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Guidelines for the Use of Transesophageal Echocardiography to Assist with Surgical Decision-Making in the Operating Room: A Surgery-Based Approach

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Nicoara, Alina, Skubas, Nikolaos, Ad, Niv, Finley, Alan, Hahn, Rebecca T., Mahmood, Feroze, Mankad, Sunil, Nyman, Charles B., Pagani, Francis, Porter, Thomas R., Rehfeldt, Kent, Stone, Marc, Taylor, Bradley, Vegas, Annette, Zimmerman, Karen G., Zoghbi, William A., Swaminathan, Madhav·2020·Journal of the American Society of Echocardiography

DOI 10.1016/j.echo.2020.03.002

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Abstract

Intraoperative transesophageal echocardiography is a standard diagnostic and monitoring tool employed in the management of patients undergoing an entire spectrum of cardiac surgical procedures, ranging from "routine" surgical coronary revascularization to complex valve repair, combined procedures, and organ transplantation. Utilizing a protocol as a starting point for imaging in all procedures and all patients enables standardization of image acquisition, reduction in variability in quality of imaging and reporting, and ultimately better patient care. Clear communication of the echocardiographic findings to the surgical team, as well as understanding the impact of new findings on the surgical plan, are paramount. Equally important is the need for complete understanding of the technical steps of the surgical procedures being performed and the complications that may occur, in order to direct the postprocedure evaluation toward aspects directly related to the surgical procedure and to provide pertinent echocardiographic information. The rationale for this document is to outline a systematic approach describing how to apply the existing guidelines to questions on cardiac structure and function specific to the intraoperative environment in open, minimally invasive, or hybrid cardiac surgery procedures.

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2025 ESC/EACTS Guidelines for the management of valvular heart disease
Praz, F., Borger, M. A., Lanz, J., Marin-Cuartas, M., Abreu, A., Adamo, M., Ajmone Marsan, N., Barili, F., Bonaros, N., Cosyns, B., et al. (2025) · European Heart Journal · doi:10.1093/eurheartj/ehaf194 · Cited by 1,072
Obstruction in Hypertrophic Cardiomyopathy: Many Faces
Abbasi, M., Ong, K. C., Newman, D. B., Dearani, J. A., Schaff, H. V., & Geske, J. B. (2024) · Journal of the American Society of Echocardiography · doi:10.1016/j.echo.2024.02.010 · Cited by 49

See all 264

Authors: Nicoara, A., Skubas, N., Ad, N., Finley, A., Hahn, R. T., Mahmood, F., Mankad, S., Nyman, C. B., Pagani, F., Porter, T. R., Rehfeldt, K., Stone, M., Taylor, B., Vegas, A., Zimmerman, K. G., Zoghbi, W. A., & Swaminathan, M.
Venue: Journal of the American Society of Echocardiography
Publisher: Elsevier BV
Published: 2020-06
Volume: 33
Issue: 6
Pages: 692-734
ISSN: 0894-7317 (ISSN-L)
DOI: 10.1016/j.echo.2020.03.002
OpenAlex: W3034022385
Cited by: 264
References: 67
FWCI: 15.22
Type: journal article
Language: en
Open access: bronze

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.

Guidelines for the Use of Transesophageal Echocardiography to Assist with Surgical Decision-Making in the Operating Room: A Surgery-Based Approach

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