Transesophageal echocardiography guidance for atrial-caval thrombus removal with the AngioVac system

Miller, Scott D.; Lee, Daniel; Dollar, B; Schepel, Shawn R.; Шестопалов, А. М.; Culp, William C.

doi:10.1080/08998280.2019.1673920

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…The 11 AngioVac cases described in this study indicate that the procedure is an effective technique for removing vegetation or thrombus, particularly those that are soft and with minimal adhesion to adjacent tissue. Intraoperative TEE is a vital tool for assisting the procedure and evaluating intraoperative complications [ [5] , [6] , [7] , [8] ]. Fellowship-trained cardiac anesthesiologists who are NBE-certified in TEE are adequately qualified to provide TEE guidance during AngioVac procedures.…”

Section: Discussionmentioning

confidence: 99%

AngioVac Procedures: Integration of cardiac surgeon and anesthesiologist-led transesophageal echocardiography: A preliminary report

Lin,

Singhal,

Cavanaugh

et al. 2024

Heliyon

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Section: Discussionmentioning

confidence: 99%

AngioVac Procedures: Integration of cardiac surgeon and anesthesiologist-led transesophageal echocardiography: A preliminary report

Lin,

Singhal,

Cavanaugh

et al. 2024

Heliyon

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“…Such surveillance can decrease the possibility of collateral damage, including rupture of chordae tendineae and subsequent arrhythmia incitement. TEE monitoring also lessens the requirement for fluoroscopy, which lowers the dangers of ionizing radiation and contrast injection [ 8 ].…”

Section: Reviewmentioning

confidence: 99%

A Proposed Approach for the Management of Clot-in-Transit

Patel¹,

Amrutiya²,

Manvar³

2022

Cureus

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Clot-in-transit (CIT) is defined as a mobile echogenic material in the right atrium or ventricle as observed on ultrasound. A right heart free-floating thrombus is unusual when there is no structural disease of the heart or atrial fibrillation. Cardiopulmonary collapse and quick death can come from CIT, which occurs when a blood clot moves from the heart to the lungs. There are some clinical case reports of a large volume thrombus that was freely floating in the right heart in an asymptomatic patient, and the best therapeutic options are uncertain. Although several trials have been conducted on the treatment of CIT, clinical judgment is still used to determine the best treatment for right heart thrombus (RHT), especially when associated with pulmonary embolism (PE). In this review article, we discuss various diagnostic modalities and treatment options for this rare malady. We studied in detail their clinical impact on patients according to past research studies.

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“…In our experience and as extensively described in the literature, echocardiographic assistance is commonly used in a number of emergency procedures, such as initiation and monitoring of ECMO, 37 assistance in placement of pulmonary artery catheters, 38 placement of intravenous pacemaker wires, 39 placement of intra-aortic balloon counterpulsation, 40,41 and during catheterdirected thrombolytic therapy. 42 Recent international guidelines recommend consideration of ECMO in patients with severe respiratory failure from SARS-CoV-2 infection when conventional management fails, if resources and expertise are available. 43 As of April 25, 2020, 563 patients with confirmed or suspected COVID-19 have undergone initiation of ECMO and are reported in the Extracorporeal Life Support Organization registry.…”

Section: Procedural Guidancementioning

confidence: 99%

Critical Care Transesophageal Echocardiography in Patients during the COVID-19 Pandemic

Teran

Burns

Narasimhan

et al. 2020

Journal of the American Society of Echocardiography

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Background: The COVID-19 pandemic has placed an extraordinary strain on healthcare systems across North America. Defining the optimal approach for managing a critically ill COVID-19 patient is rapidly changing. Goaldirected transesophageal echocardiography (TEE) is frequently used by physicians caring for intubated critically ill patients as a reliable imaging modality that is well suited to answer questions at bedside. Methods: A multidisciplinary (intensive care, critical care cardiology, and emergency medicine) group of experts in point-of-care echocardiography and TEE from the United States and Canada convened to review the available evidence, share experiences, and produce a consensus statement aiming to provide clinicians with a framework to maximize the safety of patients and healthcare providers when considering focused point-of-care TEE in critically ill patients during the COVID-19 pandemic. Results: Although transthoracic echocardiography can provide the information needed in most patients, there are specific scenarios in which TEE represents the modality of choice. TEE provides acute care clinicians with a goal-directed framework to guide clinical care and represents an ideal modality to evaluate hemodynamic instability during prone ventilation, perform serial evaluations of the lungs, support cardiac arrest resuscitation, and guide veno-venous ECMO cannulation. To aid other clinicians in performing TEE during the COVID-19 pandemic, we describe a set of principles and practical aspects for performing examinations with a focus on the logistics, personnel, and equipment required before, during, and after an examination. Conclusions: In the right clinical scenario, TEE is a tool that can provide the information needed to deliver the best and safest possible care for the critically ill patients.

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Transesophageal echocardiography guidance for atrial-caval thrombus removal with the AngioVac system

Cited by 4 publications

References 9 publications

AngioVac Procedures: Integration of cardiac surgeon and anesthesiologist-led transesophageal echocardiography: A preliminary report

AngioVac Procedures: Integration of cardiac surgeon and anesthesiologist-led transesophageal echocardiography: A preliminary report

A Proposed Approach for the Management of Clot-in-Transit

Critical Care Transesophageal Echocardiography in Patients during the COVID-19 Pandemic

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