Relationship between intraoperative transoesophageal echocardiography findings and perfusion lung scintigraphy results on first postoperative day

Abstract

Intraoperative TOE monitoring did not predict the occurrence of PE on POD1.

Right atrial fat emboli detection and changes in D-dimer values in reverse shoulder arthroplasty: a comparison with total hip arthroplasty

“…It has long been suggested that the echogenic emboli seen on TEE are related to postoperative PE and DVT [5,6,9]. These emboli arise from the fat and bone marrow released at the time of bone reaming and artificial joint insertion, which cause endothelial damage around the venous system, resulting in the formation of secondary emboli that become the cause of PE [7,13]. In contrast, Moriyama et al reported that intraoperative TEE cannot predict the generation of PE on the first postoperative day [13].…”

“…In total hip arthroplasty (THA) and total knee arthroplasty (TKA), because the presence of echogenic emboli and snowstorm images identified intraoperatively by transoesophageal echocardiography (TEE) has been associated with the development of PE and DVT [9][10][11][12][13], intraoperative TEE is being increasingly used to clarify the developmental mechanisms of postoperative VTE. In contrast, because the incidence of PE and DVT in upper limb surgery is low and these cases are considered to be low risk, early ambulation and active movement may suffice as prophylactic interventions.…”

Bilateral Pathological Hip Fractures in a Patient with a Bipulmonary Transplant: A Case Report

“…11 In our patient, cementless implants were used in order to reduce the risk of embolism to the transplanted lungs. 12 Prophylactic treatment augmenting bone density, including physical exercise and medications such as vitamin D, biphosphonates, and teriparatide are recommended in patients undergoing organ transplantation. 8,10,[13][14][15][16] They should also be informed of the increased risk of fractures after transplantation.…”

Transoesophageal echocardiography in high risk surgery

“…TOE is able to detect emboli during hip arthroplasty, but the frequency and size of these emboli are not correlated with changes in haemodynamics or gas exchange, 9 or positive lung scintigraphy. 10 Thus, just because we can measure, a quantity does not mean that we can assume that it is meaningful to do so. A common study design is to use intraoperative TOE in a clinical scenario in which the treatment seems uncontroversial, such as fluid resuscitation in hypovolaemia, or vasopressors in septic shock.…”