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经食管超声心动图相关并发症。

Transesophageal echocardiography related complications.

作者信息

Zhang Linyue, Xie Yuji, Ren Zhaoli, Xie Mingxing

机构信息

Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Clinical Research Center for Medical Imaging in Hubei Province, Wuhan, China.

出版信息

Front Cardiovasc Med. 2024 Jun 28;11:1410594. doi: 10.3389/fcvm.2024.1410594. eCollection 2024.

DOI:10.3389/fcvm.2024.1410594
PMID:39006165
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11239508/
Abstract

Transesophageal Echocardiography (TEE) is an important imaging method for the evaluation of cardiac structure and function, and it holds significant value in the clinical management of cardiovascular diseases. Unlike transthoracic echocardiography (TTE), which is non-invasive, TEE involves semi-invasive intracavity operations, leading to increasing attention to its safety and potential complications. Especially with the increasing demand for TEE applications in clinical practice and the rapid growth in the number of facilities utilizing it, the standardized application and safe operation of TEE technology have become particularly crucial. This article will review the literature and draw upon personal experience to analyze the complications and safety of TEE examinations from a technical perspective.

摘要

经食管超声心动图(TEE)是评估心脏结构和功能的重要成像方法,在心血管疾病的临床管理中具有重要价值。与无创的经胸超声心动图(TTE)不同,TEE涉及半侵入性腔内操作,这使得人们越来越关注其安全性和潜在并发症。特别是随着临床实践中对TEE应用的需求不断增加以及使用该技术的设备数量迅速增长,TEE技术的规范应用和安全操作变得尤为关键。本文将回顾文献并结合个人经验,从技术角度分析TEE检查的并发症和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e623/11239508/3472b7d070c9/fcvm-11-1410594-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e623/11239508/3472b7d070c9/fcvm-11-1410594-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e623/11239508/3472b7d070c9/fcvm-11-1410594-g001.jpg

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Transesophageal echocardiography related complications.经食管超声心动图相关并发症。
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[Consensus paper on focused transesophageal echocardiography (fTEE) in clinical acute and emergency medicine : From the Commission for Clinical Cardiovascular Medicine of the DGK in cooperation with the DGINA, DGIIN and DGIM].[德国心脏病学会临床心血管医学委员会与德国急诊医学和重症医学协会、德国重症监护与急诊医学跨学科协会以及德国急诊医学协会合作制定的关于临床急性和急诊医学中聚焦经食管超声心动图(fTEE)的共识文件]
Med Klin Intensivmed Notfmed. 2025 Jul 10. doi: 10.1007/s00063-025-01309-1.
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本文引用的文献

1
Pharyngeal Dysphagia After Transesophageal Echocardiography.经食管超声心动图检查后的咽吞咽困难
J Cardiothorac Vasc Anesth. 2023 Sep;37(9):1751-1756. doi: 10.1053/j.jvca.2023.05.017. Epub 2023 May 10.
2
Early oesophageal perforation caused by transoesophageal echocardiography.经食管超声心动图检查引起的早期食管穿孔
Eur Heart J. 2023 Aug 7;44(30):2874. doi: 10.1093/eurheartj/ehad214.
3
Complications Associated With Transesophageal Echocardiography in Transcatheter Structural Cardiac Interventions.经导管结构性心脏病介入治疗中经食管超声心动图相关并发症。
Incidence and Risk Factors of Dysphagia After Cardiac Surgery: A Scoping Review.心脏手术后吞咽困难的发生率及危险因素:一项范围综述
J Clin Med. 2025 Jun 16;14(12):4279. doi: 10.3390/jcm14124279.
J Am Soc Echocardiogr. 2023 Apr;36(4):381-390. doi: 10.1016/j.echo.2022.12.023. Epub 2023 Jan 5.
4
Utility of the gastro-laryngeal tube during transesophageal echocardiography: A prospective randomized clinical trial.经食管超声心动图中胃喉管的应用:一项前瞻性随机临床试验。
Medicine (Baltimore). 2022 Dec 16;101(50):e32269. doi: 10.1097/MD.0000000000032269.
5
Safety of transoesophageal echocardiography during structural heart disease interventions under procedural sedation: a single-centre study.经程序性镇静下结构性心脏病介入治疗期间经食管超声心动图的安全性:单中心研究。
Eur Heart J Cardiovasc Imaging. 2022 Dec 19;24(1):68-77. doi: 10.1093/ehjci/jeab280.
6
Recommended Standards for the Performance of Transesophageal Echocardiographic Screening for Structural Heart Intervention: From the American Society of Echocardiography.经食管超声心动图在结构性心脏介入治疗中筛查的推荐执行标准:来自美国超声心动图学会。
J Am Soc Echocardiogr. 2022 Jan;35(1):1-76. doi: 10.1016/j.echo.2021.07.006. Epub 2021 Jul 17.
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Right main bronchus obstruction caused by transesophageal echocardiography probe in a pediatric patient during complete repair of tetralogy of fallot.经胸超声心动图探头导致小儿法洛四联症根治术中右主支气管阻塞。
Ann Card Anaesth. 2021 Jul-Sep;24(3):402-404. doi: 10.4103/aca.ACA_87_19.
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Tracheal tube obstruction as a complication of transoesophageal echocardiography.气管导管梗阻作为经食管超声心动图检查的一种并发症。
Anaesth Rep. 2021 May 25;9(1):110-113. doi: 10.1002/anr3.12122. eCollection 2021 Jan-Jun.
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Dysphagia after cardiac surgery: Prevalence, risk factors, and associated outcomes.心脏手术后吞咽困难:患病率、危险因素及相关结局
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McGRATH MAC video laryngoscope assistance during transesophageal echocardiography may reduce the risk of complications: a manikin study.经食管超声心动图时使用 McGRATH MAC 视频喉镜辅助可能降低并发症风险:一项假人研究。
BMC Anesthesiol. 2021 Jan 11;21(1):14. doi: 10.1186/s12871-020-01231-3.