Endoscopy-guided transesophageal echocardiography for large esophageal varices: Use of the "Double Barrel" technique.

Autor: Rhee DW; Leon H. Charney Division of Cardiology, New York University Langone Health, New York, New York, USA., Nayar AC; Leon H. Charney Division of Cardiology, New York University Langone Health, New York, New York, USA., Yan JL; Leon H. Charney Division of Cardiology, New York University Langone Health, New York, New York, USA., Gausman V; Division of Gastroenterology and Hepatology, New York University Langone Health, New York, New York, USA., Park DS; Leon H. Charney Division of Cardiology, New York University Langone Health, New York, New York, USA., Vareedayah AA; Division of Gastroenterology and Hepatology, New York University Langone Health, New York, New York, USA.
Jazyk: angličtina
Zdroj: Echocardiography (Mount Kisco, N.Y.) [Echocardiography] 2021 Nov; Vol. 38 (11), pp. 1970-1972. Date of Electronic Publication: 2021 Oct 28.
DOI: 10.1111/echo.15227
Abstrakt: Rhythm control strategies in patients with esophageal varices and atrial arrhythmias pose a unique challenge. The left atrium should be imaged for a thrombus prior to attempting cardioversion or ablation, but the presence of varices is a relative contraindication for transesophageal echocardiography. We present a safe, novel technique of evaluating for left atrial thrombus with simultaneous transesophageal echocardiography and esophagogastroduodenoscopy using slim probes in a patient with large, high-risk esophageal varices, and symptomatic atrial flutter with rapid ventricular rates despite medical therapy.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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