Atrial septal defect transesophageal echocardiography: Difference between revisions
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* Precise identification of the location | * Precise identification of the location | ||
* Bettered and more precise geometry | * Bettered and more precise geometry | ||
* | * Identification of: | ||
* | :* Number of atrial septal defects | ||
* | :* Extent of surrounding atrial septal tissue | ||
:* Location of adjacent structures | |||
This information allows an interventional cardiologist to determine the best method and devise for closure.<ref name="pmid15637497">{{cite journal| author=Ayres NA, Miller-Hance W, Fyfe DA, Stevenson JG, Sahn DJ, Young LT et al.| title=Indications and guidelines for performance of transesophageal echocardiography in the patient with pediatric acquired or congenital heart disease: report from the task force of the Pediatric Council of the American Society of Echocardiography. | journal=J Am Soc Echocardiogr | year= 2005 | volume= 18 | issue= 1 | pages= 91-8 | pmid=15637497 | doi=10.1016/j.echo.2004.11.004 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15637497 }} </ref> | This information allows an interventional cardiologist to determine the best method and devise for closure.<ref name="pmid15637497">{{cite journal| author=Ayres NA, Miller-Hance W, Fyfe DA, Stevenson JG, Sahn DJ, Young LT et al.| title=Indications and guidelines for performance of transesophageal echocardiography in the patient with pediatric acquired or congenital heart disease: report from the task force of the Pediatric Council of the American Society of Echocardiography. | journal=J Am Soc Echocardiogr | year= 2005 | volume= 18 | issue= 1 | pages= 91-8 | pmid=15637497 | doi=10.1016/j.echo.2004.11.004 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15637497 }} </ref> | ||
Revision as of 14:29, 22 August 2011
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Atrial Septal Defect Microchapters | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2], Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]
Overview
Transesophageal echocardiography (TEE) has had a notable positive impact on both, the care and management of a patient with congenital heart disease, such as an atrial septal defect patient. TEE has been evaluated in all age groups and is determined to be safe for pediatrics and adults.
Indications
TEE is a highly recommended method of imaging modality for atrial septal defect. It can provide:
- Precise identification of the location
- Bettered and more precise geometry
- Identification of:
- Number of atrial septal defects
- Extent of surrounding atrial septal tissue
- Location of adjacent structures
This information allows an interventional cardiologist to determine the best method and devise for closure.[1]
TEE in Pediatrics
Research has indicated that TEE is a considerably safe procedure in pediatric populations.
- The reported incidence of development of complications during TEE performance is between 1-3%.
- Caution is recommended in inserting a probe into a neonate weigh less than or equal to 3 kg.[1]
Complications
- The most common complications include:
- Hoarseness
- Dysphagia
- Esophageal perforation
- Less common complications:
- Perforation/laceration of the oropharynx, hypopharynx, esophagus and stomach
- Arrhythmias
- Pulmonary complications
- Circulatory derangement
- Endocarditis
Clinical Recommendations
The Task Force of the Pediatric Council of the American Society of Echocardiography recommends the following.
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A preoperative transthoracic echocardiogram be performed in every patient undergoing a transesophageal echocardiogram during congenital heart surgery. The results of the TTE should be evaluated prior to the TEE. A TEE is not recommended as the only diagnostic imagining method as there are limitations that are better identified in methods such as TTE.[1] |
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References
- ↑ 1.0 1.1 1.2 Ayres NA, Miller-Hance W, Fyfe DA, Stevenson JG, Sahn DJ, Young LT; et al. (2005). "Indications and guidelines for performance of transesophageal echocardiography in the patient with pediatric acquired or congenital heart disease: report from the task force of the Pediatric Council of the American Society of Echocardiography". J Am Soc Echocardiogr. 18 (1): 91–8. doi:10.1016/j.echo.2004.11.004. PMID 15637497.