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1.
Mohamad Alkhouli Ziyad M. Hijazi David R. Holmes Charanjit S. Rihal Susan E. Wiegers 《JACC: Cardiovascular Interventions》2018,11(21):2133-2147
Intracardiac echocardiography has historically been used to guide a limited number of transcatheter cardiac interventions. However, the tremendous advances in structural heart disease interventions in the last decade led to a growing interest in intracardiac echocardiography as a potential alternative to transesophageal echocardiography that mitigates the need for endotracheal intubation. Nonetheless, the scarcity of data, the imperfection of the current probes, and the limited experience among operators prevented a wider adoption of this technology. This review summarizes the contemporary relevant evidence and provides the structural interventionalist with an illustrative guide on the use of intracardiac echocardiography to guide various structural heart interventions. 相似文献
2.
JEFFREY J. GUTTAS M.D. BRUCE N. BRENT M. M.D. EDWARD KERSH M. M.D. 《Echocardiography (Mount Kisco, N.Y.)》1992,9(2):129-131
Transesophageal echocardiography was utilized to accurately define a right atrial mass and safely guide transvenous biopsy, resulting in accurate diagnosis and appropriate treatment. Although transthoracic echocardiography was utilized to detect the mass, transesophageal echocardiography provided detail that allowed safe localization and biopsy of the mass. 相似文献
3.
Usefulness of two‐ and three‐dimensional transesophageal echocardiography in combined mitral valve‐in‐valve implantation and paraprosthetic leak closure 下载免费PDF全文
Mustafa I. Ahmed MD Mohammed J. Arisha MD Navin C. Nanda MD Clifton T. P. Lewis MD Kyle W. Eudailey MD 《Echocardiography (Mount Kisco, N.Y.)》2018,35(4):501-505
We demonstrate the usefulness of two‐ and live/real time three‐dimensional transesophageal echocardiography in a procedure, which combined transcatheter mitral valve‐in‐valve deployment and paraprosthetic leak closure in the same setting using the less invasive transfemoral approach in an adult patient with bioprosthetic mitral valve degeneration. We also highlight the additive value of three‐dimensional echocardiography over the two‐dimensional technique. 相似文献
4.
Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction 下载免费PDF全文
Mohammed J. Arisha MD Ming C. Hsiung MD Navin C. Nanda MD Bulur Serkan MD Amier Ahmad MD Ahmed Elkaryoni MD Mahmoud Elsayed MD Leilani Adana MD Shravan Turaga MD Emel Guler MD Nermina Alagic MD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(11):1680-1686
Ventricular septal rupture is a serious complication following acute myocardial infarctions and is associated with a significant mortality rate. Classically, two‐dimensional transthoracic echocardiography has been used to diagnose this complication and visualize its location. Two‐dimensional transesophageal echocardiography has supplemented the transthoracic approach by providing more accurate assessment of the defect size and in guiding closure both percutaneously and intraoperatively. This modality, however, is limited to two‐dimensional views only, and a greater breadth of information is instead available through the use of three‐dimensional transesophageal echocardiography. We present a series of 11 patients in which live/real time three‐dimensional transesophageal echocardiography offered incremental benefits over two‐dimensional imaging alone. 相似文献
5.
Satoshi Okayama M.D. Yoko Dote M.D. Yukiji Takeda M.D. Shiro Uemura M.D. Shinichi Fujimoto M.D. Ph.D. Yoshihiko Saito M.D. Ph.D. 《Echocardiography (Mount Kisco, N.Y.)》2013,30(1):E13-E15
A 63‐year‐old man was referred to our hospital because of a cardiac tumor. Transthoracic echocardiography revealed a rough, mobile tumor in the dilated right atrium, and transesophageal echocardiography showed that the tumor consisted of small, botryoidal masses. Catheter‐based biopsy carried a high risk of embolism. Therefore, we used F‐18‐fluorodeoxyglucose positron emission tomography (FDG‐PET), which revealed an abnormal accumulation in the right cervical lymph nodes, as well as in the heart. We safely performed biopsy of the lymph nodes and diagnosed the patient with primary cardiac lymphoma. We concluded that echocardiography and FDG‐PET are useful for selecting an appropriate biopsy site in primary cardiac lymphoma. 相似文献
6.
