Intraoperative evaluation of micromultiplane transesophageal echocardiographic probe in surgery for congenital heart disease☆☆☆

Scohy, Thierry V.; Gommers, Diederik; Harkel, Arend D J Ten; Deryck, Yvon; McGhie, Jackie; Bogers, Ad J.J.C.

doi:10.1016/j.euje.2007.02.011

Cited by 39 publications

(31 citation statements)

References 11 publications

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“…[24][25][26][27][28][29] Recently, reports regarding the use of the microTEE miniaturized multiplane transesophageal echocardiographic probe (Philips Medical Systems, Andover, MA) in children have been published. [30][31][32] We herein present our experience with TEE using both the AcuNav ICE transducer and the microTEE transducer in this challenging patient population and clinical setting. In addition, we review previous published reports on the use of these transducers [27][28][29][30][31][32] in small children.…”

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confidence: 98%

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Transesophageal Echocardiography in Critically Ill Acute Postoperative Infants: Comparison of AcuNav Intracardiac Echocardiographic and microTEE Miniaturized Transducers

Ferns

Komarlu

Bergen

et al. 2012

Journal of the American Society of Echocardiography

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confidence: 98%

“…[30][31][32] We herein present our experience with TEE using both the AcuNav ICE transducer and the microTEE transducer in this challenging patient population and clinical setting. In addition, we review previous published reports on the use of these transducers [27][28][29][30][31][32] in small children.…”

mentioning

confidence: 98%

Transesophageal Echocardiography in Critically Ill Acute Postoperative Infants: Comparison of AcuNav Intracardiac Echocardiographic and microTEE Miniaturized Transducers

Ferns

Komarlu

Bergen

et al. 2012

Journal of the American Society of Echocardiography

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“…Some studies have assessed the efficiency of micro-TOE during perioperative care for patients undergoing cardiac surgery using different miniaturized probes [10,13,15,22]. We provide further evidence of the impact of TOE for children undergoing cardiac catheterization.…”

Section: Discussionmentioning

confidence: 94%

“…Various reports have demonstrated its initial safety and usefulness [8,[11][12][13][14]. However, this former release was gradually phased out in our centre and others because of degradation of imaging quality during examinations due to an overheating phenomenon [10].…”

Section: Discussionmentioning

confidence: 96%

Safety and efficiency of the new micro-multiplane transoesophageal probe in paediatric cardiology

Hascoët¹,

Peyre²,

Hadeed³

et al. 2014

Archives of Cardiovascular Diseases

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“…(73) Recently, there have been advances in 3-D TOE for adolescents, (74) as well as multiplane technology which can now be applied in children as small as 2kg. (31) A realistic problem with TOE in small children is possible probe compression of the airway and big vessels, leading to desaturation (75) and haemodynamic compromise. (76) Hypertrophic cardiomyopathy (HCM) can be diagnosed with TOE and also falls in the category I of indications.…”

Section: Figurementioning

confidence: 99%

The role of peri-operative transoesophageal echocardiography

Swanevelder

2017

SAHJ

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The role of peri-operative transoesophageal echocardiography cardiovascular surgery. (5,6,7,8,9,10) More recent retrospective analyses of prospectively collected data suggest that around 5.6% of surgical procedures are altered on the basis of intra-operative echocardiographic findings and that there are cost-benefit savings particularly during combined valve and graft operations. (11,12,13) Recently, the roles for peri-operative echocardiography have also extended to include intensive care (14,15) and non-cardiac surgery. (16,17,18) Although it is complex to scientifically prove the benefits of a diagnostic monitor, TOE has been shown to strongly influence intra-operative anaesthetic decisions, particularly in patients with increased risk factors for haemodynamic instability or myocardial ischaemia. In a prospective observational case series of 98 patients undergoing abdominal surgery, the judgement of the anaesthetists was that TOE led to useful alterations in intraoperative care such as administration of fluids, vasoactive drugs and β blockers. In some patients, use of the pulmonary artery catheter was obviated. (19) Similarly, in another case series comprising 90 patients undergoing vascular, visceral and chest surgery, TOE directed changes in drug (47%) and fluid therapy (24%). PERI-OPERATIVE TOE IntroductIonIn 1976 transoesophageal echocardiography (TOE) was introduced into clinical practice.(1) Within a decade, its use extended from cardiology departments into the cardiac surgical arena. However,at that time few probes were available for the operating theatre.Indeed in a report from the United States in 1988, only about 50 TOE probes were accessible for intra-operative use.(2) Furthermore, despite its utility for cardiac surgery, it became evident that few cardiologists were able to spend long periods in the operating theatre. Over time much enthusiasm and expertise for TOE has developed amongst cardiac anaesthesiologists, and by 2001, 94%of respondents in a survey of the Society of CardiovascularAnaesthesiologists utilised intra-operative echocardiography in their routine practice.Over the past 30 years technology has improved tremendously and intra-operative TOE has become an established imaging modality and the gold standard intra-operative cardiac monitor and diagnostic tool in certain cardiac procedures, e.g. mitral valve repair, congenital heart surgery, etc. IndIcAtIons And PrActIcE guIdElInEsEarly experience with the use of peri-operative echocardiography was obtained from its application in cardiac anaesthetic practice; recently however, its role has extended to include non-cardiac surgery and intensive care. Category I indications are supported by strong evidence and expert opinion that TOE is indicated, very useful and will improve patient outcome. These category I indications encompass the everyday practice of the intra-operative anaesthetist-echocardiographer and will be discussed in more detail in this review.Category II indications are supported by weaker evidence and less expert opinion ...

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Intraoperative evaluation of micromultiplane transesophageal echocardiographic probe in surgery for congenital heart disease☆☆☆

Abstract: The micromulti TEE harmonic transducer provided excellent diagnostic intra-operative TEE in neonates and small children without major complications, special attention should be taken for ventilatory parameters in neonates less than 3kg.

Cited by 39 publications

References 11 publications

Transesophageal Echocardiography in Critically Ill Acute Postoperative Infants: Comparison of AcuNav Intracardiac Echocardiographic and microTEE Miniaturized Transducers

Transesophageal Echocardiography in Critically Ill Acute Postoperative Infants: Comparison of AcuNav Intracardiac Echocardiographic and microTEE Miniaturized Transducers

Safety and efficiency of the new micro-multiplane transoesophageal probe in paediatric cardiology

The role of peri-operative transoesophageal echocardiography

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