Current State of Intraoperative Echocardiography

Katsnelson, Yan; Raman, Jai; Katsnelson, Flora; Mor‐Avi, Victor; Heller, Lorri B.; Jayakar, David; Bacha, Emile A.; Jeevanandam, Valluvan

doi:10.1111/j.0742-2822.2003.03038.x

Cited by 13 publications

(3 citation statements)

References 54 publications

(82 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the realm of perioperative cardiac monitoring, the use of conventional and 3D- echocardiography [ 39 , 40 ] now allows for real-time monitoring of valvular function, ventricular filling, cardiac contractility and other hemodynamic parameters. Additionally, hand-held ultrasound machines are changing how bedside examinations are conducted [ 41 – 44 ] (Fig.…”

mentioning

confidence: 99%

Advances in anesthesia technology are improving patient care, but many challenges remain

2018

View full text Add to dashboard Cite

Although significant advances in clinical monitoring technology and clinical practice development have taken place in the last several decades, in this editorial we argue that much more still needs to be done. We begin by identifying many of the improvements in perioperative technology that have become available in recent years; these include electroencephalographic depth of anesthesia monitoring, bedside ultrasonography, advanced neuromuscular transmission monitoring systems, and other developments. We then discuss some of the perioperative technical challenges that remain to be satisfactorily addressed, such as products that incorporate poor software design or offer a confusing user interface. Finally we suggest that the journal support initiatives to help remedy this problem by publishing reports on the evaluation of medical equipment as a means to restore the link between clinical research and clinical end-users.

show abstract

mentioning

confidence: 99%

Advances in anesthesia technology are improving patient care, but many challenges remain

2018

View full text Add to dashboard Cite

show abstract

“…It helps surgeons identify any additional or previously overlooked findings that may necessitate a change in the surgical plan. [35][36][37] Following CPB, intraoperative echocardiography allows for the evaluation of surgical outcomes and the detection of new abnormalities that may require further intervention. By monitoring left ventricular (LV) function and identifying cardiovascular causes of hemodynamic instability during surgery, it can help reduce operative complications and difficulties encountered during off-pump procedures.…”

Section: Intraoperative Echocardiographymentioning

confidence: 99%

The advancement of echocardiography through evolutionary development

Jana,

Chakraborti,

Dey

2024

JCHM

View full text Add to dashboard Cite

Echocardiography, a non-invasive diagnostic method that offers insights into cardiac structure, function, and hemodynamics, has emerged as a key component of cardiovascular medicine. In a span of less than five decades, this technique has undergone significant evolution, becoming one of the most commonly utilized cardiovascular diagnostic tests after electrocardiography. This article provides a concise overview of the evolutionary development of different forms of echocardiography.

show abstract

“…Epiaortic echocardiography is usually applied to evaluate the ascending aorta for atheromatous disease before cannulation and cross clamping [1,2]. Although TEE has become increasingly popular, epicardial echocardiography is an alternative technique when the TEE probe can not be introduced or is contraindicated [2,3]. The localization of drainage site of coronary artery fistula has been reported using an intraoperative TEE or a contrast echocardiography [4,5].…”

Section: Casementioning

confidence: 99%

Intraoperative Epicardial Echocardiography Locates the Origin of a Coronary -Pulmonary Artery Fistula.

Ohuchi¹,

Hatanaka²,

Abe³

et al. 2004

J Echocardiogr

View full text Add to dashboard Cite

CaseA 58-year-old man with post-infarction angina complicated by a congenital coronary-pulmonary artery fistula (CPAF) was referred for surgery. He had a stent placed in the left anterior descending artery (LAD) 3 months prior and was diagnosed with restenosis at the proximal site of the stent, where the fistula originated. No heart murmur was audible on the auscultation. CAG showed 90% stenosis of the proximal LAD and an aneurysmal fistula between the LAD and the main pulmonary artery (mPA) (Figure 1-a). Enhanced CT demonstrated an aneurysmal CPAF 3x4 cm in diameter in the right ventricular outflow tract (RVOT) (Figure 1-b). He was anemic and was a Jehovah's Witness. Coil embolization to the CPAF was not indicated because of an adjacent location between the origin of fragile CPAF and the restenosis site of the LAD. Off-pump CABG concomitant with coronary aneurysmectomy was planned to reduce blood loss. After the induction of the anesthesia, transesophageal echocardiography (TEE) was performed but the origin or the drainage site of blood flow in the fistula could not be located. The heart was exposed via a median sternotomy. A thrill was palpated at the anterior surface of the mPA, where the fistula drained but the artery feeding the fistula was not found by inspection or palpation. Epicardial echocardiography using a 7.5-MHz transducer (SONOS2000, Hewlett-Packard Japan Ltd, Tokyo) located the artery feeding the fistula. Two feeding arteries with a mosaic flow pattern were found in the myocardium of the RVOT (Figure 2). CABG using the left internal thoracic artery to the mid-LAD was performed. A drainage artery of CAPF was ligated on the surface of the mPA. Then the aneurysmal fistula AbstractThe clinical usefulness of intraoperative epicardial echocardiography in a patient with post-infarction angina complicated by a coronary-pulmonary artery fistula (CPAF) with aneurysmal change was reported. Epicardial echocardiography clearly showed feeding arteries to the fistula in the myocardium, which was not revealed by visual inspection, palpation, or transesophageal echocardiography. The patient was received off-pump coronary artery bypass grafting concomitant with aneurysmectomy. The feeding arteries were dissected easily using an ultrasonic scalpel and successfully ligated.The flow in the aneurysm disappeared immediately and aneurysmectomy was performed without bleeding.Intraoperative epicardial echocardiography was useful method during off-pump resection of CPAF.

show abstract

Current State of Intraoperative Echocardiography

Cited by 13 publications

References 54 publications

Advances in anesthesia technology are improving patient care, but many challenges remain

Advances in anesthesia technology are improving patient care, but many challenges remain

The advancement of echocardiography through evolutionary development

Intraoperative Epicardial Echocardiography Locates the Origin of a Coronary -Pulmonary Artery Fistula.

Contact Info

Product

Resources

About