G. Neal Kay M.D. Navin C. Nanda M.D. Pohoey Fan M.D. Florian Schlotter Rajesh Venkataraman M.D. Bhavin Dumaswala M.B.B.S. Komal Dumaswala M.B.B.S. 《Echocardiography (Mount Kisco, N.Y.)》2012,29(10):1256-1260
We are reporting the use of three‐dimensional transesophageal echocardiography as a supplement to two‐dimensional transesophageal echocardiography in the percutaneous suture closure of the left atrial appendage. 相似文献
7.
Does three‐dimensional transesophageal echocardiography provide incremental value in percutaneous closure of ascending aortic pseudoaneurysm? 下载免费PDF全文
Ahmed Elkaryoni MD Ming C. Hsiung MD Mohammed J. Arisha MD Amier Ahmad MD Navin C. Nanda MD Ahmed H. Mohamed MD Doaa Attia MD Ankush Sachdeva MD Lovepreet Singh BS Wei‐Hsian Yin MD PhD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(7):1057-1061
Ascending aortic pseudoaneurysms (AO PSAs), if left untreated, are complicated by a high rate of rupture resulting in significant morbidity and mortality. New transcatheter modalities have emerged as acceptable surgical alternatives for their management. We present a case of an ascending aortic PSA in which intraoperative two‐ and three‐dimensional transesophageal echocardiography (2DTEE and 3DTEE) provided a comprehensive assessment of the PSA in pre‐ and postclosure settings. 相似文献
8.
Willens HJ Hendel RC Qin JX Ma C Keith K Torres S Grossman JR Moscucci M 《Echocardiography (Mount Kisco, N.Y.)》2011,28(2):235-242
Background: This study evaluates the effects of performing real time three‐dimensional transesophageal echocardiography in addition to conventional two‐dimensional transesophageal echocardiography on diagnostic confidence. Methods: Operator diagnostic confidence in addressing clinical questions posed by the referral was scored using a five‐point scale for two‐dimensional transesophageal echocardiography alone and the combination of two‐dimensional and real time three‐dimensional transesophageal echocardiography in 136 consecutive patients undergoing examination in an academic hospital. Results: Mean diagnostic confidence score was higher for the combined studies compared to two‐dimensional transesophageal echocardiography alone (4.5 vs. 4.1, P < 0.001)). The addition of real time three‐dimensional transesophageal echocardiography increased diagnostic confidence score in 45 (33.1%) patients, and the percentage of studies with total diagnostic confidence rose from 40.4% with two‐dimensional transesophageal echocardiography alone to 65.4% after performing real time three‐dimensional transesophageal echocardiography. Type of clinical indication was associated with improved score by the combined exams (P < 0.004). The addition of real time three‐dimensional transesophageal echocardiography was most likely to improve diagnostic confidence score in studies performed to assess valve disease (56.1%) and least likely in examinations performed for intracardiac infection (14.9%). The location (anterior or posterior) of the primary cardiac pathology was not associated with improved score by the combined studies (P = 0.498). Conclusions: The addition of real time three‐dimensional transesophageal echocardiography to two‐dimensional transesophageal echocardiography increases diagnostic confidence in examinations routinely performed in an academic practice. Further studies of the impact of real time three‐dimensional transesophageal echocardiography on patient management, outcomes and displacement of or need for downstream testing are warranted. (Echocardiography 2011;28:235‐242) 相似文献
9.
