Transesophageal ultrasonography during orthotopic liver transplantation: Show me more
| Autor: | Tiziana Bove, Federico Piccioni, Elena Bignami, Adelisa De Flaviis, Grazia D Centonze, Luigi Vetrugno, Federico Barnariol, Elisabetta Auci |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Hypovolemia Ventricular outflow tract obstruction 030204 cardiovascular system & hematology 030230 surgery Liver transplantation Anastomosis Hypoxemia 03 medical and health sciences 0302 clinical medicine Ventricular hypertrophy Internal medicine Nuclear Medicine and Imaging Medicine Radiology Nuclear Medicine and imaging Anesthesia Transesophageal echocardiography business.industry Perioperative medicine.disease Right ventricular function Intra-operative transesophageal echocardiography Radiology Nuclear Medicine and Imaging Cardiology and Cardiovascular Medicine surgical procedures operative Great vessels Patent foramen ovale Cardiology medicine.symptom business Radiology |
| Popis: | The first perioperative transesophageal echocardiography (TEE) guidelines published 21 years ago were mainly addressed to cardiac anesthesiologists. TEE has since expanded its role outside this setting and currently represents an invaluable tool to assess chamber sizes, ventricular hypertrophy, and systolic, diastolic, and valvular function in patients undergoing orthotopic liver transplantation (OLT). Right-sided microemboli, right ventricular dysfunction, and patent foramen ovale (PFO) are the most common intra-operative findings described during OLT. However, left ventricular outflow tract obstruction and left ventricular ballooning syndrome are more difficult to recognize and less frequent. Transesophageal ultrasonography (TEU) during OLT is also underused. Its applications are as follows: (1) assistance in the difficult placement of pulmonary arterial catheters; (2) help with catheterization of great vessels for external veno-venous bypass placement; (3) intra-operative evaluation of surgical liver anastomosis patency, if feasible, through the liver window; and (4) intra-operative investigation of "acute hypoxemia" due to pulmonary and cardiac issues using trans-esophageal lung ultrasound (TELU). The aims of this review are as follows: (1) to summarize the uses of TEE and TEU throughout all phases of OLT, and (2) to describe other new feasible applications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|