By Martin G. St. John Sutton, Alan R. Maniet, Jerry Blaivas, David A. McGowan, David Gordon, Stuart Stanton
Clinically suitable emphasis right here offers the reader with an authoritative assessment of what strategies can be found and what photos will be acquired. The multiplane probe, paediatric and 3D probes, and colour movement Doppler are incorporated.
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Extra resources for An Atlas of Multiplane Transesophageal Echocardiography
Ann Thorac Surg 1986;42:235–9. 58. Kronzon I, Cziner DG, Katz ES, et al. Buckling of the tip of the transesophageal echocardiographic probe: a potentially dangerous technical malfunction. J Am Soc Echocardiogr 1992;5:176–7. 59. O’Shea JP, Southern JF, D’Ambra MN, et al. Effects of prolonged transesophageal echocardiography imaging and probe manipulation on the esophagus: an echocardiographicpathologic study. J Am Coll Cardiol 1991;17:1426–9. 60. Meltzer RS, Adsumelli R, Risher WH, et al. Lack of lung hemorrhage in humans at intraoperative transesophageal echocardiography, with ultrasound exposure conditions similar to those causing lung hemorrhage in laboratory animals (abstr).
This should include comparing transesophageal echocardiography results with cardiac catheterization, other radiographic techniques, and surgical and autopsy data whenever available. 4 Skills needed to perform transesophageal echocardiography (TEE) Cognitive skills Technical skills Knowledge of appropriate indications, contraindications, and risks of TEE Proficiency in performing a complete standard echocardiographic examination, using all echocardiographic methods relevant to the case Understanding of differential diagnostic considerations in each clinical case Knowledge of physical principles of echocardiography image formation and blood flow velocity measurement Proficiency in safely passing the TEE transducer in to the esophagus and stomach and in adjusting probe position to obtain the necessary tomographic images and doppler data Atlas of multiplane transesophageal echocardiography: volume I 50 Familiarity with the operation of the ultrasonographic instrument, including the function of all controls affecting the quality of the data displayed Knowledge of normal cardiovascular Proficiency in correctly operating the ultrasonographic anatomy, as visualized tomographically instrument, including all controls affecting the quality of the data displayed Knowledge of alterations in cardiovascular anatomy resulting from acquired and congenital heart diseases Knowledge of normal cardiovascular Proficiency in recognizing abnormalities of cardiac hemodynamics and fluid dynamics structure and function as detected from the transesophageal and transgastric windows, in distinguishing normal from abnormal finding, and in recognizing artifacts Knowledge of alterations in cardiovascular hemodynamics and blood flow resulting from acquired and congenital heart diseases Understanding of component techniques for Proficiency in performing qualitative and quantitative general echocardiography and TEE, analysis of the echocardiographic data including when to use these methods to investigate specific clinical questions Ability to distinguish adequate from inadequate echocardiographic data and to distinguish an adequate from an inadequate TEE examination Knowledge of other cardiovascular Proficiency in producing a cogent written report of the diagnostic methods for correlation with echocardiographic findings and their clinical TEE findings implications Ability to communicate examination results to patient, other health care professionals, and medical record Ref: Pearlman AS, Gardin JM, Martin RP, et al.
50. Hsu T-L, Hsiung M-C, Lim S-L, et al. The value of transesophageal echocardiography in the diagnosis of cardiac metastasis. Echocardiography 1992;9:1–7. 51. Nienaber CA, von Kodolitsch Y, Nicolas V, et al. The diagnosis of thoracic aortic dissection by non invasive imaging procedures. N Engl J Med 1993;328:1–9. 52. Nienaber CA, Spielmann RP, von Kodolitsch Y, et al. Diagnosis of thoracic aortic dissection: magnetic resonance imaging versus transesophageal echocardiography. Circulation 1992;85:434–47.