scholarly journals A Proposed Maneuver to Guide Transseptal Puncture Using Real-Time Three-Dimensional Transesophageal Echocardiography: Pilot Study

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Hani M. Mahmoud ◽  
Mohammed A. Al-Ghamdi ◽  
Abdullah E. Ghabashi ◽  
Ashraf M. Anwar
Keyword(s):  
Transesophageal Echocardiography ◽  
Real Time ◽  
Three Dimensional ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Acquisition Time ◽  
Transseptal Puncture ◽  
Puncture Site ◽  
En Face ◽  
Face View

Aim of Study. To assess the feasibility of a new proposed maneuver “RATLe-90” using real-time three-dimensional transesophageal echocardiography (RT-3DTEE) for anatomically oriented visualization of the interatrial septum (IAS) in guiding the transseptal puncture TSP.Methods. The study included 20 patients (mean age,60.2±6.7years; 60% males) who underwent TSP for different indications. RT-3DTEE was used to guide TSP. The proposed maneuver RATLe-90 (Rotate-Anticlockwise-Tilt-Left-90) was applied in all cases to have the anatomically oriented en face view of the IAS from the right atrial (RA) aspect. Having this anatomically oriented view, we guided the TSP catheter towards the proper puncture site according to the planned procedure. Results. Using the RATLe-90 maneuver, the anatomically oriented en face view of the IAS from the RA was obtained in all patients. We were able to guide the puncture catheter to the proper puncture site on the IAS. The 3D images obtained were clearly understood by both echocardiographers and interventionists. The RATLe-90 maneuver acquisition time was19.9±1.6seconds. The time-to-tent was64.8±16.3seconds. Less TEE probe manipulations were needed while guiding the TSP.Conclusions. Application of RT3D-TEE during TSP using RATLe-90 maneuver is feasible with shorter fluoroscopy time and minimizing TEE probe manipulations.

scholarly journals Incremental value of live/real-time three-dimensional transesophageal echocardiography over the two-dimensional technique in the identification of accessory liver lobe presenting as a right atrial mass

2021 ◽  
Author(s):  
Nishank Nooli ◽  
Panos Vardas ◽  
Yashaswi Koguru ◽  
Navin C. Nanda
Keyword(s):  
Transesophageal Echocardiography ◽  
Real Time ◽  
Liver Tissue ◽  
Three Dimensional ◽  
Right Atrial ◽  
Two Dimensional ◽  
Liver Lobe ◽  
Atrial Mass ◽  
Incremental Value ◽  
Right Atrial Mass

We describe an adult patient with a large right atrial mass which was found to have the same echotexture as adjacent liver tissue on two-dimensional transesophageal echocardiography (2DTEE). By using live/real-time three-dimensional transesophageal echocardiography (3DTEE), we were able to examine the mass by meticulous cropping and confirm the echotexture was similar to liver tissue throughout its extent. Three-dimensional cropping also redemonstrated in a definitive manner that the mass was in continuity with liver. Thus, in our patient 3DTEE served to increase the confidence level of making a definitive diagnosis of a supernumerary lobe of liver. To the best of our knowledge, the incremental value of 3DTEE over 2DTEE in diagnosing a supernumerary liver lobe has not been reported previously. The mass was surgically resected and the findings confirmed as liver tissue by pathological examination.

Right Atrial Thrombosis and Pulmonary Embolism: A Narrative Review

2020 ◽  
Vol 46 (08) ◽  
pp. 895-907
Author(s):  
Nina D. Anfinogenova ◽  
Oksana Y. Vasiltseva ◽  
Alexander V. Vrublevsky ◽  
Irina N. Vorozhtsova ◽  
Sergey V. Popov ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Embolism ◽  
High Risk ◽  
Transesophageal Echocardiography ◽  
Three Dimensional ◽  
Right Atrial ◽  
Treatment Protocols ◽  
High Risk Patients ◽  
Risk Patients ◽  
The Right

AbstractPrompt diagnosis of pulmonary embolism (PE) remains challenging, which often results in a delayed or inappropriate treatment of this life-threatening condition. Mobile thrombus in the right cardiac chambers is a neglected cause of PE. It poses an immediate risk to life and is associated with an unfavorable outcome and high mortality. Thrombus residing in the right atrial appendage (RAA) is an underestimated cause of PE, especially in patients with atrial fibrillation. This article reviews achievements and challenges of detection and management of the right atrial thrombus with emphasis on RAA thrombus. The capabilities of transthoracic and transesophageal echocardiography and advantages of three-dimensional and two-dimensional echocardiography are reviewed. Strengths of cardiac magnetic resonance imaging (CMR), computed tomography, and cardiac ventriculography are summarized. We suggest that a targeted search for RAA thrombus is necessary in high-risk patients with PE and atrial fibrillation using transesophageal echocardiography and/or CMR when available independently on the duration of the disease. High-risk patients may also benefit from transthoracic echocardiography with right parasternal approach. The examination of high-risk patients should involve compression ultrasonography of lower extremity veins along with the above-mentioned technologies. Algorithms for RAA thrombus risk assessment and protocols aimed at identification of patients with RAA thrombosis, who will potentially benefit from treatment, are warranted. The development of treatment protocols specific for the diverse populations of patients with right cardiac thrombosis is important.

scholarly journals Accuracy and usefulness of aortic annular measurement using real-time three-dimensional transesophageal echocardiography: Comparison with direct surgical sizing

2018 ◽  
Vol 71 (3) ◽  
pp. 230-236
Author(s):  
Tomoko Nishi ◽  
Kentaro Shibayama ◽  
Minoru Tabata ◽  
Nahoko Kato ◽  
Masahiko Noguchi ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Real Time ◽  
Three Dimensional

Thrombus or Bilobar Left Atrial Appendage? Diagnosis by Real-Time Three-Dimensional Transesophageal Echocardiography

2009 ◽  
Vol 108 (1) ◽  
pp. 70-72 ◽  
Author(s):  
K Annette Mizuguchi ◽  
Thomas M. Burch ◽  
Bernard E. Bulwer ◽  
Amanda A. Fox ◽  
Robert J. Rizzo ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Real Time ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Three Dimensional ◽  
Atrial Appendage

Comparison of Real Time Two-Dimensional with Live/Real Time Three-Dimensional Transesophageal Echocardiography in the Evaluation of Mitral Valve Prolapse and Chordae Rupture

2008 ◽  
Vol 25 (10) ◽  
pp. 1131-1137 ◽  
Author(s):  
Jayaprakash Manda ◽  
Saritha Kumari Kesanolla ◽  
Ming Chon Hsuing ◽  
Navin C. Nanda ◽  
Elsayed Abo-Salem ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Transesophageal Echocardiography ◽  
Real Time ◽  
Mitral Valve Prolapse ◽  
Three Dimensional ◽  
Two Dimensional
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