Hellhammer Katharina, Schueler Robert, Eißmann Mareike, Schumacher Brigitte, Wolf Alexander, Bruder Oliver, Schmitz Thomas, Lambers Moritz
Contilia Heart and Vascular Center, Department of Cardiology and Angiology, Elisabeth Hospital Essen, Essen, Germany.
Department of Internal Medicine and Gastroenterology, Elisabeth Hospital Essen, Essen, Germany.
Front Cardiovasc Med. 2022 Oct 11;9:856028. doi: 10.3389/fcvm.2022.856028. eCollection 2022.
We aimed to determine transesophageal echocardiography (TEE) related complications during Transcatheter edge-to-edge tricuspid valve repair (TTVR).
Transesophageal echocardiography is essential to guide structural heart disease (SHD) interventions. TTVR has become an evolving procedure for high-risk patients not suitable for surgery. Whether this complex procedure is associated with TEE related complications is not known so far.
We retrospectively analyzed 64 consecutive patients undergoing TTVR between 2019 and 2021 with the TriClip system (Abbott, Chicago, IL, USA) at our center. All procedures were performed under general anesthesia (GA). TEE related complications were classified as major and minor complications.
Transesophageal echocardiography related complications were observed in two patients (3.1%) with one major complication (1.6%) and one minor complication (1.6%). In one patient perforation of the esophageal mucosa requiring red blood cell transfusion was observed, the other patient had hematemesis due to minor esophageal and gastric lesions without the need for blood transfusion. Both patients recovered during hospital stay with no persistent symptoms at discharge.
Transesophageal echocardiography related complications during TTVR are clinically relevant occurring in 3.1% of the patients. Further investigations are needed to identify potential risk factors and patients at high risk to develop a TEE related complication in the course of TTVR.
我们旨在确定经导管三尖瓣缘对缘修复术（TTVR）期间经食管超声心动图（TEE）相关并发症。
经食管超声心动图对于指导结构性心脏病（SHD）干预至关重要。TTVR已成为一种适用于不适合手术的高危患者的不断发展的手术。到目前为止，尚不清楚这种复杂手术是否与TEE相关并发症有关。
我们回顾性分析了2019年至2021年间在我们中心使用TriClip系统（美国伊利诺伊州芝加哥雅培公司）连续接受TTVR的64例患者。所有手术均在全身麻醉（GA）下进行。TEE相关并发症分为主要并发症和次要并发症。
在两名患者（3.1%）中观察到经食管超声心动图相关并发症，其中1例主要并发症（1.6%），1例次要并发症（1.6%）。在一名患者中观察到食管黏膜穿孔需要输注红细胞，另一名患者因轻微食管和胃部病变出现呕血，无需输血。两名患者在住院期间均康复，出院时无持续症状。
TTVR期间经食管超声心动图相关并发症在临床上具有相关性，发生率为3.1%。需要进一步研究以确定潜在风险因素以及在TTVR过程中发生TEE相关并发症的高危患者。
