A new window of opportunity in echocardiography

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
Tasneem Z Naqvi, Hanh K Huynh

Abstract

Improvements in echocardiographic technology have made technically difficult studies a rare entity. However, physical barriers such as bandages, inability for patients to turn because of intubation, arterial lines, and organ and life support machines make echocardiographic imaging challenging. We performed echocardiographic imaging from left and right posterior thoracic approach using acoustic properties of pleural fluid to assist in obtaining good imaging windows in patients who had pleural effusion (PE). In this study we describe one author's (T. Z. N.) experience with the mid to lower posterior thoracic window in 18 patients who had PE and in whom conventional transthoracic windows either provided suboptimal images or incomplete clinical information. The posterior approach allowed excellent differentiation of pericardial effusion versus PE, detection of pericardial disease and pericardial infiltration, and excellent endocardial border definition of left and right ventricle in those with poor anterior transthoracic windows. Native and prosthetic aortic valve gradients could be assessed adequately as a result of perfectly parallel Doppler alignment beam to left ventricular outflow tract and aortic valve. In addition, right pos...Continue Reading

References

Sep 1, 1989·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·N B SchillerI Schnittger
Jul 10, 2004·Acta Anaesthesiologica Scandinavica·E HüttemannK Reinhart
May 20, 2005·Echocardiography·Joicely M CostaWilson Mathias

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Citations

Sep 5, 2009·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·N Schütz, K Bendjelid
Jun 8, 2010·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Nisha MistryReidar Bjørnerheim
Aug 4, 2011·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Nisha MistryReidar Bjørnerheim
Mar 20, 2018·Journal of Cardiovascular Medicine·Stefano MaggioliniMassimo Imazio

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