Abstract
In this prospective, observational study, we evaluated whether transesophageal echocardiography allows for monitoring left ventricular segmental wall motion during cardiac displacement for off-pump coronary artery bypass (OPCAB) surgery. On the basis of a pilot study that showed frequent loss of transgastric views during OPCAB surgery, we analyzed only midesophageal views. The midesophageal 4-chamber view, 2-chamber view, and long-axis view were recorded in 60 patients after opening the chest and placing an epicardial stabilizer on the displaced heart. Using the 16-segment model, 2 echocardiographers independently performed offline analysis of segmental wall motion. The percentage of patients in whom >or=14 left ventricular segments were readable was calculated at baseline and after cardiac displacement and placement of an epicardial stabilizer. At baseline, >or=14 segments were readable in 59 (98%) of 60 patients. After cardiac displacement, >or=14 segments were readable during 58 (76%) of 76 revascularizations of the left anterior descending coronary artery (P < 0.01 versus baseline), during 33 (83%) of 40 revascularizations of the left circumflex coronary artery (P < 0.01 versus baseline), and during 29 (94%) of 31 revascula...Continue Reading
References
May 1, 1992·Journal of the American College of Cardiology·M D SmithA N DeMaria
Jun 1, 1996·Anesthesia and Analgesia·B D BergquistW H Bellows
Dec 9, 1997·Anesthesia and Analgesia·M D SeebergerN B Schiller
Mar 14, 1998·Chest·A CoulsonP Spohn
Apr 30, 1998·Journal of the American College of Cardiology·M J MalkowskiJ A Magovern
May 14, 1998·Anesthesiology·M E ComunaleD T Mangano
May 30, 1998·Anesthesiology·M D SeebergerD Atar
Jan 29, 1999·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·V A MoisésA C Carvalho
May 7, 1999·Journal of Cardiothoracic and Vascular Anesthesia·J M Gayes
May 20, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·V LucchettiG D Angelini
Oct 8, 1999·Anesthesia and Analgesia·J S ShanewiseJ S Savino
Dec 14, 1999·Circulation·J T Willerson
Aug 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·P SergeantP Wouters
Apr 17, 2002·Lancet·Gianni D AngeliniRaimondo Ascione
Aug 3, 2002·Journal of Cardiothoracic and Vascular Anesthesia·Martin J PlattSanjay M Mehta
Jan 16, 2003·Heart·A FitchetC J Garratt
Citations
May 26, 2006·Journal of Cardiothoracic Surgery·Franziska H BernetDoan Baykut
Jan 22, 2013·Advances in Medical Sciences·K SochonT Hirnle
Dec 1, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Isabelle MichauxMiodrag Filipovic
Jan 23, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Shrinivas Vitthal GadhinglajkarMark A Chaney
Jul 30, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Jesse H MarymontJeffrey S Vender
Jul 30, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Jill Morganstern, Marc Kanchuger
May 27, 2006·The American Journal of Cardiology·Isabelle MichauxManfred D Seeberger
May 31, 2006·The Journal of Thoracic and Cardiovascular Surgery·Isabelle MichauxManfred D Seeberger
Aug 9, 2005·Journal of Cardiothoracic and Vascular Anesthesia·Michelle CapdevilleScott T Reeves
Feb 20, 2007·The Annals of Thoracic Surgery·Ahmet Tayfun GurbuzAhmet Hulisi Arslan
Nov 11, 2011·Journal of the American College of Cardiology·L David HillisUNKNOWN Society of Thoracic Surgeons
Sep 17, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Tae-Yun SungHyun Kang
Dec 17, 2011·The Journal of Thoracic and Cardiovascular Surgery·L David HillisUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Jan 27, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Tae-Yun Sung, Tae-Yop Kim
Nov 9, 2011·Circulation·L David HillisMichael D Winniford
Nov 9, 2011·Circulation·L David HillisMichael D Winniford
Jun 28, 2007·European Journal of Anaesthesiology·J WangM Filipovic
Oct 31, 2007·The British Journal of Surgery·D BolligerM Filipovic
Sep 19, 2009·Anesthesia and Analgesia·Seong-Hyop KimHyun-Keun Chee
Sep 20, 2020·Revista española de anestesiología y reanimación·P Carmona GarcíaA Hernández