Research progress on the management of patients after cardiac surgery with miniaturized transesophageal echocardiography_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GUO Shengwen , LI Tong ,  ZHANG Yanbo

Department of SICU, Fu Wai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Chineses Academey of Medical Sciences and Peking Union Medical College, Beijing, 100037, P.R.China;

Corresponding author：

ZHANG Yanbo, Email: yanbozhang@163.com

Keywords：

Miniaturized transesophageal echocardiography; cardiac surgical procedures; intensive care unit

DOI：

10.7507/1007-4848.201701023

Video：

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In recent years, transesophageal echocardiography has a trend toward miniaturization, so it has great clinical significance and broad clinical application prospect in the management of Cardiac Surgery ICU patient. This paper presents the characteristics of miniaturized transesophageal echocardiography and its clinical application. And we also focused on the contrast between miniaturized transesophageal echocardiography and standard transesophageal echocardiography and transthoracic echocardiography.

Citation： GUO Shengwen, LI Tong, ZHANG Yanbo. Research progress on the management of patients after cardiac surgery with miniaturized transesophageal echocardiography. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(10): 803-806. doi: 10.7507/1007-4848.201701023 Copy

1.	Tsai SK. The role of transesophageal echocardiography in clinical use. J Chin Med Assoc, 2013, 76(12): 661-672.
2.	Wagner CE, Bick JS, Webster BH, et al. Use of a miniaturized transesophageal echocardiographic probe in the intensive care unit for diagnosis and treatment of a hemodynamically unstable patient after aortic valve replacement. J Cardiothorac Vasc Anesth, 2012, 26(1): 95-97.
3.	Lee J, Geyer B, Naraghi L, et al. Advanced imaging use in intensive care units has decreased, resulting in lower charges without negative effects on patient outcomes. J Crit Care, 2015, 30(3): 460-464.
4.	Zieleskiewicz L, Muller L, Lakhal K, et al. Point-of-care ultrasound in intensive care units: Assessment of 1073 procedures in a multicentric, prospective, observational study. Intensive Care Med, 2015, 41(9): 1638-1647.
5.	Geisen M, Spray D, Nicholas FS. Echocardiography-based hemodynamic management in the cardiac surgical intensive care unit. J Cardiothorac Vasc Anesth, 2014, 28(3): 733-744.
6.	Treskatsch S, Balzer F, Knebel F, et al. Feasibility and influence of hTEE monitoring on postoperative management in cardiac surgery patients. Int J Cardiovasc Imaging, 2015, 31(7): 1327-1335.
7.	Ripoll JG, Ratzlaff RA, Menke DM, et al. Hemodynamic transesophageal echocardiography-guided venous-arterial extracorporeal membrane oxygenation support in a case of giant cell myocarditis. Case Rep Crit Care, 2016, 2016: 5407597.
8.	Vieillard-Baron A, Slama M, Mayo P, et al. A pilot study on safety and clinical utility of a single-use 72-hour indwelling transesophageal echocardiography probe. Intensive Care Med, 2013, 39(4): 629-635.
9.	Hirose H, Gupta S, Pitcher H, et al. Feasibility of diagnosis of postcardiotomy tamponade by miniaturized transesophageal echocardiography. Journal of Surgical Research, 2014, 190(1): 276-279.
10.	Begot E, Dalmay F, Etchecopar C, et al. Hemodynamic assessment of ventilated ICU patients with cardiorespiratory failure using a miniaturized multiplane transesophageal echocardiography probe. Intensive Care Med, 2015, 41(11): 1886-1894.
11.	Vignon P, Mentec H, Terre S, et al. Diagnostic accuracy and therapeutic impact of transthoracic and transesophageal echocardiography in mechanically ventilated patients in the ICU. Chest, 1994, 106(6): 1829-1834.
12.	Cioccari L, Baur HR, Berger D, et al. Hemodynamic assessment of critically ill patients using a miniaturized transesophageal echocardiography probe. Critical Care, 2013, 17(3): R121.
13.	Neskovic AN, Hagendorff A, Lancellotti P, et al. Emergency echocardiography: The European Association of Cardiovascular Imaging recommendations. Eur Heart J Cardiovasc Imaging, 2013, 14(1): 1-11.
