Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experience

Ch, Fischer; O, Campos Filho; Jh, Palma; Alves, Rodrigues; Ja, Marcondes Sousa; E, Bezerra de Lira Filho; Ac, Carvalho; Aa, Vincenzo de Paola; Buffolo, Ênio

doi:10.1590/s0066-782x2001000700001

Cited by 5 publications

(5 citation statements)

References 22 publications

(24 reference statements)

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“…Intravascular ultrasound (IVUS) has been used to in a similar fashion [45-47]. Both TEE and IVUS can also be used to measure aortic diameters and location of the great vessels, site of injury etc [43, 46, 48]. …”

Section: Diagnosismentioning

confidence: 99%

Current Management of Traumatic Rupture of the Descending Thoracic Aorta

Karmy‐Jones¹,

Jackson²,

Long³

et al. 2009

CCR

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Traumatic rupture of the descending thoracic aorta remains a leading cause of death following major blunt trauma. Management has evolved from uniformly performing emergent open repair with clamp and sew technique to include open repair with mechanical circulatory support, medical management and most recently, endovascular repair. This latter approach appears, in the short term, to be associated with perhaps better outcome, but long term data is still accruing. While an attractive option, there are specific anatomic and physiologic factors to be considered in each individual case.

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Section: Diagnosismentioning

confidence: 99%

Current Management of Traumatic Rupture of the Descending Thoracic Aorta

Karmy‐Jones¹,

Jackson²,

Long³

et al. 2009

CCR

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“…The most common IVFB is a fragment of central venous catheter [6], but CTA didn't confirm this hypothesis and showed no retrograde extension of the initial dissection. TEE was performed because of its high ability in diagnosing diseases of the thoracic aorta and for excluding structural defects/imperfections of the endoprosthesis patency [12].…”

Section: Resultsmentioning

confidence: 99%

“…According to our experience, multidisciplinary approach with meticulous quality control is mandatory [12][13][14] as well as collaboration between all clinicians. Per-operative communication is crucial, even in emergency conditions.…”

Section: Resultsmentioning

confidence: 99%

Pigtail straightener left in ascending aorta

Mafalda¹,

Laurent²,

Philippe³

et al. 2018

Ann Cardiol Vasc Med

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A case of retained Intra-Vascular Foreign Body (IVFB) after successful Thoracic Endovascular Aortic Treatment (TEVAR) for an isthmic penetrating atherosclerotic ulcer is reported. Thoracic pain on post-operative day one required angioscanner (CTA) investigations and showed a longilineal image from aortic valve to brachio-cephalic origin, confirmed by Trans-oesophageal Echo-Endoscopy (TEE). Endovascular re-intervention was performed with an Endovascular Snare. The object corresponded to the peel away straightener of the pigtail catheter used on the first intervention as angiography catheter. Patient was discharged on post-operative day 7 without complications.

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“…12 Initial studies have shown that TEE monitoring is promising also during stent-graft positioning in type B aortic dissection. [9][10][11] However, all previous studies represent initial experience in a limited number of patients (10-16 patients in larger studies), and a systematic comparison between angiography and TEE was not performed. This is the first large study to evaluate the additional value of TEE to fluoroscopy and angiography.…”

Section: Discussionmentioning

confidence: 99%

“…Transesophageal echocardiography (TEE) provides superior diagnostic accuracy for aortic dissection with respect to angiography, [6][7][8] and initial limited studies showed that TEE may be useful during positioning of stent grafts. [9][10][11] We sequentially applied angiography and TEE to guide intraoperative decision-making in our patients routinely re-ferred for stent-graft implantation to treat type B aortic dissection. Herein we compare the contributions of TEE and angiography, and evaluate the usefulness of a TEEbased algorithm developed to guide decision-making during implantation of stent grafts in aortic dissection.…”

mentioning

confidence: 99%