Right Ventricular Systolic Assessment by Transesophageal Versus Transthoracic Echocardiography: Displacement, Velocity, and Myocardial Deformation

Mauermann, Eckhard; Vandenheuvel, Michaël; François, Katrien; Bouchez, Stefaan; Wouters, Patrick

doi:10.1053/j.jvca.2020.03.009

Cited by 10 publications

(12 citation statements)

References 42 publications

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“…To the contrary to other studies, we found no correlation between TAPSE and TAD lat [14,30]. However, these studies assessed TAD lat and TAD sep parameters and conventional RV systolic parameters by TEE for patients in the operating theatre during surgery with different hemodynamic and ventilatory conditions than patients with ARDS [30].…”

Section: Tapse and 2d-ste Parameterscontrasting

confidence: 82%

“…Some parameters were assessed by TTE and other by TEE. Indeed, TTE is better for the assessment of conventional RV parameters whilst TEE is known to significantly underestimate TAPSE and RV-S' wave velocity [14]. TEE was used for 2D-STE parameters evaluation because image quality obtained by TTE was usually not sufficient to accurately measure 2D-STE parameters.…”

Section: Populationmentioning

confidence: 99%

“…In the ACP group, median RV-LSF was 17 [14][15][16][17][18][19][20][21][22] % and had the best correlation with RV-FAC (r= 0.79, p<0.001 vs. r=0.27, p=0.39 for RVGLS and r=0.28, p=0.39 for RVFWLS) (Figure 3A, 3B and 3C). In the non-ACP group, RV-LSF had the highest correlation (r=0.69, p<0.002) with RV-FAC (Figure 3D, 3E, 3F).…”

Section: Tad Parametersmentioning

confidence: 99%

“…RV-LSF (15 [11-20] % vs 25 [21][22][23][24][25][26][27][28][29] %; p=0.002) and TAD lat (13 [11-20] mm vs 21 [16][17][18][19][20][21][22][23][24][25][26][27][28] mm, p=0.008) were significantly decreased in the RV dysfunction group. No difference was found between the 2 groups for 2D-strain parameters, TAPSE (22 [20-25] mm vs 24 [21][22][23][24][25][26] mm;p=0.28) and RV-S'(14 [13][14][15][16][17][18][19] cm.s -1 vs 18 [13][14][15][16][17][18][19][20] cm.s -1 ; p=0.77) (Appendix 2).…”

Section: Rv Dysfunction Versus No Rv Dysfunctionmentioning

confidence: 99%

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Usefulness of Right Ventricular Longitudinal Shortening Fraction to Detect Right Ventricular Dysfunction in Acute Cor Pulmonale Related to COVID-19

Beyls

Bohbot

Huette

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Tapse and 2d-ste Parameterscontrasting

confidence: 82%

Section: Populationmentioning

confidence: 99%

Section: Tad Parametersmentioning

confidence: 99%

Section: Rv Dysfunction Versus No Rv Dysfunctionmentioning

confidence: 99%

See 2 more Smart Citations

Usefulness of Right Ventricular Longitudinal Shortening Fraction to Detect Right Ventricular Dysfunction in Acute Cor Pulmonale Related to COVID-19

Beyls

Bohbot

Huette

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

show abstract

“…Alternative views with superior alignment exist for visualization of the RV [22]. Particularly, the modified deep transgastric view focusing the right ventricle and the transgastric RV inflow view has been evaluated in the literature, however, showing underestimation of TAPSE by TEE using these alternative views in comparison to TAPSE by TTE using an apical four-chamber view [26,27]. Therefore, alternative and less angle-dependent techniques seem more promising.…”

Section: Conventional Echocardiographic Parametersmentioning

confidence: 99%

Role of Echocardiography for the Perioperative Assessment of the Right Ventricle

Labus

Uhlig

2021

Curr Anesthesiol Rep

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Purpose of Review This review aims to highlight the perioperative echocardiographic evaluation of right ventricular (RV) function with strengths and limitations of commonly used and evolving techniques. It explains the value of transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) and describes the perioperative changes of RV function echocardiographers should be aware of. Recent Findings RV dysfunction is an entity with strong influence on outcome. However, its definition and assessment in the perioperative interval are not well-defined. Moreover, values assessed by TTE and TEE are not interchangeable; while some parameters seem to correlate well, others do not. Myocardial strain analysis and three-dimensional echocardiography may overcome the limitations of conventional echocardiographic measures and provide further insight into perioperative cardiac mechanics. Summary Echocardiography has become an essential part of modern anesthesiology in patients with RV dysfunction. It offers the opportunity to evaluate not only global but also regional RV function and distinguish alterations of RV contraction.

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Interchangeability of transthoracic and transesophageal echocardiographic right heart measurements in the perioperative setting and correlation with hemodynamic parameters

Assanangkornchai

Villeneuve

McDonald

et al. 2022

Int J Cardiovasc Imaging

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Purpose Reduction of right ventricular (RV) function after cardiac surgery has been shown to impact outcomes. Conventional indices for right ventricular dysfunction are validated using transthoracic echocardiogram (TTE) which has limited use compared to transesophageal echocardiogram (TEE) in the perioperative settings.The aim of this study was to assess the agreement of RV systolic function assessment with TEE compared to TTE and assess the association of echocardiographic parameter with hemodynamic indices of RV dysfunction.Method This was a single center prospective observational study in an academic institution. Fifty adult patients undergoing elective cardiac surgery were included. TTE, TEE and stroke volume measurements pre-cardiopulmonary bypass (CPB) and post-CPB were performed. The variables of interest were anatomical M-mode tricuspid annular plane systolic excursion (AMM-TAPSE), fractional area change (FAC), tricuspid annular velocity (S') and myocardial performance index (MPI).Results FAC and AMM-TAPSE measured at the mid-esophageal 4 chamber view had substantial agreement with the TTE acquired parameters (Lin's concordance correlation coe cient (CCC) = 0.76, 95%CI 0.59-0.86 and CCC = 0.85, 95%CI 0.76-0.91). S' was signi cantly underestimated by TEE (CCC = 0.07, 95%CI -0.04-0.19) and MPI showed moderate agreement (CCC = 0.45 95%CI 0.19-0.65). Despite the signi cant changes in echocardiographic parameters, there were no corresponding changes in stroke volume (SV) or pulmonary artery pulsatility index at the post-CPB period.Conclusions TEE acquired FAC and AMM-TAPSE had substantial agreement with pre-operative TTE values and no signi cant differences between the pre-CPB and post-CPB period. Systolic RV echocardiographic parameters decreased post-CPB but this was not accompanied by signi cant hemodynamic changes.

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Right Ventricular Systolic Assessment by Transesophageal Versus Transthoracic Echocardiography: Displacement, Velocity, and Myocardial Deformation

Cited by 10 publications

References 42 publications

Usefulness of Right Ventricular Longitudinal Shortening Fraction to Detect Right Ventricular Dysfunction in Acute Cor Pulmonale Related to COVID-19

Usefulness of Right Ventricular Longitudinal Shortening Fraction to Detect Right Ventricular Dysfunction in Acute Cor Pulmonale Related to COVID-19

Role of Echocardiography for the Perioperative Assessment of the Right Ventricle

Interchangeability of transthoracic and transesophageal echocardiographic right heart measurements in the perioperative setting and correlation with hemodynamic parameters

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