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Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions

Both transesophageal echocardiography (TEE) and intracardiac echocardiography have been used to assist transvenous lead extractions. The clinical utility of continuous echocardiographic monitoring during the procedure is still debated, with different reports supporting opposite findings. In cases wh...

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Autores principales: Strachinaru, Mihai, Kievit, Chris M., Yap, Sing C., Hirsch, Alexander, Geleijnse, Marcel L., Szili‐Torok, Tamas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593712/
https://www.ncbi.nlm.nih.gov/pubmed/30905087
http://dx.doi.org/10.1111/echo.14318
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author Strachinaru, Mihai
Kievit, Chris M.
Yap, Sing C.
Hirsch, Alexander
Geleijnse, Marcel L.
Szili‐Torok, Tamas
author_facet Strachinaru, Mihai
Kievit, Chris M.
Yap, Sing C.
Hirsch, Alexander
Geleijnse, Marcel L.
Szili‐Torok, Tamas
author_sort Strachinaru, Mihai
collection PubMed
description Both transesophageal echocardiography (TEE) and intracardiac echocardiography have been used to assist transvenous lead extractions. The clinical utility of continuous echocardiographic monitoring during the procedure is still debated, with different reports supporting opposite findings. In cases where the procedure is expected to be difficult, we propose adding a continuous TEE monitoring using a static 3D/multiplane probe in mid‐esophageal position, with digital remote manipulation of the field of view. This approach may improve the chances of a successful extraction, increase safety, or even guide the entire intervention. We present here a short case series where continuous monitoring by TEE played an important role.
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spelling pubmed-65937122019-07-10 Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions Strachinaru, Mihai Kievit, Chris M. Yap, Sing C. Hirsch, Alexander Geleijnse, Marcel L. Szili‐Torok, Tamas Echocardiography CHALLENGING CASES Section Editor ‐ Natesa Pandian, MD Both transesophageal echocardiography (TEE) and intracardiac echocardiography have been used to assist transvenous lead extractions. The clinical utility of continuous echocardiographic monitoring during the procedure is still debated, with different reports supporting opposite findings. In cases where the procedure is expected to be difficult, we propose adding a continuous TEE monitoring using a static 3D/multiplane probe in mid‐esophageal position, with digital remote manipulation of the field of view. This approach may improve the chances of a successful extraction, increase safety, or even guide the entire intervention. We present here a short case series where continuous monitoring by TEE played an important role. John Wiley and Sons Inc. 2019-03-24 2019-05 /pmc/articles/PMC6593712/ /pubmed/30905087 http://dx.doi.org/10.1111/echo.14318 Text en © 2019 The Authors. Echocardiography Published by Wiley Periodicals, Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle CHALLENGING CASES Section Editor ‐ Natesa Pandian, MD
Strachinaru, Mihai
Kievit, Chris M.
Yap, Sing C.
Hirsch, Alexander
Geleijnse, Marcel L.
Szili‐Torok, Tamas
Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions
title Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions
title_full Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions
title_fullStr Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions
title_full_unstemmed Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions
title_short Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions
title_sort multiplane/3d transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions
topic CHALLENGING CASES Section Editor ‐ Natesa Pandian, MD
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6593712/
https://www.ncbi.nlm.nih.gov/pubmed/30905087
http://dx.doi.org/10.1111/echo.14318
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