Ayman J. Hammoudeh Fadi Chaaban Rita M. Watson Arthur Millman 《Catheterization and cardiovascular interventions》1996,37(3):347-349
Primary cardiac tumors are rare clinical entities with the histologic diagnosis usually made from surgically obtained tissue or at postmortem examination. Transvenous endomyocardial biopsy has been used less frequently, under fluoroscopic or transthoracic echocardiographic guidance. In this case report, we utilized the transesophageal echocardiography to guide the endomyocardial biopsy from a right atrial tumor in a 35-year-old man. © 1996 Wiley-Liss, Inc. 相似文献
10.
Incremental Value of Three‐Dimensional Transesophageal Echocardiography over the Two‐Dimensional Technique in the Assessment of a Thrombus in Transit through a Patent Foramen Ovale 下载免费PDF全文
Munveer Thind M.B.B.Ch. Mustafa I. Ahmed M.D. Gulay Gok M.D. Marisa Joson M.D. Mahmoud Elsayed M.B.Ch.B. Benjamin C. Tuck M.D. Matthew M. Townsley M.D. Berthold Klas B.S. David C. McGiffin M.D. Navin C. Nanda M.D. F.I.S.C.U. 《Echocardiography (Mount Kisco, N.Y.)》2015,32(5):848-854
We report a case of a right atrial thrombus traversing a patent foramen ovale into the left atrium, where three‐dimensional transesophageal echocardiography provided considerable incremental value over two‐dimensional transesophageal echocardiography in its assessment. As well as allowing us to better spatially characterize the thrombus, three‐dimensional transesophageal echocardiography provided a more quantitative assessment through estimation of total thrombus burden. 相似文献
11.
Jamie K. Harrington Diego Porras Nicola Maschietto Gerald R. Marx 《Echocardiography (Mount Kisco, N.Y.)》2019,36(7):1418-1420
Transcatheter closure of mitral paravalvular leaks has become an accepted alternative to surgical repair, especially in patients at high risk for reoperation. Device placement using three‐dimensional (3D) transesophageal echocardiography (TEE) guidance allows en‐face views of the valve and provides detailed information for device sizing and placement. We present a case demonstrating hybrid transapical transcatheter 3D TEE‐guided closure of two mitral paravalvular leaks. We demonstrate real time 3D TEE guidance for device sizing and placement, and early real time recognition of mechanical mitral valve leaflet impairment during device deployment. 相似文献
12.
Mihai Strachinaru Chris M. Kievit Sing C. Yap Alexander Hirsch Marcel L. Geleijnse Tamas Szili‐Torok 《Echocardiography (Mount Kisco, N.Y.)》2019,36(5):980-986
Both transesophageal echocardiography (TEE) and intracardiac echocardiography have been used to assist transvenous lead extractions. The clinical utility of continuous echocardiographic monitoring during the procedure is still debated, with different reports supporting opposite findings. In cases where the procedure is expected to be difficult, we propose adding a continuous TEE monitoring using a static 3D/multiplane probe in mid‐esophageal position, with digital remote manipulation of the field of view. This approach may improve the chances of a successful extraction, increase safety, or even guide the entire intervention. We present here a short case series where continuous monitoring by TEE played an important role. 相似文献
13.
Kamel Sadat M.D. Hari Prakash Diddi M.B.B.S. Berthold Klas B.S. Ayman Haj Asaad M.D. Elif İjlal Çekirdekçi M.D. Aylin Sungur M.D. Selvin Sudhakar M.D. Matthew Cain M.D. Arshad Kamal M.D. Navin C. Nanda M.D. 《Echocardiography (Mount Kisco, N.Y.)》2013,30(10):1227-1231
Hypertrophic cardiomyopathy (HCM) is the most common genetically transmitted cardiomyopathy. In patients resistant to medical management, myectomy is the surgical procedure of choice to reduce the symptoms of left ventricular outflow obstruction. Two‐dimensional transesophageal echocardiography (2DTEE) has become part of the operative procedure by decreasing the incidence of postoperative complications. However, because of the three‐dimensional geometry of left ventricular outflow tract, it is unable to comprehensively assess the location and severity of the obstruction and to provide accurate guidance during myectomy. In this study, 10 patients with HCM underwent live/real time three‐dimensional transesophageal echocardiography (3DTEE) intra‐operatively to measure the volume of the resected septum. This volume correlated well with the volume of the resected septal muscle directly obtained using a graduating cylinder containing water (r = 0.9, P < 0.000). 3DTEE may be potentially used as an adjunct to guide the surgeon in performing an adequate myectomy with a lower incidence of residual obstruction and complications such as an iatrogenic ventricular septal defect. 相似文献
14.