14.	Charron C, Vignon P, Prat G, et al. Number of supervised studies required to reach competence in advanced critical care transesophageal echocardiography. Intensive Care Med, 2013, 39(6): 1019-1024.
15.	Sarosiek K, Kang CY, Johnson CM, et al. Perioperative use of the imacor hemodynamic transesophageal echocardiography probe in cardiac surgery patients: Initial experience. ASAIO Journal, 2014, 60(5): 553-558.
16.	Fletcher N, Geisen M, Meeran H, et al. Initial clinical experience with a miniaturized transesophageal echocardiography probe in a cardiac intensive care unit. J Cardiothorac Vasc Anesth, 2015, 29(3): 582-587.
17.	Maddali MM, Arora NR, Valliattu J, et al. Transient electromechanical dissociation caused by a transesophageal echocardiography probe. Annals of Thoracic Surgery, 2016, 102(5): e447-e449.
18.	Erb J, Mukherjee C, Knebel F, et al. ["Introduction to transthoracic, transesophageal and real time 3Dimensional transesophageal echocardiography". Anasthesiol Intensivmed Notfallmed Schmerzther, 2014, 49(11-12): 684-694.
19.	Shillcutt SK, Bick JS. Echo didactics: A comparison of basic transthoracic and transesophageal echocardiography views in the perioperative setting. Anesthesia and Analgesia, 2013, 116(6): 1231-1236.
20.	Azhar AS. Safety and efficacy of transthoracic versus transesophageal echocardiography in transcatheter closure of atrial septal defects. Reporting a single center experience from Saudi Arabia. Saudi Medical Journal, 2016, 37(11): 1196-1205.
21.	McLean A, Lamperti M, Poelaert J. Echography is mandatory for the initial management of critically ill patients: Yes. Intensive Care Med, 2014, 40(11): 1763-1765.
22.	Meersch M, Schmidt C, Zarbock A. Echophysiology: The transesophageal echo probe as a noninvasive Swan-Ganz catheter. Curr Opin Anaesthesiol, 2016, 29(1): 36-45.
23.	Verma S, Kumar S, Gossage JR, et al. Utility of echocardiography in hypotension in the intensive care unit. Hosp Pract (1995), 2009, 37(1): 64-70.
24.	Begot E, Clavel M, Piccardo A, et al. Hemodynamic monitoring using a single-use indwelling transesophageal echocardiography probe in an unstable patient after open-heart surgery. BMC Medical Imaging, 2015, 15: 31.
25.	Canadyova J, Zmeko D, Mokracek A. Re-exploration for bleeding or tamponade after cardiac operation. Interact Cardiovasc Thorac Surg, 2012, 14(6): 704-707.
26.	彭冉. 心内直视术后心包局限性压塞 17 例分析. 2012(09): 32.0.
27.	Grumann A, Baretto L, Dugard A, et al. Localized cardiac tamponade after open-heart surgery. Ann Thorac Cardiovasc Surg, 2012, 18(6): 524-529.
28.	Maltais S, Costello WT, Billings FT, et al. Episodic monoplane transesophageal echocardiography impacts postoperative management of the cardiac surgery patient. J Cardiothorac Vasc Anesth, 2013, 27(4): 665-669.
29.	何发明, 梁志强, 李晓召, 等. 心脏外科术后 ECMO 的应用和管理. 2016, 37(6): 10-11.0.
30.	Cavarocchi NC, Pitcher HT, Yang Q, et al. Weaning of extracorporeal membrane oxygenation using continuous hemodynamic transesophageal echocardiography. J Thorac Cardiovasc Surg, 2013, 146(6): 1474-1479.
31.	Pavithran S, Natarajan K, Vishwambaran B, et al. Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease. Ann Pediatr Cardiol, 2014, 7(3): 173-179.
32.	Zimmermann P, Greim C, Trautner H, et al. Echocardiographic monitoring during induction of general anesthesia with a miniaturized esophageal probe. Anesth Analg, 2003, 96(1): 21-27.
33.	Bartakian S, El-Said HG, Printz B, et al. Prospective randomized trial of transthoracic echocardiography versus transesophageal echocardiography for assessment and guidance of transcatheter closure of atrial septal defects in children using the Amplatzer septal occluder. JACC Cardiovasc Interv, 2013, 6(9): 974-980.
34.	Gorani D, Dilic M, Kulic M, et al. Comparison of two and three dimensional transthoracic versus transesophageal echocardiography in evaluation of anatomy and pathology of left atrial apendage. Med Arch, 2013, 67(5): 318-321.
35.	Yue L, Zhai YN, Wei LQ. Which technique is better for detection of right-to-left shunt in patients with patent foramen ovale: Comparing contrast transthoracic echocardiography with contrast transesophageal echocardiography. Echocardiography, 2014, 31(9): 1050-1055.

