The feasibility of tricuspid annular plane systolic excursion performed by transesophageal echocardiography throughout heart surgery and its interchangeability with transthoracic echocardiography
Tricuspid annular plane systolic excursion (TAPSE) is a robust measure of RV function, but the performance of transesophageal echocardiography (TEE) measured TAPSE during surgery is not well established. We aim to evaluate feasibility of various TEE views before, during and after surgery. Furthermor...
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creator | Korshin, A. Grønlykke, L. Nilsson, J. C. Møller-Sørensen, H. Ihlemann, N. Kjøller, M. Damgaard, S. Lehnert, P. Hassager, C. Kjaergaard, J. Ravn, H. B. |
description | Tricuspid annular plane systolic excursion (TAPSE) is a robust measure of RV function, but the performance of transesophageal echocardiography (TEE) measured TAPSE during surgery is not well established. We aim to evaluate feasibility of various TEE views before, during and after surgery. Furthermore, we compare performance of individual TEE measurements depending on view and method (AMM- and M-mode as well as 2D) as well as TAPSE measured using TEE with transthoracic echocardiography (TTE) TAPSE. The study was conducted from January 2015 through September 2016. In 47 patients with normal left ventricular ejection fraction, TEE was prospectively performed during coronary artery bypass grafting surgery. TAPSE and tricuspid annulus tissue Doppler imaging (TDI) were recorded in five different views at pre-specified time points during surgery. Data were analyzed for availability (obtainable/readable images) and reliability (intra-/inter-observer bias and precision). Finally, TEE TAPSE was compared to TTE TAPSE immediately before and after surgery. TAPSE and TDI with TEE was achievable in > 90% of patients in the transgastric view during surgery. The AM- and M-mode had the best reliability and the best correlation with TAPSE measured with TTE. The deep transgastric view was achievable in less than 50% after sternotomy, and TAPSE measured from 2D had a poorer performance compared to the AM- and M-mode. TDI demonstrated a high reliability throughout surgery. RV function can be evaluated by TAPSE and TDI using TEE during surgery. TEE values from the transgastric view demonstrated high performance throughout surgery and a good agreement with TTE TAPSE measurements. |
doi_str_mv | 10.1007/s10554-018-1306-4 |
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C. ; Møller-Sørensen, H. ; Ihlemann, N. ; Kjøller, M. ; Damgaard, S. ; Lehnert, P. ; Hassager, C. ; Kjaergaard, J. ; Ravn, H. B.</creator><creatorcontrib>Korshin, A. ; Grønlykke, L. ; Nilsson, J. C. ; Møller-Sørensen, H. ; Ihlemann, N. ; Kjøller, M. ; Damgaard, S. ; Lehnert, P. ; Hassager, C. ; Kjaergaard, J. ; Ravn, H. B.</creatorcontrib><description>Tricuspid annular plane systolic excursion (TAPSE) is a robust measure of RV function, but the performance of transesophageal echocardiography (TEE) measured TAPSE during surgery is not well established. We aim to evaluate feasibility of various TEE views before, during and after surgery. Furthermore, we compare performance of individual TEE measurements depending on view and method (AMM- and M-mode as well as 2D) as well as TAPSE measured using TEE with transthoracic echocardiography (TTE) TAPSE. The study was conducted from January 2015 through September 2016. In 47 patients with normal left ventricular ejection fraction, TEE was prospectively performed during coronary artery bypass grafting surgery. TAPSE and tricuspid annulus tissue Doppler imaging (TDI) were recorded in five different views at pre-specified time points during surgery. Data were analyzed for availability (obtainable/readable images) and reliability (intra-/inter-observer bias and precision). Finally, TEE TAPSE was compared to TTE TAPSE immediately before and after surgery. TAPSE and TDI with TEE was achievable in > 90% of patients in the transgastric view during surgery. The AM- and M-mode had the best reliability and the best correlation with TAPSE measured with TTE. The deep transgastric view was achievable in less than 50% after sternotomy, and TAPSE measured from 2D had a poorer performance compared to the AM- and M-mode. TDI demonstrated a high reliability throughout surgery. RV function can be evaluated by TAPSE and TDI using TEE during surgery. TEE values from the transgastric view demonstrated high performance throughout surgery and a good agreement with TTE TAPSE measurements.