经食管超声心动图在心脏和胸主动脉手术中的应用：1011 例经验。
Impact of intraoperative transesophageal echocardiography in cardiac and thoracic aortic surgery: experience in 1011 cases.
机构信息
Department of Medicine and Clinical Sciences, Yamaguchi University Graduate School of Medicine, Ube, Japan.
出版信息
J Cardiol. 2009 Oct;54(2):282-8. doi: 10.1016/j.jjcc.2009.06.001. Epub 2009 Jul 18.
BACKGROUND
Although intraoperative transesophageal echocardiography (IOTEE) has been widely used in cardiovascular surgery, the exact incidence of abnormalities detected by IOTEE in each type of surgical procedure is still unclear. The aim of this study was to review our experiences of IOTEE, in patients who underwent different types of cardiovascular surgery and to evaluate the clinical usefulness of IOTEE.
METHODS AND RESULTS
Our database of 1011 consecutive patients, who underwent cardiovascular surgery and IOTEE monitoring was reviewed. The incidence of abnormal findings was 115 of 1011 patients (11.4%), and the highest incidence was the appearance of new wall motion abnormalities after cardiopulmonary bypass. These findings influenced surgical decision-making in 59 of the evaluated 1011 patients (5.8%).
CONCLUSIONS
IOTEE provides important intraoperative and postoperative information that may influence surgical decision-making in various cardiovascular surgeries.
背景
尽管术中经食管超声心动图（IOTEE）已广泛应用于心血管手术，但每种手术类型中通过 IOTEE 检测到的异常的确切发生率仍不清楚。本研究旨在回顾我们在不同类型心血管手术患者中使用 IOTEE 的经验，并评估 IOTEE 的临床应用价值。
方法和结果
我们对接受心血管手术和 IOTEE 监测的 1011 例连续患者的数据库进行了回顾。1011 例患者中有 115 例（11.4%）出现异常发现，发生率最高的是体外循环后出现新的壁运动异常。在评估的 1011 例患者中，有 59 例（5.8%）这些发现影响了手术决策。
结论
IOTEE 提供了重要的术中及术后信息，可能影响各种心血管手术的手术决策。
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