1. Tsai SK. The role of transesophageal echocardiography in clinical use. J Chin Med Assoc, 2013, 76(12): 661-672.
2. Wagner CE, Bick JS, Webster BH, et al. Use of a miniaturized transesophageal echocardiographic probe in the intensive care unit for diagnosis and treatment of a hemodynamically unstable patient after aortic valve replacement. J Cardiothorac Vasc Anesth, 2012, 26(1): 95-97.
3. Lee J, Geyer B, Naraghi L, et al. Advanced imaging use in intensive care units has decreased, resulting in lower charges without negative effects on patient outcomes. J Crit Care, 2015, 30(3): 460-464.
4. Zieleskiewicz L, Muller L, Lakhal K, et al. Point-of-care ultrasound in intensive care units: Assessment of 1073 procedures in a multicentric, prospective, observational study. Intensive Care Med, 2015, 41(9): 1638-1647.
5. Geisen M, Spray D, Nicholas FS. Echocardiography-based hemodynamic management in the cardiac surgical intensive care unit. J Cardiothorac Vasc Anesth, 2014, 28(3): 733-744.
6. Treskatsch S, Balzer F, Knebel F, et al. Feasibility and influence of hTEE monitoring on postoperative management in cardiac surgery patients. Int J Cardiovasc Imaging, 2015, 31(7): 1327-1335.
7. Ripoll JG, Ratzlaff RA, Menke DM, et al. Hemodynamic transesophageal echocardiography-guided venous-arterial extracorporeal membrane oxygenation support in a case of giant cell myocarditis. Case Rep Crit Care, 2016, 2016: 5407597.
8. Vieillard-Baron A, Slama M, Mayo P, et al. A pilot study on safety and clinical utility of a single-use 72-hour indwelling transesophageal echocardiography probe. Intensive Care Med, 2013, 39(4): 629-635.
9. Hirose H, Gupta S, Pitcher H, et al. Feasibility of diagnosis of postcardiotomy tamponade by miniaturized transesophageal echocardiography. Journal of Surgical Research, 2014, 190(1): 276-279.
10. Begot E, Dalmay F, Etchecopar C, et al. Hemodynamic assessment of ventilated ICU patients with cardiorespiratory failure using a miniaturized multiplane transesophageal echocardiography probe. Intensive Care Med, 2015, 41(11): 1886-1894.
11. Vignon P, Mentec H, Terre S, et al. Diagnostic accuracy and therapeutic impact of transthoracic and transesophageal echocardiography in mechanically ventilated patients in the ICU. Chest, 1994, 106(6): 1829-1834.
12. Cioccari L, Baur HR, Berger D, et al. Hemodynamic assessment of critically ill patients using a miniaturized transesophageal echocardiography probe. Critical Care, 2013, 17(3): R121.
13. Neskovic AN, Hagendorff A, Lancellotti P, et al. Emergency echocardiography: The European Association of Cardiovascular Imaging recommendations. Eur Heart J Cardiovasc Imaging, 2013, 14(1): 1-11.
14. Charron C, Vignon P, Prat G, et al. Number of supervised studies required to reach competence in advanced critical care transesophageal echocardiography. Intensive Care Med, 2013, 39(6): 1019-1024.
15. Sarosiek K, Kang CY, Johnson CM, et al. Perioperative use of the imacor hemodynamic transesophageal echocardiography probe in cardiac surgery patients: Initial experience. ASAIO Journal, 2014, 60(5): 553-558.
16. Fletcher N, Geisen M, Meeran H, et al. Initial clinical experience with a miniaturized transesophageal echocardiography probe in a cardiac intensive care unit. J Cardiothorac Vasc Anesth, 2015, 29(3): 582-587.
17. Maddali MM, Arora NR, Valliattu J, et al. Transient electromechanical dissociation caused by a transesophageal echocardiography probe. Annals of Thoracic Surgery, 2016, 102(5): e447-e449.