Alexander Georgakis Wolfgang A.K. Radtke Christian Lopez David Fiss Cathy Moser William VanDecker Brian O'Murchu 《Echocardiography (Mount Kisco, N.Y.)》2010,27(5):590-593
Three‐dimensional transesophageal echocardiography (3D TEE) has been used to guide the percutaneous repair of simple atrial septal defects (ASDs). There has been limited experience in using this imaging modality to guide complex ASD repair. In this report, we describe how 3D TEE was used to guide the repair of a complex, multifenestrated ASD. In a single view, 3D TEE provides a superior anatomic definition when compared to the traditional two‐dimensional echocardiography. We believe that this emerging technology will play a critical role as the number and complexity of percutaneous techniques treating structural heart disease continue to rise. (Echocardiography 2010;27:590‐593) 相似文献
15.
Perforated giant mycotic aneurysm of mitral valve in a drug‐addicted young man: Rare complication of infective endocarditis 下载免费PDF全文
Vincenzo Lavanco MD Mirko Curzi MD Enrico Giustiniano MD Donatella Raspante MD Daniela Di Lisi MD Renato Maria Bragato MD 《Echocardiography (Mount Kisco, N.Y.)》2018,35(1):129-131
Infective endocarditis (IE) affects patients at high clinical risk and may present as an acute and rapidly progressive, subacute or chronic infection. Transthoracic and transesophageal echocardiography represent the key diagnostic method in IE diagnosis. In particular, three‐dimensional transesophageal echocardiography represents the imaging technique that allows to establish with adequate accuracy dimensions, shape, and localization of endocarditis vegetations. In our case, we show a huge vermiform mycotic aneurysm in an immunodeficient young drug‐addicted man with severe mitral valve regurgitation and the additive value of three‐dimensional transesophageal echocardiography in this specific clinical setting. 相似文献
16.
TUONG B. VAN M.D. ARI HALLDORSSON M. M.D. RALPH W. BAUCUM III M.D. THOMAS E. RATTS M.D. JALAL K. GHALI M.D. LAWRENCE E. MOSLEY M.D. JANE M. EGGERSTEDT M.D FACS HENRY G. HANLEY M.D. 《Echocardiography (Mount Kisco, N.Y.)》1993,10(5):489-495
Transesophageal echocardiography has proved to be a versatile and valuable diagnostic tool. It has successfully been used to guide valvuloplasties and intracardiac biopsies. However, there is no report in the literature that transesophageal echocardiography has previously been used to diagnose and guide the subsequent retrieval of a vegetative embolus from the distal right pulmonary artery. We report a case of tricuspid valve endocarditis with embolization in which transesophageal echocardiography was used to make the diagnosis and guide the retrieval of the vegetative embolism from the distal right pulmonary artery. 相似文献
17.
Incremental Value of Live/Real Time Three‐Dimensional Transesophageal Echocardiography over the Two‐Dimensional Modality in the Assessment of Cardiac Lymphoma 下载免费PDF全文
Munveer Thind M.B.B.Ch. Ming C. Hsiung M.D. Gulay Gok M.D. Mahmoud Elsayed M.B.Ch.B. Marisa Joson M.D. Navin C. Nanda M.D. F.I.S.C.U. 《Echocardiography (Mount Kisco, N.Y.)》2015,32(4):671-676
We describe a case of cardiac lymphoma where live/real time three‐dimensional transesophageal echocardiography provided additional information compared to two‐dimensional transesophageal echocardiography regarding the extent of tumor infiltration. In addition, it gave a quantitative assessment of the tumor burden by providing its volume. 相似文献
18.
