Impact of intraoperative transesophageal echocardiography in cardiac and thoracic aortic surgery: Experience in 1011 cases

详细信息    查看全文

• 作者：Chikage Kihara ; Kazuya Murata ; Yasuaki Wada ; Yasuyuki Hadano ; Rikimaru Ohyama ; Shinichi Okuda ; Takeo Tanaka ; Yoshio Nose ; Yasuhiro Fukagawa ; Hiroko Yoshino ; Takehisa Susa ; Akihito Mikamo ; Akira Furutani ; Toshiro Kobayashi ; Kimikazu Hamano ; Masunori Matsuzaki
• 关键词：Cardiovascular surgical procedures ; Coronary artery bypass surgery ; Intraoperative monitoring ; Transesophageal echocardiography
• 刊名：Journal of Cardiology
• 出版年：2009
• 出版时间：October 2009
• 年：2009
• 卷：54
• 期：2
• 页码：282-288
• 全文大小：532 K

文摘

Summary

Background

Although intraoperative transesophageal echocardiography (IOTEE) has been widely used in cardiovascular surgery, the exact incidence of abnormalities detected by IOTEE in each type of surgical procedure is still unclear. The aim of this study was to review our experiences of IOTEE, in patients who underwent different types of cardiovascular surgery and to evaluate the clinical usefulness of IOTEE.

Methods and results

Our database of 1011 consecutive patients, who underwent cardiovascular surgery and IOTEE monitoring was reviewed. The incidence of abnormal findings was 115 of 1011 patients (11.4 % ), and the highest incidence was the appearance of new wall motion abnormalities after cardiopulmonary bypass. These findings influenced surgical decision-making in 59 of the evaluated 1011 patients (5.8 % ).

Conclusions

IOTEE provides important intraoperative and postoperative information that may influence surgical decision-making in various cardiovascular surgeries.