Marchandot Benjamin, Levy François, Santelmo Nicola, Mertes Paul-Michel, Morel Olivier
Department of Cardiology, University Hospitals of Strasbourg, Nouvel Hôpital Civil, Strasbourg, France.
Department of Anesthesia and Intensive Care, University Hospitals of Strasbourg, Nouvel Hôpital Civil, Strasbourg, France.
Heart Lung. 2018 May-Jun;47(3):248-249. doi: 10.1016/j.hrtlng.2018.01.006. Epub 2018 Mar 3.
Adequate strategies using either transthoracic (TTE) or transesophageal (TEE) echocardiography in patients receiving cardiopulmonary resuscitation (CPR) is an ongoing area of research.
As transthoracic point-of-care ultrasound (POCUS) during cardiac arrest resuscitation might result in an increased duration of interruptions in the delivery of chest compressions; the use of TEE has been proposed as an alternative.
No technical complications of either TTE nor TEE are so far being reported in the literature.
We report the case of a left intramural atrial hematoma complicating TEE procedure during cardiac arrest. This highlights a unique and to our knowledge, first-in-man, described complicating TEE procedure during CPR.
Further research on the safety of transesophageal echo during CRP is mandatory and the question about any potential harm of particular interest.
在接受心肺复苏（CPR）的患者中，使用经胸（TTE）或经食管（TEE）超声心动图的适当策略是一个正在进行研究的领域。
由于心脏骤停复苏期间的经胸床旁超声检查（POCUS）可能会导致胸外按压中断的持续时间增加；因此有人提议使用TEE作为替代方法。
迄今为止，文献中尚未报道TTE或TEE的技术并发症。
我们报告了一例心脏骤停期间TEE操作并发左心房壁内血肿的病例。这突出了一种独特的情况，据我们所知，这是首次在人类中描述的CPR期间TEE操作的并发症。
必须对CRP期间经食管超声心动图的安全性进行进一步研究，并且对任何潜在危害的问题尤其感兴趣。
