Taşoğlu İrfan, İmren Veli Yıldırım, Yener Ali
Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey.
Turk Kardiyol Dern Ars. 2012 Apr;40(3):242-50. doi: 10.5543/tkda.2012.75725.
To assess the usefulness of intraoperative transesophageal echocardiography (IOTEE) in a cardiac surgery department.
Patients were examined with IOTEE before and after cardiopulmonary bypass. All studies were performed with a Toshiba 270 SSA model imaging device. All IOTEE examinations were performed by two cardiovascular surgery residents who are experienced in IOTEE.
A total of 466 patients (239 men, 227 women) were examined by IOTEE from 2001 through 2007. Of these 182 (39%) were performed during correction of valvular pathologies, 193 (41%) during coronary operations, 34 (7%) during combined operations (either valvular or coronary bypass), 8 (1.7%) in adult congenital heart operations, 7 (1.5%) in cardiac mass operations, and the rest in other miscellaneous operations. TEE examinations performed before and after the cardiopulmonary bypass influenced surgical decisions by 14.8% and 9.0%, respectively. Decisions regarding the mitral valve were the most frequent followed by decisions regarding the tricuspid valve.
IOTEE significantly affected decision making in cardiac surgery operating room. IOTEE examination must be a standard procedure for all patients undergoing cardiac surgery.
评估术中经食管超声心动图（IOTEE）在心脏外科的应用价值。
在体外循环前后对患者进行IOTEE检查。所有研究均使用东芝270 SSA型成像设备进行。所有IOTEE检查均由两名有IOTEE经验的心血管外科住院医师进行。
2001年至2007年共有466例患者（239例男性，227例女性）接受了IOTEE检查。其中182例（39%）在瓣膜病变矫正术中进行，193例（41%）在冠状动脉手术中进行，34例（7%）在联合手术（瓣膜或冠状动脉搭桥）中进行，8例（1.7%）在成人先天性心脏病手术中进行，7例（1.5%）在心脏肿物手术中进行，其余在其他杂项手术中进行。体外循环前后进行的TEE检查分别影响了14.8%和9.0%的手术决策。关于二尖瓣的决策最为常见，其次是关于三尖瓣的决策。
IOTEE显著影响心脏外科手术室的决策制定。IOTEE检查必须成为所有接受心脏手术患者的标准程序。