18. Erb J, Mukherjee C, Knebel F, et al. ["Introduction to transthoracic, transesophageal and real time 3Dimensional transesophageal echocardiography". Anasthesiol Intensivmed Notfallmed Schmerzther, 2014, 49(11-12): 684-694.
19. Shillcutt SK, Bick JS. Echo didactics: A comparison of basic transthoracic and transesophageal echocardiography views in the perioperative setting. Anesthesia and Analgesia, 2013, 116(6): 1231-1236.
20. Azhar AS. Safety and efficacy of transthoracic versus transesophageal echocardiography in transcatheter closure of atrial septal defects. Reporting a single center experience from Saudi Arabia. Saudi Medical Journal, 2016, 37(11): 1196-1205.
21. McLean A, Lamperti M, Poelaert J. Echography is mandatory for the initial management of critically ill patients: Yes. Intensive Care Med, 2014, 40(11): 1763-1765.
22. Meersch M, Schmidt C, Zarbock A. Echophysiology: The transesophageal echo probe as a noninvasive Swan-Ganz catheter. Curr Opin Anaesthesiol, 2016, 29(1): 36-45.
23. Verma S, Kumar S, Gossage JR, et al. Utility of echocardiography in hypotension in the intensive care unit. Hosp Pract (1995), 2009, 37(1): 64-70.
24. Begot E, Clavel M, Piccardo A, et al. Hemodynamic monitoring using a single-use indwelling transesophageal echocardiography probe in an unstable patient after open-heart surgery. BMC Medical Imaging, 2015, 15: 31.
25. Canadyova J, Zmeko D, Mokracek A. Re-exploration for bleeding or tamponade after cardiac operation. Interact Cardiovasc Thorac Surg, 2012, 14(6): 704-707.
26. 彭冉. 心内直视术后心包局限性压塞 17 例分析. 2012(09): 32.0.
27. Grumann A, Baretto L, Dugard A, et al. Localized cardiac tamponade after open-heart surgery. Ann Thorac Cardiovasc Surg, 2012, 18(6): 524-529.
28. Maltais S, Costello WT, Billings FT, et al. Episodic monoplane transesophageal echocardiography impacts postoperative management of the cardiac surgery patient. J Cardiothorac Vasc Anesth, 2013, 27(4): 665-669.
29. 何发明, 梁志强, 李晓召, 等. 心脏外科术后 ECMO 的应用和管理. 2016, 37(6): 10-11.0.
30. Cavarocchi NC, Pitcher HT, Yang Q, et al. Weaning of extracorporeal membrane oxygenation using continuous hemodynamic transesophageal echocardiography. J Thorac Cardiovasc Surg, 2013, 146(6): 1474-1479.
31. Pavithran S, Natarajan K, Vishwambaran B, et al. Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease. Ann Pediatr Cardiol, 2014, 7(3): 173-179.
32. Zimmermann P, Greim C, Trautner H, et al. Echocardiographic monitoring during induction of general anesthesia with a miniaturized esophageal probe. Anesth Analg, 2003, 96(1): 21-27.
33. Bartakian S, El-Said HG, Printz B, et al. Prospective randomized trial of transthoracic echocardiography versus transesophageal echocardiography for assessment and guidance of transcatheter closure of atrial septal defects in children using the Amplatzer septal occluder. JACC Cardiovasc Interv, 2013, 6(9): 974-980.
34. Gorani D, Dilic M, Kulic M, et al. Comparison of two and three dimensional transthoracic versus transesophageal echocardiography in evaluation of anatomy and pathology of left atrial apendage. Med Arch, 2013, 67(5): 318-321.
35. Yue L, Zhai YN, Wei LQ. Which technique is better for detection of right-to-left shunt in patients with patent foramen ovale: Comparing contrast transthoracic echocardiography with contrast transesophageal echocardiography. Echocardiography, 2014, 31(9): 1050-1055.

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