Practice Guidelines for Perioperative Transesophageal Echocardiography

P RACTICE Guidelines are systematically developed recommendations that assist the practitioner and the patient in making decisions about health care. These recommendations may be adopted, modified, or rejected according to clinical needs and constraints and are not intended to replace local institutional policies. In addition, Practice Guidelines developed by the American Society of Anesthesiologists (ASA) are not intended as standards or absolute requirements, and their use cannot guarantee any specific outcome. Practice Guidelines are subject to revision as warranted by the evolution of medical knowledge, technology, and practice. They provide basic recommendations that are supported by a synthesis and analysis of the current literature, expert and practitioner opinion, open forum commentary, and clinical feasibility data. This update includes data published since the Practice Guidelines for Perioperative Transesophageal Echocardiography were adopted by the ASA and the Society of Cardiovascular Anesthesiologists in 1995 and published in 1996. Methodology

[1]  John Mitchell,et al.  Curing Health Care. New Strategies for Quality Improvement , 1992 .

[2]  P. Nihoyannopoulos,et al.  Accreditation in transoesophageal echocardiography: statement from the Association of Cardiothoracic Anaesthetists and the British Society of Echocardiography Joint TOE Accreditation Committee. , 2003, British journal of anaesthesia.

[3]  Michael Zimpfer,et al.  Transesophageal Echocardiography , 1995, Springer Vienna.

[4]  F. Loop,et al.  Frequency of acute myocardial infarction in valve repairs versus valve replacement for pure mitral regurgitation. , 1990, The American journal of cardiology.

[5]  B. Simmons,et al.  Continuous quality improvement. Concepts and applications for physician care. , 1991, JAMA.

[6]  G. Cooper,et al.  A subtle sign of aortic outflow obstruction in an infected 29 year old Starr-Edward's valve , 2001, Heart.

[7]  D Blumenthal,et al.  The case for using industrial quality management science in health care organizations. , 1989, JAMA.

[8]  S. Body,et al.  Utility of Intraoperative Transesophageal Echocardiography for Diagnosis of Pulmonary Embolism , 2004, Anesthesia and analgesia.

[9]  R. Hetzer,et al.  Successful surgical treatment of a giant aneurysm of the right coronary artery. , 1998, The Thoracic and cardiovascular surgeon.

[10]  I. Gill,et al.  Missed Acute Ascending Aortic Dissection , 2001, Journal of cardiac surgery.

[11]  M. Senni,et al.  Mitral valve repair and transesophageal echocardiographic findings in a high-risk subgroup of patients with active, acute infective endocarditis. , 2001, The Journal of heart valve disease.

[12]  R. Wenzel.  Beyond total quality management. , 1993, Clinical performance and quality health care.

[13]  F. Fedele,et al.  Diagnostic accuracy of transthoracic and multiplane transesophageal echocardiography for valvular perforation in acute infective endocarditis: correlation with anatomic findings. , 2000, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[14]  M. Alam,et al.  Pitfalls in the Echocardiographic Diagnosis of Aortic Dissection , 1997, Angiology.

[15]  J. Ross,et al.  Dissociation Between Regional Myocardial Dysfunction and ECG Changes During Ischemia in the Conscious Dog , 1980, Circulation.

[16]  Krishnaswamy Chandrasekaran,et al.  Intracardiac echocardiography in the detection of pacemaker lead endocarditis. , 2002, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[17]  S. Andreas,et al.  Diagnostic value of transesophageal compared with transthoracic echocardiography in suspected prosthetic valve endocarditis. , 1995, Herz.

[18]  C. Wiggers,et al.  THE EFFECT OF CORONARY OCCLUSION ON MYOCARDIAL CONTRACTION , 1935 .

[19]  J. Zwischenberger,et al.  Torn ascending aorta missed by transesophageal echocardiography. , 1997, The Annals of thoracic surgery.

[20]  E. Bauer,et al.  Inflammatory aneurysm of the ascending aorta. , 2001, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[21]  T. Fabian,et al.  A prospective analysis of transesophageal echocardiography in the diagnosis of traumatic disruption of the aorta. , 1996, The Journal of trauma.

[22]  C. Nienaber,et al.  Diagnostic potential of combined transthoracic echocardiography and x‐ray computed tomography in suspected aortic dissection , 1999, Clinical cardiology.

[23]  C. Jaffe,et al.  Silent ischemia during coronary occlusion produced by balloon inflation: relation to regional myocardial dysfunction. , 1987, Journal of the American College of Cardiology.

[24]  G. Laufer,et al.  Comparison of three-dimensional imaging to transesophageal echocardiography for preoperative evaluation in mitral valve prolapse. , 2006, The American journal of cardiology.

[25]  K. Chan,et al.  Acute aortic intimal tear without a mobile flap mimicking an intramural hematoma. , 2003, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[26]  Randolph P. Martin,et al.  Guidelines for physician training in transesophageal echocardiography: recommendations of the American Society of Echocardiography Committee for Physician Training in Echocardiography. , 1992, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[27]  R. Lang,et al.  Role of transesophageal echocardiography in the diagnosis and management of traumatic aortic disruption. , 1995, Circulation.

