SAFETY OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY - A MULTICENTER SURVEY OF 10,419 EXAMINATIONS

被引:625
作者
DANIEL, WG
ERBEL, R
KASPER, W
VISSER, CA
ENGBERDING, R
SUTHERLAND, GR
GRUBE, E
HANRATH, P
MAISCH, B
DENNIG, K
SCHARTL, M
KREMER, P
ANGERMANN, C
ILICETO, S
CURTIUS, JM
MUGGE, A
机构
[1] UNIV AMSTERDAM,ACAD MED CTR,1105 AZ AMSTERDAM,NETHERLANDS
[2] GERMAN HEART CTR,W-8000 MUNICH 2,GERMANY
[3] THORAX CTR ROTTERDAM,ROTTERDAM,NETHERLANDS
[4] ST GEORG HOSP,HAMBURG,GERMANY
[5] KERCKHOFF KLIN,BAD NAUHEIM,GERMANY
[6] UNIV CLIN BARI,BARI,ITALY
[7] UNIV CLIN COLOGNE,COLOGNE,GERMANY
[8] HOSP SIEGBURG,SIEGBURG,GERMANY
[9] UNIV CLIN CHARLOTTENBURG,BERLIN,GERMANY
[10] UNIV CLIN MUNICH,MUNICH,GERMANY
[11] UNIV CLIN MAINZ,MAINZ,GERMANY
[12] UNIV CLIN FREIBURG,FREIBURG,GERMANY
[13] UNIV CLIN MUNSTER,MUNSTER,GERMANY
[14] UNIV CLIN WURZBURG,WURZBURG,GERMANY
关键词
ECHOCARDIOGRAPHY; TRANSESOPHAGEAL; SAFETY;
D O I
10.1161/01.CIR.83.3.817
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background. During the past few years, transesophageal echocardiography (TEE) has been increasingly used in clinical cardiology; data concerning the practicability and safety of the technique, however, are rare. Methods and Results. This report analyzes the experience of 15 European centers performing TEE studies for at least 1 year. At the time of this survey, 10,419 TEE examinations had been attempted or performed in these institutions. These TEE examinations were carried out by 54 physicians, 53.7% of whom had been trained in endoscopic techniques. Within the same time period, 160,431 precordial echocardiographic examinations were performed in the 15 institutions; the ratio between TEE and transthoracic studies averaged 9.03 +/- 6.4% (range of the 15 centers, 1.4-23.6%). Of the 10,419 patients, 9,240 (88.7%) were conscious inpatients or outpatients at the time of the TEE examination; the vast majority of the conscious patients did not receive intravenous sedation before TEE. In 201 cases (1.9%), insertion of the TEE probe was unsuccessfully attempted because of a lack of patient cooperation and/or operator experience (98.5%) or because of anatomical reasons (1.5%). In 90 of 10,218 TEE studies (0.88%) with successful probe insertion, the examination had to be interrupted because of the patient's intolerance of the echoscope (65 cases); because of pulmonary (eight cases), cardiac (eight cases), or bleeding complications (two cases); or for other reasons (seven cases). One of the bleeding complications resulted from a malignant lung tumor with esophageal infiltration and was fatal (mortality rate, 0.0098%). Conclusions. This multicenter survey documents that TEE studies are associated with an acceptable low risk when used by experienced operators under proper safety conditions.
引用
收藏
页码:817 / 821
页数:5
相关论文
共 22 条
  • [1] CHAN KL, 1990, CIRCULATION, V82, P244
  • [2] DANIEL WG, 1989, TRANSESOPHAGEAL ECHO, P354
  • [3] de Belder M A, 1989, J Am Soc Echocardiogr, V2, P375
  • [4] DENNIG K, 1989, CIRCULATION S2, V80, P473
  • [5] ENGBERDING R, 1988, HERZ KREISLAUF, V20, P233
  • [6] Foster E, 1990, J Am Soc Echocardiogr, V3, P424
  • [7] RISK OF TRANS-ESOPHAGEAL ECHOCARDIOGRAPHY IN AWAKE PATIENTS WITH CARDIAC DISEASES
    GEIBEL, A
    KASPER, W
    BEHROZ, A
    PRZEWOLKA, U
    MEINERTZ, T
    JUST, H
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (04) : 337 - 339
  • [8] POSITIVE BLOOD CULTURES DURING TRANSESOPHAGEAL ECHOCARDIOGRAPHY
    GORGE, G
    ERBEL, R
    HENRICHS, KJ
    WENCHEL, HM
    WERNER, HP
    MEYER, J
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1990, 65 (20) : 1404 - 1405
  • [9] HART R, 1988, INTERNIST, V29, P815
  • [10] KHANDHERIA BK, IN PRESS HEART DISEA