Incremental value of live/real time three‐dimensional transesophageal echocardiography over the two‐dimensional technique in the assessment of a tuberculoma involving the left atrium and appendage 下载免费PDF全文
Tuğba Kemaloğlu Öz M.D. Mahmoud Elsayed M.B.B.Ch Navin C. Nanda M.D. Koray Kalenderoğlu M.D. Şükrü Akyüz M.D. Işıl Atasoy M.D. Altuğ Ösken M.D. Tolga Onuk M.D. Mehmet Eren M.D. 《Echocardiography (Mount Kisco, N.Y.)》2016,33(9):1409-1412
Intracardiac tuberculomas are extremely rare, and cardiac involvement in tuberculosis accounts for only 0.5% of extrapulmonary tuberculosis. We report for the first time incremental value of live/real time three‐dimensional transesophageal echocardiography over two‐dimensional transesophageal echocardiography in the assessment of a tuberculoma involving the left atrium and left atrial appendage. 相似文献
19.
Lloyd TR Vermilion RP Zamora R Ludomirsky A Beekman RH 《Echocardiography (Mount Kisco, N.Y.)》1996,13(2):117-121
Ideal position of the buttoned device for occlusion of atrial septal defects was achieved more often with transesophageal than with transthoracic echocardiographic guidance (10/11 vs 7/23; P = 0.001). Patients with ideal device position were less likely to have residual shunts, device unbuttoning, or atrioventricular valve regurgitation (2/17 vs 11/17; P = 0.002). We therefore recommend the use of transesophageal echocardiography to guide implantation of the buttoned device. 相似文献
20.
Assessment of atrial septal defect size with 3D-transesophageal echocardiography: comparison with balloon method 总被引:4,自引:0,他引:4
Abdel-Massih T Dulac Y Taktak A Aggoun Y Massabuau P Elbaz M Carrié D Acar P 《Echocardiography (Mount Kisco, N.Y.)》2005,22(2):121-127
BACKGROUND: Transcatheter closure of atrial septal defect (ASD) is an alternative approach to surgery in selected patients. Balloon stretched diameter (BSD) is considered as the standard way of measuring ASD size. Three-dimensional transesophageal echocardiography (3D-TEE) provides views of the ASD allowing its measurement and identifying its spatial relation with neighboring structures. Our aim was to compare the BSD and 3D-TEE methods to measure the ASD size before transcatheter closure. METHODS AND RESULTS: Seventy-six consecutive patients were enrolled for ASD device closure. Three-dimensional transesophageal echocardiography and balloon sizing were adequately performed in 70 patients before the defect closure. The mean maximal diameter measured by 3D-TEE was 20 +/- 15 mm (range 10-28) while the mean BSD was 22 +/- 4.8 mm (range 9-31). When comparing the 3D-TEE and transcatheter measurements, there was a good correlation between the two methods (y = 3.15 + 0.77x; r = 0.8). The defect as viewed by 3D-TEE was unique in 54 patients and multiple in 16 patients. In patients with a single defect, the correlation between the two methods was high (y = 1.74 + 0.84x; r = 0.85) while patients with multiple ASDs, the correlation was poor (y = 12.4 + 0.4x; r = 0.45). Transcatheter closure was performed successfully in 86%. The mean size of the Amplatzer device was 23 +/- 4.8 mm (range 4-32). The reference to choose the size of the device was the BSD in single defects and the 3D-TEE maximal diameter in multiple defects. CONCLUSION: Three-dimensional transesophageal echocardiography and transcatheter methods are two complementary techniques for the success of transcatheter ASDs closure. 相似文献