Division of Cardiothoracic Anesthesiology and Critical Care Medicine, Department of Anesthesiology, Duke University School of Medicine, 2301 Erwin Road, HAFS 5670, Durham, NC, 27710, USA.
Curr Cardiol Rep. 2024 Jun;26(6):581-591. doi: 10.1007/s11886-024-02054-1. Epub 2024 Apr 4.
This review aims to provide a concise overview of key recommendations, with a specific focus on common challenges faced by intraoperative echocardiographers when dealing with frequently encountered valvular pathologies and mechanical circulatory support. It offers valuable insights for medical practitioners in this field.
The American Society of Echocardiography (ASE) and the American College of Cardiology/American Heart Association (ACC/AHA) have released updated comprehensive guidelines for the use of transesophageal echocardiography (TEE) for the assessment of cardiac structures and implanted devices to help guide intraoperative decision-making. Transesophageal echocardiography (TEE) is a regularly employed intraoperative diagnostic and monitoring tool, offering various modalities for the rapid evaluation of valvular and aortic pathology, hemodynamic disturbances, and cardiac function. It is particularly valuable in assessing and placing mechanical circulatory support (MCS) devices, providing views often challenging to obtain through transthoracic echocardiography. Additionally, intraoperative TEE can be used for decision-making in patients with valvular disease allowing incorporation of patient-specific and situational factors. Echocardiographers can employ this information in real-time to help guide surgical treatment selection such as repair, replacement, or deferral of intervention.
本文旨在简明扼要地概述重点建议，特别关注术中超声心动图医师在处理常见瓣膜病变和机械循环支持时经常遇到的挑战。为该领域的医学从业者提供有价值的见解。
美国超声心动图学会（ASE）和美国心脏病学会/美国心脏协会（ACC/AHA）发布了经食管超声心动图（TEE）用于评估心脏结构和植入设备的使用的综合指南更新，以帮助指导术中决策。经食管超声心动图（TEE）是一种常规使用的术中诊断和监测工具，提供了多种方式快速评估瓣膜和主动脉病变、血流动力学紊乱和心功能。它在评估和放置机械循环支持（MCS）设备方面特别有价值，提供了经胸超声心动图通常难以获得的视图。此外，术中 TEE 可用于有瓣膜病的患者的决策制定，可纳入患者特定和具体情况的因素。超声心动图医师可以实时使用这些信息来帮助指导手术治疗选择，如修复、替换或推迟干预。
