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Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease
BACKGROUND: The larger size of the currently available transesophageal echocardiography (TEE) probes limits their use to relatively older infants undergoing cardiac surgery. In very young neonates and infants, epicardial echocardiogram is used to assess postoperative residual defects. Recently, a mi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189233/ https://www.ncbi.nlm.nih.gov/pubmed/25298691 http://dx.doi.org/10.4103/0974-2069.140829 |
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author | Pavithran, Sreeja Natarajan, Kanagarajan Vishwambaran, Bijesh Arke, Avinash Dayalal Sivakumar, Kothandam |
author_facet | Pavithran, Sreeja Natarajan, Kanagarajan Vishwambaran, Bijesh Arke, Avinash Dayalal Sivakumar, Kothandam |
author_sort | Pavithran, Sreeja |
collection | PubMed |
description | BACKGROUND: The larger size of the currently available transesophageal echocardiography (TEE) probes limits their use to relatively older infants undergoing cardiac surgery. In very young neonates and infants, epicardial echocardiogram is used to assess postoperative residual defects. Recently, a miniaturized microTEE probe compatible in neonates has been introduced for clinical use. We evaluated the use of this probe in small infants undergoing cardiac surgery. MATERIALS AND METHODS: Thirty-three consecutive neonates and infants undergoing cardiac surgery at our institution were included in the study. Intraoperative echocardiography with Philips s8-3t microTEE probe done using IE33 platform was utilized to study the preoperative anatomy and assess postoperative results. RESULTS: Thirty-three patients aged 3 days-2 years (mean 5.1 months) and weighing 2.5-11 kg (mean 4.4 kg) underwent perioperative evaluation using the microTEE probe. Good quality two-dimensional and color Doppler images were obtained in all patients. There were no complications related to the probe insertion or manipulation. The findings on microTEE led to revision of surgery in five patients. Certain echocardiographic parameters that could never be recorded with epicardial echocardiogram could be easily seen in microTEE. CONCLUSION: On preliminary evaluation, the microTEE probe provided good quality images in very small infants who were not amenable for transesophageal echocardiographic evaluation so far. The probe could be used safely in small infants without complications. It appears to be a promising imaging modality in the perioperative assessment of young infants undergoing cardiac surgery, in whom intraoperative epicardial echocardiography is currently the only tool. |
format | Online Article Text |
id | pubmed-4189233 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-41892332014-10-08 Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease Pavithran, Sreeja Natarajan, Kanagarajan Vishwambaran, Bijesh Arke, Avinash Dayalal Sivakumar, Kothandam Ann Pediatr Cardiol Original Article BACKGROUND: The larger size of the currently available transesophageal echocardiography (TEE) probes limits their use to relatively older infants undergoing cardiac surgery. In very young neonates and infants, epicardial echocardiogram is used to assess postoperative residual defects. Recently, a miniaturized microTEE probe compatible in neonates has been introduced for clinical use. We evaluated the use of this probe in small infants undergoing cardiac surgery. MATERIALS AND METHODS: Thirty-three consecutive neonates and infants undergoing cardiac surgery at our institution were included in the study. Intraoperative echocardiography with Philips s8-3t microTEE probe done using IE33 platform was utilized to study the preoperative anatomy and assess postoperative results. RESULTS: Thirty-three patients aged 3 days-2 years (mean 5.1 months) and weighing 2.5-11 kg (mean 4.4 kg) underwent perioperative evaluation using the microTEE probe. Good quality two-dimensional and color Doppler images were obtained in all patients. There were no complications related to the probe insertion or manipulation. The findings on microTEE led to revision of surgery in five patients. Certain echocardiographic parameters that could never be recorded with epicardial echocardiogram could be easily seen in microTEE. CONCLUSION: On preliminary evaluation, the microTEE probe provided good quality images in very small infants who were not amenable for transesophageal echocardiographic evaluation so far. The probe could be used safely in small infants without complications. It appears to be a promising imaging modality in the perioperative assessment of young infants undergoing cardiac surgery, in whom intraoperative epicardial echocardiography is currently the only tool. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4189233/ /pubmed/25298691 http://dx.doi.org/10.4103/0974-2069.140829 Text en Copyright: © Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Pavithran, Sreeja Natarajan, Kanagarajan Vishwambaran, Bijesh Arke, Avinash Dayalal Sivakumar, Kothandam Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease |
title | Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease |
title_full | Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease |
title_fullStr | Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease |
title_full_unstemmed | Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease |
title_short | Preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease |
title_sort | preliminary evaluation of a microtransesophageal probe in neonates and young infants undergoing surgery for congenital heart disease |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4189233/ https://www.ncbi.nlm.nih.gov/pubmed/25298691 http://dx.doi.org/10.4103/0974-2069.140829 |
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