Live 3-dimensional transesophageal echocardiography initial experience using the fully-sampled matrix array probe.

Objectives: Our study goals were to evaluate the 3-dimensional matrix array transesophageal echocardiographic (3D-MTEE) probe by assessing the image quality of native valves and other intracardiac structures. Background: Because 3-dimensional transesophageal echocardiography with gated rotational ac...

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Publicado en:Journal of the American College of Cardiology (JACC) Vol. 52; no. 6; pp. 446 - 450
Autores principales: Sugeng L, Shernan SK, Salgo IS, Weinert L, Shook D, Raman J, Jeevanandam V, Dupont F, Settlemier S, Savord B, Fox J, Mor-Avi V, Lang RM, Sugeng, Lissa, Shernan, Stanton K, Salgo, Ivan S, Weinert, Lynn, Shook, Doug, Raman, Jai, Jeevanandam, Valluvan
Formato: research Journal Article
Publicado: Elsevier B.V. Aug2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2008
      vid: 52
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.jacc.2008.04.038
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        atl: Live 3-dimensional transesophageal echocardiography initial experience using the fully-sampled matrix array probe.
      aug:
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          Sugeng L
          Shernan SK
          Salgo IS
          Weinert L
          Shook D
          Raman J
          Jeevanandam V
          Dupont F
          Settlemier S
          Savord B
          Fox J
          Mor-Avi V
          Lang RM
          Sugeng, Lissa
          Shernan, Stanton K
          Salgo, Ivan S
          Weinert, Lynn
          Shook, Doug
          Raman, Jai
          Jeevanandam, Valluvan
        affil: Department of Medicine (Section of Cardiology), University of Chicago, Chicago, Illinois 60637, USA
      sug:
        subj:
          Echocardiography, Three-Dimensional Equipment and Supplies
          Echocardiography, Transesophageal Equipment and Supplies
          Heart Septum Ultrasonography
          Mitral Valve Ultrasonography
          Female
          Heart Atrium Ultrasonography
          Heart Ventricle Ultrasonography
          Male
          Middle Age
          Pilot Studies
          Pulmonary Veins Ultrasonography
          Time Factors
          Human
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objectives: Our study goals were to evaluate the 3-dimensional matrix array transesophageal echocardiographic (3D-MTEE) probe by assessing the image quality of native valves and other intracardiac structures. Background: Because 3-dimensional transesophageal echocardiography with gated rotational acquisition is not used routinely as the result of artifacts, lengthy acquisition, and processing, a 3D-MTEE probe was developed (Philips Medical Systems, Andover, Massachusetts). Methods: In 211 patients, 3D-MTEE zoom images of the mitral valve (MV), aortic valve, tricuspid valve, interatrial septum, and left atrial appendage were obtained, followed by a left ventricular wide-angled acquisition. Images were reviewed and graded off-line (Xcelera with QLAB software, Philips Medical Systems). Results: Excellent visualization of the MV (85% to 91% for all scallops of both MV leaflets), interatrial septum (84%), left atrial appendage (86%), and left ventricle (77%) was observed. Native aortic and tricuspid valves were optimally visualized only in 18% and 11% of patients, respectively. Conclusions: The use of 3D-MTEE imaging, which is feasible in most patients, provides superb imaging of native MVs, which makes this modality an excellent choice for MV surgical planning and guidance of percutaneous interventions. Optimal aortic and tricuspid valve imaging will depend on further technological developments. Fast acquisition and immediate online display will facilitate wider acceptance and routine use in clinical practice.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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