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小题大做:一例经食管超声心动图探头故障病例

Making a Molehill out of a Mountain: A Case of Transesophageal Echocardiographic Probe Malfunction.

作者信息

Gopalakrishnan Prabhakaran, Jothi Swathi, Lasko Thelma, Denning Stephen

机构信息

Department of Cardiology, Aultman Hospital, Canton, Ohio.

出版信息

CASE (Phila). 2020 Jul 16;4(5):439-442. doi: 10.1016/j.case.2020.06.007. eCollection 2020 Oct.

DOI:10.1016/j.case.2020.06.007
PMID:33117945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7581639/
Abstract

• Probe malfunction during TEE is an underrecognized problem. • MR severity assessment: host (e.g., BP), technical (e.g., gain), probe malfunction. • Clues for malfunction 1: disparity between TTE and TEE; CW and color Doppler. • Clues for malfunction 2: unexplained poor image quality; need for high gain. • Transducer temperature can affect image quality.

摘要

• 经食管超声心动图(TEE)检查期间探头故障是一个未得到充分认识的问题。

• 二尖瓣反流(MR)严重程度评估:主体因素(如血压)、技术因素(如增益)、探头故障。

• 故障线索1:经胸超声心动图(TTE)与TEE之间存在差异;连续波(CW)与彩色多普勒。

• 故障线索2:图像质量莫名变差;需要高增益。

• 换能器温度会影响图像质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/f21971dc3168/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/6980bb0079e2/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/8c39dca52669/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/4400c15a4093/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/ca63e6613ab7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/f21971dc3168/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/6980bb0079e2/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/8c39dca52669/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/4400c15a4093/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/ca63e6613ab7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8346/7581639/f21971dc3168/gr4.jpg

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本文引用的文献

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Mitral Regurgitation Grading in the Operating Room: A Systematic Review and Meta-analysis Comparing Preoperative and Intraoperative Assessments During Cardiac Surgery.手术室中二尖瓣反流分级:一项比较心脏手术术前和术中评估的系统评价与荟萃分析
J Cardiothorac Vasc Anesth. 2017 Oct;31(5):1681-1691. doi: 10.1053/j.jvca.2017.02.046. Epub 2017 Feb 13.
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Quality assurance testing of transoesophageal echocardiography probes.经食管超声心动图探头的质量保证测试。
Ultrasound. 2016 Nov;24(4):198-204. doi: 10.1177/1742271X16665873. Epub 2016 Aug 23.
3
Transesophageal echocardiography probe shutdown in a patient with hyperthermia.
一名体温过高患者的经食管超声心动图探头关闭。
Indian J Crit Care Med. 2016 Jan;20(1):50-1. doi: 10.4103/0972-5229.173692.
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Quality assurance in diagnostic ultrasound.诊断超声中的质量保证。
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Underestimation of severity of mitral regurgitation with varying hemodynamics.不同血流动力学情况下二尖瓣反流严重程度的低估。
Eur J Echocardiogr. 2005 Aug;6(4):297-300. doi: 10.1016/j.euje.2004.10.010. Epub 2004 Dec 20.
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Pitfalls in the color Doppler diagnosis of valvular regurgitation.彩色多普勒诊断瓣膜反流的陷阱。
Echocardiography. 1993 Mar;10(2):193-202. doi: 10.1111/j.1540-8175.1993.tb00030.x.
7
Increased heart rate can cause underestimation of regurgitant jet size by Doppler color flow mapping.
J Am Coll Cardiol. 1993 Mar 15;21(4):1029-37. doi: 10.1016/0735-1097(93)90364-7.
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J Am Coll Cardiol. 1989 Jun;13(7):1631-6. doi: 10.1016/0735-1097(89)90359-8.
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