</description><identifier>ISSN: 1569-5794</identifier><identifier>EISSN: 1573-0743</identifier><identifier>EISSN: 1875-8312</identifier><identifier>DOI: 10.1007/s10554-018-1306-4</identifier><identifier>PMID: 29383465</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Aged ; Aged, 80 and over ; Cardiac arrhythmia ; Cardiac Imaging ; Cardiology ; Coronary artery ; Coronary Artery Bypass ; Coronary Disease - diagnostic imaging ; Coronary Disease - surgery ; Correlation analysis ; Data processing ; Doppler effect ; Echocardiography ; Echocardiography, Transesophageal ; Feasibility Studies ; Female ; Heart ; Heart surgery ; Humans ; Imaging ; Intraoperative Care ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Patients ; Prospective Studies ; Radiology ; Reliability analysis ; Reproducibility of Results ; Surgery ; Tricuspid Valve - diagnostic imaging ; Tricuspid Valve - physiopathology ; Ultrasonic imaging ; Ventricle ; Ventricular Dysfunction, Right - diagnostic imaging ; Ventricular Dysfunction, Right - physiopathology ; Ventricular Function, Right - physiology</subject><ispartof>The International Journal of Cardiovascular Imaging, 2018-07, Vol.34 (7), p.1017-1028</ispartof><rights>Springer Science+Business Media B.V., part of Springer Nature 2018</rights><rights>The International Journal of Cardiovascular Imaging is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-25a0afb9b47e46cb177466e859d87637e6530d227c1405606660b4c353344a1c3</citedby><cites>FETCH-LOGICAL-c372t-25a0afb9b47e46cb177466e859d87637e6530d227c1405606660b4c353344a1c3</cites><orcidid>0000-0002-7449-8812</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10554-018-1306-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10554-018-1306-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29383465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korshin, A.</creatorcontrib><creatorcontrib>Grønlykke, L.</creatorcontrib><creatorcontrib>Nilsson, J. C.</creatorcontrib><creatorcontrib>Møller-Sørensen, H.</creatorcontrib><creatorcontrib>Ihlemann, N.</creatorcontrib><creatorcontrib>Kjøller, M.</creatorcontrib><creatorcontrib>Damgaard, S.</creatorcontrib><creatorcontrib>Lehnert, P.</creatorcontrib><creatorcontrib>Hassager, C.</creatorcontrib><creatorcontrib>Kjaergaard, J.</creatorcontrib><creatorcontrib>Ravn, H. B.</creatorcontrib><title>The feasibility of tricuspid annular plane systolic excursion performed by transesophageal echocardiography throughout heart surgery and its interchangeability with transthoracic echocardiography</title><title>The International Journal of Cardiovascular Imaging</title><addtitle>Int J Cardiovasc Imaging</addtitle><addtitle>Int J Cardiovasc Imaging</addtitle><description>Tricuspid annular plane systolic excursion (TAPSE) is a robust measure of RV function, but the performance of transesophageal echocardiography (TEE) measured TAPSE during surgery is not well established. We aim to evaluate feasibility of various TEE views before, during and after surgery. Furthermore, we compare performance of individual TEE measurements depending on view and method (AMM- and M-mode as well as 2D) as well as TAPSE measured using TEE with transthoracic echocardiography (TTE) TAPSE. The study was conducted from January 2015 through September 2016. In 47 patients with normal left ventricular ejection fraction, TEE was prospectively performed during coronary artery bypass grafting surgery. TAPSE and tricuspid annulus tissue Doppler imaging (TDI) were recorded in five different views at pre-specified time points during surgery. Data were analyzed for availability (obtainable/readable images) and reliability (intra-/inter-observer bias and precision). Finally, TEE TAPSE was compared to TTE TAPSE immediately before and after surgery. TAPSE and TDI with TEE was achievable in > 90% of patients in the transgastric view during surgery. The AM- and M-mode had the best reliability and the best correlation with TAPSE measured with TTE. The deep transgastric view was achievable in less than 50% after sternotomy, and TAPSE measured from 2D had a poorer performance compared to the AM- and M-mode. TDI demonstrated a high reliability throughout surgery. RV function can be evaluated by TAPSE and TDI using TEE during surgery. TEE values from the transgastric view demonstrated high performance throughout surgery and a good agreement with TTE TAPSE measurements.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac arrhythmia</subject><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Coronary artery</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Disease - diagnostic imaging</subject><subject>Coronary Disease - surgery</subject><subject>Correlation analysis</subject><subject>Data processing</subject><subject>Doppler effect</subject><subject>Echocardiography</subject><subject>Echocardiography, Transesophageal</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Heart</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Imaging</subject><subject>Intraoperative Care</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Reliability analysis</subject><subject>Reproducibility of Results</subject><subject>Surgery</subject><subject>Tricuspid Valve - diagnostic imaging</subject><subject>Tricuspid Valve - physiopathology</subject><subject>Ultrasonic imaging</subject><subject>Ventricle</subject><subject>Ventricular Dysfunction, Right - diagnostic imaging</subject><subject>Ventricular Dysfunction, Right - physiopathology</subject><subject>Ventricular Function, Right - physiology</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU-L1TAUxYsozjj6AdxIwI2batL8e13KMP6BATfjuqRp-pKhr6n3Jmg_n1_M1D5FBlzlQn7n3Ms5VfWS0beMUv0OGZVS1JQdasapqsWj6pJJzWuqBX-8zaqtpW7FRfUM8Z5S2tCGP60umpYfuFDysvp55x0ZncHQhymklcSRJAg24xIGYuY5TwbIMpnZEVwxxSlY4n7YDBjiTBYHY4STG0i_Fp2Z0WFcvDk6MxFnfbQGhhCPYBZfAA8xH33MiXhnIBHMcHSwlj0DCQlJmJMD681c9Od7vofkd-fkIxi7rX_g-7x6MpoJ3Yvze1V9_XBzd_2pvv3y8fP1-9vact2kupGGmrFve6GdULZnWgul3EG2w0Errp2SnA5Noy0TVCqqlKK9sFxyLoRhll9Vb3bfBeK37DB1p4DWTVs4MWPH2pZTxhQXBX39AL2PGeZy3W9KHoTiTaHYTlmIiODGboFwMrB2jHZbw93ecFca7raGu8351dk59yX3v4o_lRag2QEsXyVI-Gf1f11_AaJbtrU</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Korshin, A.