Initial Experience with Live/Real Time Three‐Dimensional Transesophageal Echocardiography

Pothineni, M.P.H. Koteswara R.; Inamdar, Vatsal; Miller, Andrew P.; Nanda, Navin C.; Bandarupalli, Naveen; Chaurasia, Preeti; Kirklin, James K.; McGiffin, David C.; Pajaro, Octavio E.

doi:10.1111/j.1540-8175.2007.00598.x

Cited by 84 publications

(95 citation statements)

References 10 publications

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“…Alternatively, images may be acquired in full-volume mode over 4-7 cardiac cycles with the possibility of immediate reconstruction. Initial experience with 3D live TOE has demonstrated that this method is feasible in most patients, provides superb imaging of native valves, and therefore it is a new choice for surgical planning and guidance of percutaneous interventions [14,16]. To the best of our knowledge, this is the first study to evaluate intraoperative 3D-TOE in a large series of cases undergoing different surgical procedures.…”

Section: Discussionmentioning

confidence: 97%

“…Multiplane 2D-TOE, introduced in the early 90s, has significantly improved transoesophageal imaging during cardiac surgery [5,6] and, more recently, the usefulness of three-dimensional (3D) echocardiography (based on rotational acquisition with a multiplane probe) has been demonstrated in selected pathologies [7][8][9][10][11]. A new generation of transoesophageal probes with a novel matrix array transducer has been recently introduced, allowing 3D representation of cardiac structures in real-time [12][13][14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

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Real-time three-dimensional transoesophageal echocardiography: a new intraoperative feasible and useful technology in cardiac surgery

Gripari

Tamborini

Barbier

et al. 2010

Int J Cardiovasc Imaging

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A new generation of transoesophageal echocardiographic probes with a novel matrix array technique has been recently introduced, allowing three-dimensional (3D) presentation of cardiac structures in real-time. This new tool may potentially provide fast and complete 3D information about cardiac structures improving spatial orientation and overcoming limitations of offline 3D technologies. The aim of this study was to demonstrate the feasibility and usefulness of real-time 3D transoesophageal echocardiography (TOE) for the intraoperative evaluation of cardiac surgery procedures. One-hundred patients underwent transoesophageal echocardiographic examination during cardiac surgery as a part of their routine clinical practice. In the intraoperative pre- and post-cardiopulmonary bypass periods complete 2D and 3D transoesophageal examinations were performed. Feasibility and duration of examinations, and immediate additional anatomical value of 3D versus 2D-TOE were annotated intraoperatively. Image quality, additional clinical value of 3D- compared to standard 2D-TOE and the accuracy in the description of mitral valve pathology by a surgeon and an echocardiographer were evaluated off-line. No complications related to transoesophageal examination occurred and successful intubation was achieved in all 100 patients. Therefore, 200 examinations were performed and analysed considering the pre- and post-cardiopulmonary bypass periods. The mean number of acquisitions per patient was 16 +/- 14, including 3D real-time, zoom, full-volume and colour full volume modalities. The duration of the 3D examination was 16 +/- 10 min and the mean image quality score 2.8 +/- 0.7 (in a scale 1-4). In 36 out of 100 cases (36%) 3D-TOE provided additional anatomical information. The surgeon evaluated 3D images easier and more accurately than 2D images (88% vs. 76% in the evaluation of mitral valve scallop). Real-time 3D TOE may be used routinely for the intraoperative evaluation of cardiac surgery. Imaging with this new probe facilitates intraoperative evaluation of several surgical procedures with an additional clinical value in selected cases.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Real-time three-dimensional transoesophageal echocardiography: a new intraoperative feasible and useful technology in cardiac surgery

Gripari

Tamborini

Barbier

et al. 2010

Int J Cardiovasc Imaging

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“…The close proximity of the transducer to the mitral valve and the higher transmission frequencies used in real-time 3D transesophageal echocardiography (3DTEE) allow high resolution images of the mitral valve independent of the quality of transthoracic acoustic windows and may provide additional information to that obtained by 3DTTE (11,12). To date, there have been no feasibility studies investigating the utility of 3DTEE in the assessment of RhMS using the new matrix-array 3D probe, which permits real-time acquisition.…”

Section: See Page 589mentioning

confidence: 99%

Real-Time 3D Transesophageal Echocardiography for the Evaluation of Rheumatic Mitral Stenosis

Schlosshan

Aggarwal

Mathur

et al. 2011

JACC: Cardiovascular Imaging

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“…38,39 The arrival of the live 3D TEE probe and the encouraging first experiences with it only affirm these beliefs (figure 5). 40 In contrast, data on 3D imaging of the aortic valve are very limited (figure 6). 41,42 In the presence of aortic valve pathology, acquisition of the valve is challenging in that drop-out artefacts frequently appear due to its thin or often heavily calcified leaflets.…”

mentioning

confidence: 93%

“…41,42 In the presence of aortic valve pathology, acquisition of the valve is challenging in that drop-out artefacts frequently appear due to its thin or often heavily calcified leaflets. Although anecdotal evidence suggests that live 3D TEE provides easier and more accurate visualisation and assessment of the aortic valve, 40 future studies will have to determine its true value in this regard.…”

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confidence: 96%

Clinical application of three-dimensional echocardiography: past, present and future

Kleijn

Kamp²

2009

NHJL

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Significant advances in three-dimensional echocardiography have made this modality a powerful diagnostic tool in the cardiology clinic. It can provide accurate and reliable measurements of chamber size and function, including the quantification of left ventricular mechanical dyssynchrony to guide patient selection for cardiac resynchron-isation therapy. Furthermore, three-dimensional echocardiography offers novel views and comprehensive anatomic definition of valvular and congenital abnormalities, improving diagnosis and preoperative planning. In addition, it is extremely useful in monitoring the effectiveness of surgical or percutaneous transcatheter interventions. As its efficacy for more and more clinical applications is demonstrated, it is clear that three-dimensional echocardiography has become part of the routine clinical diagnostic armamentarium. In this article, we describe the development of three-dimensional echocardiography over the last decades, review the scientific evidence for its current clinical use and discuss potential future applications. (Neth Heart J 2009;17:18-24.).

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Initial Experience with Live/Real Time Three‐Dimensional Transesophageal Echocardiography

Cited by 84 publications

References 10 publications

Real-time three-dimensional transoesophageal echocardiography: a new intraoperative feasible and useful technology in cardiac surgery

Real-time three-dimensional transoesophageal echocardiography: a new intraoperative feasible and useful technology in cardiac surgery

Real-Time 3D Transesophageal Echocardiography for the Evaluation of Rheumatic Mitral Stenosis

Clinical application of three-dimensional echocardiography: past, present and future

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