[28]  Mario J. Garcia,et al.  Transesophageal echocardiography diagnosis of intramural hematoma of the ascending aorta: A word of caution. , 1999, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[29]  J. Kisslo,et al.  Routine use of intraoperative epicardial echocardiography and Doppler color flow imaging to guide and evaluate repair of congenital heart lesions. A prospective study. , 1990, The Journal of thoracic and cardiovascular surgery.

[30]  David M. Eddy,et al.  A Manual for Assessing Health Practices & Designing Practice Policies: The Explicit Approach , 1992 .

[31]  A. Kalangos,et al.  Common coronary ostium mimicking an aortic abscess in a case of bacterial endocarditis. , 1998, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[32]  N C Nanda,et al.  Sensitivity and specificity of transesophageal echocardiography for determination of aortic valve morphology. , 2000, American heart journal.

[33]  Armand V. Feigenbaum,et al.  Total quality control , 1961 .

[34]  J. Tijssen,et al.  Comparison of transthoracic and transesophageal echocardiography with surgical findings in mitral regurgitation. The ESMIR Research Group. , 1996, The American journal of cardiology.

[35]  Seung‐Jung Park,et al.  Clinical and echocardiographic outcomes of aortic intramural hemorrhage compared with acute aortic dissection. , 1998, The American journal of cardiology.

[36]  William Stewart,et al.  American Society of Echocardiography and Society of Cardiovascular Anesthesiologists Task Force Guidelines for Training in Perioperative Echocardiography , 2002, Anesthesia and analgesia.

[37]  O. Dirsch,et al.  Leaking giant aneurysm of the aortic root due to cystic medial necrosis with pericardial tamponade mimicking type-A aortic dissection. , 1996, The Thoracic and cardiovascular surgeon.

[38]  A. Sibert,et al.  Thoracic aortic dissection: diagnosis with transesophageal echocardiography versus MR imaging. , 1995, Radiology.

[39]  K. Cherian,et al.  Takayasu's arteritis mimicking acute aortic dissection. , 2007, The Annals of thoracic surgery.

[40]  D. Sahn,et al.  Diagnostic accuracy and role of intraoperative biplane transesophageal echocardiography in pediatric patients with left ventricle outflow tract lesions. , 1998, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[41]  P. Park,et al.  Bilateral endogenous endophthalmitis secondary to endocarditis with negative transesophageal echocardiogram. , 2004, American journal of ophthalmology.

[42]  F. Romeo,et al.  Hypertrophic cardiomyopathy: is a left ventricular outflow tract gradient a major prognostic determinant? , 1990, European heart journal.

[43]  Randolph P. Martin,et al.  Guidelines for optimal physician training in echocardiography. Recommendations of the American Society of Echocardiography Committee for Physician Training in Echocardiography. , 1987, The American journal of cardiology.

[44]  F. Guerra,et al.  Idiopathic organized thrombus of the tricuspid valve mimicking valvular tumor. , 2004, Texas Heart Institute journal.

[45]  S. Body,et al.  The concordance of intraoperative left ventricular wall-motion abnormalities and electrocardiographic S-T segment changes: association with outcome after coronary revascularization. Multicenter Study of Perioperative Ischemia (McSPI) Research Group. , 1998, Anesthesiology.

[46]  F. Fernández‐Avilés,et al.  Clinical course, microbiologic profile, and diagnosis of periannular complications in prosthetic valve endocarditis. , 1999, The American journal of cardiology.

[47]  R. Moggio,et al.  Aortic valve commissural tear mimicking type A aortic dissection. , 2002, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[48]  ACC/AHA guidelines for the clinical application of echocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee to Develop Guidelines for the Clinical Application of Echocard , 1990, Journal of the American College of Cardiology.

[49]  C. Kuhl,et al.  Aortic dissection: a comparative study of diagnosis with spiral CT, multiplanar transesophageal echocardiography, and MR imaging. , 1996, Radiology.

[50]  T. Carrel,et al.  Aortic dissection limited to the ascending aorta mimicking intramural hematoma. , 1999, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[51]  G. Timmis,et al.  Sequence of mechanical, electrocardiographic and clinical effects of repeated coronary artery occlusion in human beings: echocardiographic observations during coronary angioplasty. , 1985, Journal of the American College of Cardiology.

[52]  C. Kramer,et al.  Multiplane transesophageal echocardiographic identification of the involved scallop in patients with flail mitral valve leaflet: intraoperative correlation. , 1998, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[53]  A. Furuse,et al.  Fibrous tissue overgrowth and prosthetic valve endocarditis: report of a case. , 1997, The Thoracic and cardiovascular surgeon.

[54]  D. Reich,et al.  Transesophageal Echocardiography Can Be Used to Screen for Ascending Aortic Atherosclerosis , 1995, Anesthesia and analgesia.

[55]  N. Schiller,et al.  Transesophageal echocardiography in the critical care patient. , 1993, Cardiology clinics.

[56]  D M Berwick,et al.  Continuous improvement as an ideal in health care. , 1989, The New England journal of medicine.