The role of transesophageal echocardiography in atrial fibrillation

被引:6
作者
Isbell, DC
Dent, JM
机构
[1] Univ Virginia, Hlth Syst, Dept Internal Med, Div Cardiovasc, Charlottesville, VA 22908 USA
[2] Univ Virginia, Hlth Syst, Adult Stress Testing Lab & Echocardiog, Charlottesville, VA USA
关键词
D O I
10.1016/S0733-8651(03)00120-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Transesophageal echocardiography (TEE) is very useful in the evaluation and management of selected patients with atrial fibrillation, primarily by clear visualization of left atrial appendage thrombus. Insights gained from two-dimensional and Doppler interrogation of the appendage include recognition of the association of dense spontaneous contrast and reduced mechanical appendage function with increased risk of thromboembolism. TEE-guided cardioversion has been shown to be safe and effective for a subset of patients, provided it is performed by experienced operators familiar with imaging the appendage and recognizing artifacts.
引用
收藏
页码:113 / +
页数:15
相关论文
共 57 条
[1]   Echocardiographic assessment of the left atrial appendage [J].
Agmon, Y ;
Khandheria, BK ;
Gentile, F ;
Seward, JB .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 34 (07) :1867-1877
[2]   Relation of coronary artery disease and cerebrovascular disease with atherosclerosis of the thoracic aorta in the general population [J].
Agmon, Y ;
Khandheria, BK ;
Meissner, I ;
Schwartz, GL ;
Petterson, TM ;
O'Fallon, WM ;
Whisnant, JP ;
Wiebers, DO ;
Seward, JB .
AMERICAN JOURNAL OF CARDIOLOGY, 2002, 89 (03) :262-267
[3]   Antithrombotic therapy in atrial fibrillation [J].
Albers, GW ;
Dalen, JE ;
Laupacis, A ;
Manning, WJ ;
Petersen, P ;
Singer, DE .
CHEST, 2001, 119 (01) :194S-206S
[4]  
ANDERSON DC, 1992, ANN INTERN MED, V116, P6
[5]  
[Anonymous], 2001, CIRCULATION, V104, P2118
[6]   TRANSESOPHAGEAL TWO-DIMENSIONAL ECHOCARDIOGRAPHY FOR THE DETECTION OF LEFT ATRIAL APPENDAGE THROMBUS [J].
ASCHENBERG, W ;
SCHLUTER, M ;
KREMER, P ;
SCHRODER, E ;
SIGLOW, V ;
BLEIFELD, W .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1986, 7 (01) :163-166
[7]   Pathophysiologic correlates of thromboembolism in nonvalvular atrial fibrillation: II. Dense spontaneous echocardiographic contrast (The Stroke Prevention in Atrial Fibrillation [SPAF-III] study) [J].
Asinger, RW ;
Koehler, J ;
Pearce, LA ;
Zabalgoitia, M ;
Blackshear, JL ;
Fenster, PE ;
Strauss, R ;
Hess, D ;
Pennock, GD ;
Rothbart, RM ;
Halperin, JL .
JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 1999, 12 (12) :1088-1096
[8]   Anticoagulation with the low-molecular-weight heparin dalteparin (Fragmin®) in atrial fibrillation and TEE-guided cardioversion [J].
Bechtold, H ;
Gunzenhauser, D ;
Sawitzki, H ;
Fung, S ;
Janssen, D .
ZEITSCHRIFT FUR KARDIOLOGIE, 2003, 92 (07) :532-539
[9]   EFFICACY OF ANTICOAGULANT THERAPY IN PREVENTING EMBOLISM RELATED TO DC ELECTRICAL CONVERSION OF ATRIAL FIBRILLATION [J].
BJERKELUND, CJ ;
ORNING, OM .
AMERICAN JOURNAL OF CARDIOLOGY, 1969, 23 (02) :208-+
[10]   HEMATOLOGIC CORRELATES OF LEFT ATRIAL SPONTANEOUS ECHO CONTRAST AND THROMBOEMBOLISM IN NONVALVULAR ATRIAL-FIBRILLATION [J].
BLACK, IW ;
CHESTERMAN, CN ;
HOPKINS, AP ;
LEE, LCL ;
CHONG, BH ;
WALSH, WF .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 21 (02) :451-457