTE and TEE in a prospective evaluation of dogs with PDA, TEE more accurately estimated angiographic ductal dimensions. 9 Additionally, TEE provides useful intraprocedural information.…”

Section: Discussionmentioning

confidence: 99%

“…9,10 Several studies in children with PDA have documented the utility of TEE for providing useful anatomical and intraprocedural information related to device type and size selection, facilitation of device deployment and release, and confirmation of closure. 11,12 Although TEE is an established imaging modality for interventional cardiac procedures in humans, limited information exists regarding the utility of TEE for interventional cardiac procedures in veterinary medicine. 9,13 The purpose of this prospective case series was to determine if TEE influences device selection and sizing in transcatheter occlusion of PDA and to report the benefits, limitations, and complications associated with the use of TEE in this clinical cohort.…”

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confidence: 99%

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Utility of Transesophageal Echocardiography for Transcatheter Occlusion of Patent Ductus Arteriosus in Dogs: Influence on the Decision-Making Process

Saunders

Achen

Gordon

et al. 2010

Journal of Veterinary Internal Medicine

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Background: Appropriate device selection for transcatheter occlusion of patent ductus arteriosus (PDA) is essential to procedural success.Objectives: To determine if transesophageal echocardiography (TEE) influences device selection for PDA occlusion and to report benefits, limitations, and complications associated with TEE.Animals: Twenty-two client-owned dogs with left-to-right shunting PDA. Methods: PDA dimensions were obtained via transthoracic echocardiography (TTE) and then TEE followed by angiography. Based solely on information from TTE and angiography, an initial device type and size were selected. After initial device selection, TEE measurements were disclosed and changes in device selection were recorded. After device release, angiography, TEE, or both were performed to assess occlusion.Results: An Amplatz canine duct occluder (ACDO) was securely positioned and released in 21 dogs and an embolization coil was deployed in 1 dog. Based on TEE evaluation, initial selected device type was unchanged but ACDO size was changed in 3 dogs. TEE was utilized throughout the procedure allowing real time visualization of device deployment, release and assessment of closure in 17 dogs. No complications occurred related to TEE. Complete PDA closure was achieved in all dogs.Conclusions and Clinical Importance: TEE provided anatomic information regarding PDA morphology that closely approximated angiographic ductal dimensions while aiding in device deployment, release and confirmation of closure. We conclude that TEE provides complementary anatomical and intraprocedural information and is well tolerated in dogs.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Utility of Transesophageal Echocardiography for Transcatheter Occlusion of Patent Ductus Arteriosus in Dogs: Influence on the Decision-Making Process

Saunders

Achen

Gordon

et al. 2010

Journal of Veterinary Internal Medicine

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“…TEE, especially multiplane TEE, appears to be more sensitive and of superior diagnostic value in detecting the ductus, assessing the pulmonary/systemic flow and vascular resistance ratios [18] and also the vegetations in case of IE (usually located into the ductus near its pulmonary end). Moreover, TEE can better evaluate the result of surgical or percutaneous closure [11,12]. …”

Section: Discussionmentioning

confidence: 99%

Patent ductus arteriosus endarteritis in a 40-year old woman, diagnosed with Transesophageal Echocardiography. A case report and a brief review of the literature

Kouris

Sifaki

Kontogianni

et al. 2003

Cardiovasc Ultrasound

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“…Checking the results with TEE has already been described but without the echocardiographic monitoring during the positioning. 7 The decision as to when to release the device can be dif cult because embolization caused by inappropriate size or position of the device can be a serious complication, possibly necessitating surgical removal. TEE can be helpful in making this decision.…”

Section: Discussionmentioning

confidence: 99%

The Use of Transesophageal Echocardiography Monitoring of Transcatheter Closure of a Persistent Ductus Arteriosus

et al. 2001

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We performed transesophageal echocardiography (TEE) with pediatric biplane probes throughout the procedure of transcatheter closure of the ductus arteriosus in 42 out of 46 patients who were scheduled for this intervention. Patient ages ranged from 15 months to 14 years and body weight from 9-53 kg. Both Rashkind double umbrella devices and coils were used. The described approach resulted in fewer contrast injections and was helpful in monitoring the procedure and in deciding when to release the device. To the best of our knowledge this is the first report describing a large series where continuous monitoring of transcatheter ductus closure was combined with x-ray fluoroscopy and TEE.

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Usefulness of transesophageal echocardiography in the pediatric catheterization laboratory

Cited by 30 publications

References 27 publications

Utility of Transesophageal Echocardiography for Transcatheter Occlusion of Patent Ductus Arteriosus in Dogs: Influence on the Decision-Making Process

Utility of Transesophageal Echocardiography for Transcatheter Occlusion of Patent Ductus Arteriosus in Dogs: Influence on the Decision-Making Process

Patent ductus arteriosus endarteritis in a 40-year old woman, diagnosed with Transesophageal Echocardiography. A case report and a brief review of the literature

The Use of Transesophageal Echocardiography Monitoring of Transcatheter Closure of a Persistent Ductus Arteriosus

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