dc.contributor.author | Kothavale, Avinash A | |
dc.contributor.author | Yeon, Susan B. | |
dc.contributor.author | Manning, Warren J. | |
dc.date.accessioned | 2011-03-25T15:14:58Z | |
dc.date.issued | 2009 | |
dc.identifier.citation | Kothavale, Avinash A, Susan B Yeon, and Warren J Manning. 2009. A systematic approach to performing a comprehensive transesophageal echocardiogram. A call to order. BMC Cardiovascular Disorders 9: 18. | en_US |
dc.identifier.issn | 1471-2261 | en_US |
dc.identifier.uri | http://nrs.harvard.edu/urn-3:HUL.InstRepos:4773894 | |
dc.description.abstract | Background: While the order for a clinical transthoracic examination is fairly standardized, there is considerable variability between laboratories and even among physicians in the same laboratory with regard to the order for transesophageal echocardiograms (TEE). A systematic approach is desirable for more efficient use of physician and patient time, avoidance of inadvertent omission of important views, and to facilitate study review. Methods: We propose a standardized approach to TEE data acquisition in which cardiac structures are systematically identified and characterized at sequential positions and imaging planes to facilitate organized, efficient and comprehensive assessment. Results: Our approach to TEE study begins in the mid-esophagus with the imaging plane at 0°. Based on the specific indication for the TEE, a cardiac structure (e.g., mitral valve, left atrial appendage, or interatrial septum) is chosen as the primary focal point for a comprehensive, multiplane analysis. This structure is assessed in 20° – 30° increments as the imaging plane is advanced from 0° to 165°. Using the aortic valve as a reference point, pertinent cardiac structures are then assessed as the imaging plane is reduced to 135°, to 90°, to 40 – 60° and then back to 0°. The probe is then advanced into the stomach to obtain transgastric images at 0°, 90°, and 120°. Finally, the thoracic aorta and pulmonary artery are assessed as the probe is withdrawn from the body. Using this method, an organized and comprehensive TEE can be performed in 10 – 15 minutes. Conclusion: A standardized and systematic TEE approach is described for efficient and comprehensive TEE study. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | BioMed Central | en_US |
dc.relation.isversionof | doi://10.1186/1471-2261-9-18 | en_US |
dc.relation.hasversion | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2694155/pdf/ | en_US |
dash.license | LAA | |
dc.title | A Systematic Approach to Performing a Comprehensive Transesophageal Echocardiogram. A Call to Order | en_US |
dc.type | Journal Article | en_US |
dc.description.version | Version of Record | en_US |
dc.relation.journal | BMC Cardiovascular Disorders | en_US |
dash.depositing.author | Manning, Warren J. | |
dc.date.available | 2011-03-25T15:14:58Z | |
dash.affiliation.other | HMS^Medicine- Beth Israel-Deaconess | en_US |
dash.affiliation.other | HMS^Radiology- Beth Israel-Deaconess | en_US |
dash.affiliation.other | HMS^Medicine- Beth Israel-Deaconess | en_US |
dc.identifier.doi | 10.1186/1471-2261-9-18 | * |
dash.contributor.affiliated | Yeon, Susan B. | |
dash.contributor.affiliated | Manning, Warren | |