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| __NOTOC__
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| {{Coronary artery bypass surgery}}
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| {{CMG}}; {{AOEIC}} {{VK}}
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| ==ACCF/AHA Guidelines for Intraoperative use of Trans-Esophageal Echocardiography(TEE) <ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume= | issue= | pages= | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599 }} </ref>==
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| {{cquote|
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| ===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]]===
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| '''1.''' Intraoperative [[TEE]] should be performed for evaluation of acute, persistent, and life-threatening hemodynamic disturbances that have not responded to treatment.<ref name="pmid18291154">{{cite journal| author=Eltzschig HK, Rosenberger P, Löffler M, Fox JA, Aranki SF, Shernan SK| title=Impact of intraoperative transesophageal echocardiography on surgical decisions in 12,566 patients undergoing cardiac surgery. |journal=Ann Thorac Surg | year= 2008 | volume= 85 | issue= 3 | pages= 845-52 | pmid=18291154 | doi=10.1016/j.athoracsur.2007.11.015 | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18291154 }} </ref><ref name="pmid9262577">{{cite journal| author=Savage RM, Lytle BW, Aronson S, Navia JL, Licina M, Stewart WJ et al.| title=Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting. | journal=Ann Thorac Surg | year= 1997 | volume= 64 | issue= 2 | pages= 368-73; discussion 373-4 | pmid=9262577 | doi=10.1016/S0003-4975(97)00612-7 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9262577 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''
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| '''2.''' Intraoperative [[TEE]] should be performed in patients undergoing concomitant valvular surgery.<ref name="pmid18291154">{{cite journal| author=Eltzschig HK, Rosenberger P, Löffler M, Fox JA, Aranki SF, Shernan SK| title=Impact of intraoperative transesophageal echocardiography on surgical decisions in 12,566 patients undergoing cardiac surgery. | journal=Ann Thorac Surg | year= 2008 | volume= 85 | issue= 3 | pages= 845-52 | pmid=18291154 | doi=10.1016/j.athoracsur.2007.11.015 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18291154 }} </ref><ref name="pmid20418689">{{cite journal| author=American Society of Anesthesiologists and Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography| title=Practice guidelines for perioperative transesophageal echocardiography. An updated report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. | journal=Anesthesiology | year= 2010 | volume= 112 | issue= 5 | pages= 1084-96 | pmid=20418689 | doi=10.1097/ALN.0b013e3181c51e90 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20418689 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''
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| ===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]]===
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| '''1.''' Intraoperative TEE is reasonable for monitoring of hemodynamic status, ventricular function, regional wall motion, and valvular function in patients undergoing CABG.<ref name="pmid9262577">{{cite journal| author=Savage RM, Lytle BW, Aronson S, Navia JL, Licina M, Stewart WJ et al.| title=Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting. | journal=Ann Thorac Surg | year= 1997 | volume= 64 | issue= 2 | pages= 368-73; discussion 373-4 | pmid=9262577 | doi=10.1016/S0003-4975(97)00612-7 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9262577 }} </ref><ref name="pmid8638781">{{cite journal| author=Bergquist BD, Bellows WH, Leung JM| title=Transesophageal echocardiography in myocardial revascularization: II. Influence on intraoperative decision making. | journal=Anesth Analg | year= 1996 | volume= 82 | issue= 6 | pages= 1139-45 | pmid=8638781 | doi= | pmc= | url= }} </ref><ref name="pmid9923994">{{cite journal| author=Moisés VA, Mesquita CB, Campos O, Andrade JL, Bocanegra J, Andrade JC et al.| title=Importance of intraoperative transesophageal echocardiography during coronary artery surgery without cardiopulmonary bypass. | journal=J Am Soc Echocardiogr | year= 1998 | volume= 11 | issue= 12 | pages= 1139-44 | pmid=9923994 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9923994 }} </ref><ref name="pmid15511437">{{cite journal| author=Qaddoura FE, Abel MD, Mecklenburg KL, Chandrasekaran K, Schaff HV, Zehr KJ et al.| title=Role of intraoperative transesophageal echocardiography in patients having coronary artery bypass graft surgery. | journal=Ann Thorac Surg | year= 2004 | volume= 78 | issue= 5 | pages= 1586-90 | pmid=15511437 | doi=10.1016/j.athoracsur.2004.05.001 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15511437 }} </ref><ref name="pmid18073549">{{cite journal| author=Swaminathan M, Morris RW, De Meyts DD, Podgoreanu MV, Jollis JG, Grocott HP et al.| title=Deterioration of regional wall motion immediately after coronary artery bypass graft surgery is associated with long-term major adverse cardiac events. | journal=Anesthesiology | year= 2007 | volume= 107 | issue= 5 | pages= 739-45 | pmid=18073549 | doi=10.1097/01.anes.0000287008.70453.81 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18073549 }} </ref><ref name="pmid15385335">{{cite journal| author=Wang J, Filipovic M, Rudzitis A, Michaux I, Skarvan K, Buser P et al.| title=Transesophageal echocardiography for monitoring segmental wall motion during off-pump coronary artery bypass surgery. | journal=Anesth Analg | year= 2004 | volume= 99 | issue= 4 | pages= 965-73, table of contents | pmid=15385335 | doi=10.1213/01.ANE.0000130614.45647.81 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15385335 }} </ref><ref name="pmid15223418">{{cite journal| author=Zimarino M, Gallina S, Di Fulvio M, Di Mauro M, Di Giammarco G, De Caterina R et al.| title=Intraoperative ischemia and long-term events after minimally invasive coronary surgery. | journal=Ann Thorac Surg | year= 2004 | volume= 78 | issue= 1 | pages= 135-41 | pmid=15223418 | doi=10.1016/j.athoracsur.2003.12.030 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15223418 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])''}}
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| ==Guidelines Resources==
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| 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume= | issue= | pages= | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599 }} </ref>
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| ==References==
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| {{reflist|2}}
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| {{WH}}
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| {{WS}}
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| [[Category:Cardiac surgery]]
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| [[Category:Cardiology]]
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| [[Category:Surgery]]
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| [[Category:Surgical procedures]]
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| [[Category:Up-To-Date]]
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| [[Category:Up-To-Date cardiology]]
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