Serendipity and innovation: history and evolution of transthoracic echocardiography

Ohmes, Lucas B.; Gaudino, Mario; Rong, Lisa Q.; Girardi, Leonard N.; Sarullo, Filippo M.; Salerno, Ylenia; Sarullo, Silvia; Weinsaft, Jonathan W.; Kim, Jiwon

doi:10.21037/jtd.2017.03.90

Cited by 8 publications

(7 citation statements)

References 23 publications

(23 reference statements)

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“…As a more intuitive tool, EE might help surgeons strengthen skills in the latest advances in cardiovascular echocardiography, as represented by the increasing usage of strain imaging and artificial intelligence methods, as well as the development of interventional echocardiography 22 . Furthermore, EE overcomes several limitations associated with TEE, such as poor imaging of distal AAo and aortic arch and difficulty of adequate probe placement in the esophagus 23–25 . A variety of useful data is provided by EE, which can be used to corroborate surgical results, 23 and that is especially appreciated in hands‐on training.…”

Section: Discussionmentioning

confidence: 99%

“…22 Furthermore, EE overcomes several limitations associated with TEE, such as poor imaging of distal AAo and aortic arch and difficulty of adequate probe placement in the esophagus. [23][24][25] A variety of useful data is provided by EE, which can be used to corroborate surgical results, 23 and that is especially appreciated in hands-on training. Epicardial echocardiography fulfilled additionally an important role during COVID-19 pandemics, providing intraoperative imaging with little to no aerosolization, easy disinfection and no direct contact with patient's body fluids.…”

Section: Dominating Different Techniques In Echocardiography In Animalmentioning

confidence: 99%

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A systematic methodology for epicardial and epiaortic echocardiography in swine research models

Galbas,

Meissner,

Asmussen

et al. 2024

Health Science Reports

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BackgroundPerioperative echocardiography is of paramount importance during cardiac surgery. Nonetheless, in the experimental large‐animal setting, it might be challenging obtaining optimal imaging when using conventional imaging acquisition techniques, such as transthoracic and transesophageal screenings. Open‐chest surgery allows epicardial echocardiographic assessment with direct contact between probe and heart, thus providing superior quality. Standard protocols regarding the use of epicardial ultrasound in swine for research purposes are lacking.MethodsEpicardial echocardiography was performed in 10 female German Landrace pigs undergoing cardiac surgery. A structured and comprehensive protocol for epicardial echocardiography was elaborated including apical, ventricular long and short axis, as well as epiaortic planes. All experiments were approved by the local board for animal welfare and conducted in accordance with the German animal protection law (TierSchG) and the ARRIVE guidelines.ConclusionsSystematic protocols using epicardial echocardiography may serve as an additional tool to assess cardiac dimensions and function in experimental scenarios with swine models.

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Section: Discussionmentioning

confidence: 99%

Section: Dominating Different Techniques In Echocardiography In Animalmentioning

confidence: 99%

A systematic methodology for epicardial and epiaortic echocardiography in swine research models

Galbas,

Meissner,

Asmussen

et al. 2024

Health Science Reports

View full text Add to dashboard Cite

show abstract

“…The evolution of echocardiography and the technology update resulted in a better interpretation of cardiopathies based on the highest definition of both anatomy and cardiac function. 34 We combined the results obtained from a single molecular technique with the combined use of three complementary technologies, which allowed a larger number of VSD cases in comparison with previous studies.…”

Section: Discussionmentioning

confidence: 99%

Congenital Heart Defects and 22q11.2 Deletion Syndrome: A 20-Year Update and New Insights to Aid Clinical Diagnosis

et al. 2023

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Congenital heart defects (CHDs) are one of the most prevalent clinical features described in individuals diagnosed with 22q11.2 deletion syndrome (22q11.2DS). Therefore, cardiac malformations may be the main finding to refer for syndrome investigation, especially in individuals with a mild phenotype. Nowadays, different cytogenetic methodologies have emerged and are used routinely in research laboratories. Hence, choosing an efficient technology and providing an accurate interpretation of clinical findings is crucial for 22q11.2DS patient's diagnosis.This systematic review provides an update of the last 20 years of research on 22q11.2DS patients with CHD and the investigation process behind each diagnosis. A search was performed in PubMed, Embase, and LILACS using all entry terms to DiGeorge syndrome, CHDs, and cytogenetic analysis. After screening, 60 papers were eligible for review. We present a new insight of ventricular septal defect as a possible pivotal cardiac finding in individuals with 22q11.2DS. Also, we describe molecular technologies and cardiac evaluation as valuable tools in order to guide researchers in future investigations.

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“…Transthoracic echocardiography is undoubtedly the most important non-invasive technique used in heart function assessment [16]. Because of its increased spatial and temporal resolution, cardiac magnetic resonance (CMR) imaging has become the preferred method for the non-invasive evaluation of RVF and size [17,18].…”

Section: Introductionmentioning

confidence: 99%

Pathological right ventricular changes in synthesized electrocardiogram in end-stage renal disease patients and their association with mortality and cardiac hospitalization: a cohort study

et al. 2022

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Background Right ventricular (RV) function is an important prognostic predictor for end-stage renal disease (ESRD) patients. Non-invasive evaluation of RV function by simple electrocardiogram (ECG) is not yet evident. The purpose of this article was to investigate the presence and association of pathological right ventricular changes in synthesized ECG with cardiac hospitalization and mortality. Methods A prospective cohort study of 137 ESRD patients (mean age: 56 years) were recruited from the hemodialysis unit in An-Najah National University Hospital, Nablus, Palestine. Synthesized ECG was done right before the hemodialysis (HD) session. The pathological right ventricular changes were recorded for each patient. The relationship between pathological RV changes and mortality, cardiac and non-cardiac hospitalization was assessed through a 6-months follow-up period. Results Right ventricular Q wave was found in 2.2% of patients, while right ventricular ST elevation was found in 0.7% of patients, and right ventricular negative T wave was found in 0.7% of patients. During the 6-month period of follow-up, 36 (26.3%) patients were hospitalized, nine patients (6.6%) due to cardiac causes. A total of 8 (5.83%) patients died, out of those 4 patients (2.91%) due to cardiac causes. Using Fisher’s exact test, there was a significant association between pathological abnormalities in synthesized ECG and hospitalization among hemodialysis patients, (p = 0.047). Pathological changes in synthesized ECG were less prevalent in non-cardiac hospitalizations than in cardiac hospitalizations. Conclusions The presence of pathological RV synthesized ECG changes can predict cardiac hospitalization in ESRD patients. Synthesized ECG is a good available tool that can be easily performed in ESRD patients. To determine whether Synthesized ECG can be used as a screening tool for pathological RV changes in a dialysis patients, more research with a larger number of patients and a longer follow-up period is required.

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Serendipity and innovation: history and evolution of transthoracic echocardiography

Cited by 8 publications

References 23 publications

A systematic methodology for epicardial and epiaortic echocardiography in swine research models

A systematic methodology for epicardial and epiaortic echocardiography in swine research models

Congenital Heart Defects and 22q11.2 Deletion Syndrome: A 20-Year Update and New Insights to Aid Clinical Diagnosis

Pathological right ventricular changes in synthesized electrocardiogram in end-stage renal disease patients and their association with mortality and cardiac hospitalization: a cohort study

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