ECHO 2013 / Basic Transesophageal Echo Essential Imaging Planes and 3-D
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State-of-the-Art Echo 2013
Basic Transesophageal Echo:
Essential Imaging Planes and
3-D
Rebecca T. Hahn, MD, FACC, FASE
Director of Interventional Echocardiography
Valve Center
Columbia University
No Disclosures
Utility of TEE
Evaluation of
Native valve disease
Prosthetic heart valve function/dysfunction |
Except anterior aortic |
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root in setting of AVR |
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Cardiac masses |
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The ICU patient with hemodynamic instability |
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Congenital heart disease |
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Thromboembolic risk in patient with atrial fibrillation and inadequate anticoagulation
Detection of
Aortic dissection
Complications of endocarditis Potential etiologies of stroke
Adjunct to
Percutaneous cardiac procedures Cardiac surgical procedures
Peterson et al. Circulation 2003;107 (19): 2398
ACC/AHA/ASE 2003 Guideline Update
for Application of Echocardiography
Cost-saving implication: extension of TEE service to routing IOE resulted in a cost savings of $109/patient/yr (Ionescu AA et al. JASE 2001;14:659-67).
Cheitlin MD et al. Circulation 2003;108
Complications
Hilberath JN et al J Am Soc Echocardiogr 2010;23:1115-27
Contraindications
Hilberath JN et al J Am Soc Echocardiogr 2010;23:1115-27
Shanewise JS et al J Am Soc Echocardiogr 1999;12:884-900.
3D Echo
Improved image spatial resolution, and enhanced visualization of the pathomorphological features of the cardiac valves enabling unparalleled real-time visualization of valves and subvalvular anatomic features
J Am Coll Cardiol 2011;58:1933–44
Lang RM et al. J Am Soc Echocardiogr 2012;25:3-46
Bi-Plane ME Views
These images require subtle manipulation or are images between the orthogonal views shown.