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Læknablaðið - 15.10.1991, Blaðsíða 22

Læknablaðið - 15.10.1991, Blaðsíða 22
302 LÆKNABLAÐIÐ SUMMARY Transesophageal echocardiography (TEE) was performed in 35 patients aged 19 to 76 years. Interactions between indications for the study were often complex. The main indications, however, were suspected endocarditis, prosthetic valve dysfunction, native valvular disease, disorders of the aorta, and assessment of patients with peripheral embolic events or stroke. Twentyfive patients were hospitalized and 5 of these were studied intraoperatively during heart surgery, 10 were outpatients. TEE was more specific than transthoracic echo in 20 of 35 patients. In 15 patients TEE led to further assessment by cardiac catheterization or to change in treatment. Complications during the TEE examination were rare. The results are in line with larger studies on the applicability of TEE. The paper further discusses the technique of transesophageal echocardiography, clinical applications end future prospects. HEIMILDIR 1. DeBruijn NP, Clements FM. Transesophageal echocardiography. Boston: Martinus Nijhoff Publishing, 1987. 2. Seward JB, Khandheria BK, Oh JK, et al. Transesophageal echocardiography: Technique, anatomic correlations, implementation and clinical applications. Mayo Clin Proc 1988; 63: 649-80. 3. Oh JK, Khandheria BK, Seward JB, Freeman WK, Sinak LJ, Tajik AJ. Transesophageal color flow imaging. Echocardiography 1988; 5: 407-16. 4. Miigge A, Daniel WG, Frank G, Lichtlen PR. Echocardiography in infective endocarditis: Reassessment of prognostic implications of vegetation size determined by the transthoracic and transesophageal approach. J Am Coll Cardiol 1989; 14: 631-8. 5. Iliceto S, Martino GD, Memmola C, Rizzon P. Transesophageal echocardiography. Cardiovasc Imag 1989; 1: 15-9. 6. Matsuzaki M, Toma Y, Kusukawa R. Clinical Applications of transesophageal echocardiography. Circulation 1990; 82: 709-22. 7. Suryapranata H, Roelandt J, Haalebos M, Degener J, Bos E, Hugenholtz PG. Early cardiac valve replacement in infective endocarditis: a 10 year experience. Europ Heart J 1987; 8: 464-70. 8. Taams MA, Gussenhoven EJ, Bos E, Jaegere P, Roelandt J, Sutherland GR, Bom N. Enhanched morphological diagnosis in infective endocarditis by transoesophageal echocardiography. Br Heart J 1990; 63: 109-13. 9. Roelandt JRTC, Fraser AG. Transesophageal echocardiography: clinical applications and prospects. Curr Op Cardiol 1990; 5: 783-94. 10. Daniel WG, Miígge A, Martin RP, et al. Improvement in the diagnosis of abcesses associated with endocarditis by transesophageal echocardiography. N Engl J Med 1991; 324: 795-800. 11. Pearson AC, Labovitz AJ, Tatineni S, Gomez CR. Superiority of transesophageal echocardiography in detecting cardiac source of embolism in patients with cerebral ischemia of uncertain etiology. J Am Coll Cardiol 1991; 17: 66-72. 12. VanDaele MERM. Sutherland GR, Mirchell MM, et al. Do changes in pulmonary capillary wedge pressure adequately reflect myocardial ischemia during anesthesia? Circulation 1990; 81: 865-71. 13. Stewart WJ, Currie PJ, Salcedeo EE, et al. Intraoperative Doppler color flow mapping for decision-making in valve repair for mitral regurgitation. Circulation 1990; 81: 556-66. 14. Nishimura RA, Abel MD, Hatle LK, Tajik AJ. Relation of pulmonary vein to mitral flow velocities by transesophageal Doppler echocardiography. Circulation 1990; 81: 1488-97. 15. Daniel WG, Erbel R, Kasper W, et al. Safety of transesopageal echocardiography: a multicenter survey of 10.419 examinations. Circulation 1991; 83: 817-21. 16. Pearlman AS. Transesophageal echocardiography - Sound diagnostic technique or two-edged sword? N Engl J Med 1991; 324: 841-3.

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