</creator><creator>Grønlykke, L.</creator><creator>Nilsson, J. C.</creator><creator>Møller-Sørensen, H.</creator><creator>Ihlemann, N.</creator><creator>Kjøller, M.</creator><creator>Damgaard, S.</creator><creator>Lehnert, P.</creator><creator>Hassager, C.</creator><creator>Kjaergaard, J.</creator><creator>Ravn, H. 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C. ; Møller-Sørensen, H. ; Ihlemann, N. ; Kjøller, M. ; Damgaard, S. ; Lehnert, P. ; Hassager, C. ; Kjaergaard, J. ; Ravn, H. 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C.</au><au>Møller-Sørensen, H.</au><au>Ihlemann, N.</au><au>Kjøller, M.</au><au>Damgaard, S.</au><au>Lehnert, P.</au><au>Hassager, C.</au><au>Kjaergaard, J.</au><au>Ravn, H. B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The feasibility of tricuspid annular plane systolic excursion performed by transesophageal echocardiography throughout heart surgery and its interchangeability with transthoracic echocardiography</atitle><jtitle>The International Journal of Cardiovascular Imaging</jtitle><stitle>Int J Cardiovasc Imaging</stitle><addtitle>Int J Cardiovasc Imaging</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>34</volume><issue>7</issue><spage>1017</spage><epage>1028</epage><pages>1017-1028</pages><issn>1569-5794</issn><eissn>1573-0743</eissn><eissn>1875-8312</eissn><abstract>Tricuspid annular plane systolic excursion (TAPSE) is a robust measure of RV function, but the performance of transesophageal echocardiography (TEE) measured TAPSE during surgery is not well established. We aim to evaluate feasibility of various TEE views before, during and after surgery. Furthermore, we compare performance of individual TEE measurements depending on view and method (AMM- and M-mode as well as 2D) as well as TAPSE measured using TEE with transthoracic echocardiography (TTE) TAPSE. The study was conducted from January 2015 through September 2016. In 47 patients with normal left ventricular ejection fraction, TEE was prospectively performed during coronary artery bypass grafting surgery. TAPSE and tricuspid annulus tissue Doppler imaging (TDI) were recorded in five different views at pre-specified time points during surgery. Data were analyzed for availability (obtainable/readable images) and reliability (intra-/inter-observer bias and precision). Finally, TEE TAPSE was compared to TTE TAPSE immediately before and after surgery. TAPSE and TDI with TEE was achievable in > 90% of patients in the transgastric view during surgery. The AM- and M-mode had the best reliability and the best correlation with TAPSE measured with TTE. The deep transgastric view was achievable in less than 50% after sternotomy, and TAPSE measured from 2D had a poorer performance compared to the AM- and M-mode. TDI demonstrated a high reliability throughout surgery. RV function can be evaluated by TAPSE and TDI using TEE during surgery. TEE values from the transgastric view demonstrated high performance throughout surgery and a good agreement with TTE TAPSE measurements.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>29383465</pmid><doi>10.1007/s10554-018-1306-4</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-7449-8812</orcidid></addata></record> |
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subjects | Aged Aged, 80 and over Cardiac arrhythmia Cardiac Imaging Cardiology Coronary artery Coronary Artery Bypass Coronary Disease - diagnostic imaging Coronary Disease - surgery Correlation analysis Data processing Doppler effect Echocardiography Echocardiography, Transesophageal Feasibility Studies Female Heart Heart surgery Humans Imaging Intraoperative Care Male Medicine Medicine & Public Health Middle Aged Original Paper Patients Prospective Studies Radiology Reliability analysis Reproducibility of Results Surgery Tricuspid Valve - diagnostic imaging Tricuspid Valve - physiopathology Ultrasonic imaging Ventricle Ventricular Dysfunction, Right - diagnostic imaging Ventricular Dysfunction, Right - physiopathology Ventricular Function, Right - physiology |
title | The feasibility of tricuspid annular plane systolic excursion performed by transesophageal echocardiography throughout heart surgery and its interchangeability with transthoracic echocardiography |
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