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Cited by 20Congenital Heart Disease StudiesCardiac Valve Diseases and TreatmentsCardiac Imaging and Diagnostics

Safety and efficiency of the new micro-multiplane transoesophageal probe in paediatric cardiology

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Hascoët, Sébastien, Peyre, Marianne, Hadeed, Khaled, Alacoque, Xavier, Chausseray, Gérald, Fesseau, Rose, Amadieu, Romain, Léobon, Bertrand +3 more·2014·Archives of Cardiovascular Diseases
DOI 10.1016/j.acvd.2014.05.001
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Abstract

Background Transoesophageal echocardiography (TOE) is feasible in neonates using a miniaturized probe, but is not widely used because of low imaging quality.Aims To assess handling and imaging quality of a new release of a micro-TOE probe in children.Methods Thirty-eight consecutive children, enrolled during February and May 2013, underwent TOE with the Philips S8-3t probe. Insertion, handling and image quality were assessed.Results The 38 children (aged 7days to 12years; weight 3.1-27kg) underwent 75 TOE (30 [40.0%] before cardiac surgery, 31 [41.3%] after cardiac surgery, 4 [5.3%] during a percutaneous procedure, 10 [13.3%] in the intensive care unit). Insertion of the micro-TOE probe was 'very easy' in 37/38 patients (97.4%). Handling was better in the lightest children (P=0.001). Image quality was mainly 'good' or 'very good', with no significant changes between preoperative and postoperative examinations or over time. Total scores (insertion, handling, image quality) were significantly better in the lightest children (P=0.02). Preoperative TOE did not provide additional information over transthoracic echocardiography. Postoperative TOE was useful to assess surgical results, but no residual lesions required extracorporeal circulation return. Micro-TOE was useful during the postoperative care of neonatal surgery with open breastbone to assess the surgical result and ventricular function. It was also useful to guide extracorporeal membrane oxygenation (ECMO) indication and withdrawal; and was a useful guide for percutaneous procedures.Conclusion Micro-multiplane TOE is safe and efficient for use in neonates and children. This minimally invasive tool increases the impact of TOE in paediatric cardiology.

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Crossref · 10.1016/j.acvd.2014.05.001

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  • The authors chose epicardial echocardiography because of institutional preference, few miniaturized transesophageal transducers suitable for the smallest patients, and difficulty visualizing extracardiac or vascular anatomy via the transesophageal route.

    “However, we chose to focus on e-echo in this report as it has been our institutional preference to perform e-echo for S1NP. This is primarily because of the limited availability of miniaturized transesophageal transducers for the smallest patients, and difficulties in imaging the extracardiac, or vascular anatomy by the transesophageal approach.”

    From Utility of a standardized postcardiopulmonary bypass epicardial echocardiography protocol for stage I Norwood palliation: STERN et al. (2017) · cites this paper as [24]

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Authors
Hascoët, S., Peyre, M., Hadeed, K., Alacoque, X., Chausseray, G., Fesseau, R., Amadieu, R., Léobon, B., Berthomieu, L., Dulac, Y., & Acar, P.
Affiliations
Centre Hospitalier Universitaire de Toulouse (FR)
Corresponding author
Acar, Philippe
ORCID
Venue
Archives of Cardiovascular Diseases
Publisher
Elsevier BV
Published
2014-06
Volume
107
Issue
6-7
Pages
361-370
ISSN
  • 1875-2128 (ISSN-L)
  • 1875-2136
DOI
10.1016/j.acvd.2014.05.001
OpenAlex
W2140216381
Cited by
20
References
26
Citations by year
2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 2 · 2015: 1
FWCI
1.01
Type
journal article
Language
en
Open access
Licence
Locations
  • Archives of cardiovascular diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
Keywords
transesophageal echocardiography, pediatric cardiology, neonates, image quality, cardiac surgery, postoperative evaluation, extracorporeal membrane oxygenation, percutaneous intervention, transthoracic echocardiography comparison, ventricular function
MeSH terms
Age Factors, Body Weight, Child, Child, Preschool, Equipment Design, Heart Diseases, Humans, Image Interpretation, Computer-Assisted, Infant, Infant, Newborn, Miniaturization, Predictive Value of Tests, Risk Factors, Echocardiography, Transesophageal, Risk Assessment, Echocardiography, Doppler, Color

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