Trans-esophageal Echocardiography During Off-pump Coronary Artery Bypass Grafting

Patil, TA; Ambli, Santosh Kumar; Badge, Vaishali S

doi:10.4103/jiae.jiae_38_18

“…Авторы последних исследований отмечают, что при операциях реваскуляризации на работающем сердце ЧПэхоКГ-мониторирование способно заранее предсказать приближение коллаптоидного состояния. Повышение давления наполнения на фоне диастолической дисфункции свидетельствуют о вероятности развития ее декомпенсации и, как следствие, диастолической сердечной недостаточности [23,24].…”

Section: уо = пса × илс; св = уо × чсс;unclassified

Possibilities of transesophageal echocardiography for assessing the volemic status of patients during direct myocardial revascularization operations on the beating heart: a review

Batigyan

¹

,

Лебедева

²

,

Мартынов

³

2022

Annals of Critical Care

2

0

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Introduction. Uncertainty about approaches to optimizing monitoring and tactics of hemodynamic correction today directly affects the effectiveness of interventions. This problem is especially pronounced in the case of patients with high cardiac risk, as well as in the case of rapidly developing intraoperative hemodynamic disorders, which are a specific feature of some cardiac surgical interventions, such as myocardial revascularization operations on a beating heart. In such a situation, the key factor for the success of the operation is the coordination of the work of the surgeon and the anesthesiologist. Objectives. To determine the main approaches to monitoring and assessing the volemic status of a patient during direct myocardial revascularization operations on a working heart and to evaluate the possibility of transesophageal echocardiography as such a monitoring tool. Materials and methods. The search was carried out in the electronic databases PubMed, Scopus, Web of Science Core Collection; the analysis was carried out based on works published in the period from 2001 to 2021. Results. The resulting material, which includes validated peer-reviewed studies, randomized clinical trials, major systematic reviews and meta-analyzes, provides an overview of global experience in optimizing fluid loading and its characteristics in cardiac surgery patients. According to the analyzed data, there is no consensus among specialists on the above issues, and many important factors remain outside the framework of everyday clinical practice. For high-quality interaction, a combination of highly informative monitoring and proven tactics of conducting perioperative infusion therapy in response to the dynamically changing condition of the patient is required. Conclusions. To develop unified criteria for hemodynamic correction in each individual situation, it is necessary to assess the volemic status in patients who undergo myocardial revascularization on a beating heart in real time. In this vein, transpesophageal echocardiography is presented by the authors as the tool of choice for optimizing monitoring during off-pump coronary artery bypass graft surgery.

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Indian Academy of Echocardiography Guidelines for Performance of Transesophageal Echocardiography in Adults

Burkule¹,

Bansal

²

,

Govind

³

et al. 2021

Journal of the Indian Academy of Echocardiography &Amp; Cardiovascular Imaging

3

0

1

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Transesophageal echocardiography (TEE) has unique advantages over conventional transthoracic echocardiography (TTE). Compared with TTE, TEE generally provides excellent quality images, especially of the posteriorly situated cardiac structures, such as atria, pulmonary veins, mitral valve, and left atrial appendage. TEE also offers a useful alternative to TTE in patients in whom transthoracic acoustic windows are suboptimal. Furthermore, TEE is the most suited imaging modality for use in the operating rooms and cardiac catheterization labs for guiding cardiac surgical or interventional procedures. However, specific training and competence are required for performing TEE successfully, smoothly, safely and with minimum patient discomfort. This document describes the basic principles of TEE examination, including patient selection and preparation, periprocedural monitoring, and probe handling and maneuvers. Commonly recommended views and the techniques to obtain these views are described in detail, followed by evaluation of specific cardiac structures. Finally, the role of TEE in certain specific clinical settings, such as during advanced circulatory support, is also discussed.

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Corrected and Republished: Indian Academy of Echocardiography Guidelines for Performance of Transesophageal Echocardiography in Adults

Burkule¹,

Bansal

²

,

Govind

³

et al. 2022

Journal of the Indian Academy of Echocardiography &Amp; Cardiovascular Imaging

0

View full text Add to dashboard Cite

Transesophageal echocardiography (TEE) has unique advantages over conventional transthoracic echocardiography (TTE). Compared with TTE, TEE generally provides excellent quality images, especially of the posteriorly situated cardiac structures, such as atria, pulmonary veins, mitral valve, and left atrial appendage. TEE also offers a useful alternative to TTE in patients in whom transthoracic acoustic windows are suboptimal. Furthermore, TEE is the most suited imaging modality for use in the operating rooms and cardiac catheterization labs for guiding cardiac surgical or interventional procedures. However, specific training and competence are required for performing TEE successfully, smoothly, safely and with minimum patient discomfort. This document describes the basic principles of TEE examination, including patient selection and preparation, periprocedural monitoring, and probe handling and maneuvers. Commonly recommended views and the techniques to obtain these views are described in detail, followed by evaluation of specific cardiac structures. Finally, the role of TEE in certain specific clinical settings, such as during advanced circulatory support, is also discussed.

show abstract

Trans-esophageal Echocardiography During Off-pump Coronary Artery Bypass Grafting

Cited by 3 publications

References 24 publications

Possibilities of transesophageal echocardiography for assessing the volemic status of patients during direct myocardial revascularization operations on the beating heart: a review

Possibilities of transesophageal echocardiography for assessing the volemic status of patients during direct myocardial revascularization operations on the beating heart: a review

Indian Academy of Echocardiography Guidelines for Performance of Transesophageal Echocardiography in Adults

Corrected and Republished: Indian Academy of Echocardiography Guidelines for Performance of Transesophageal Echocardiography in Adults

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