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  2. Canadian Journal of Anesthesia
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Transesophageal echocardiography-related complications

Complications associées à l’échocardiographie transoesophagienne

  • Review Article
  • Published: September 2008
  • Volume 55, pages 622–647, (2008)
  • Cite this article
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Canadian Journal of Anesthesia Aims and scope Submit manuscript
Transesophageal echocardiography-related complications
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  • Geneviève Côté msc frcpc1 &
  • André Denault md fase frcpc2 

  • 11k Accesses

  • 88 Citations

  • Explore all metrics

Abstract

Purpose: The use of transesophageal echocardiography has increased over the past several years. It is generally considered a safe diagnostic and monitoring tool. Whereas complications associated with echocardiographic examination rarely occur, such complications must be known to echocardiographers performing these examinations. The purpose of this review is to summarize potential complications associated with transesophageal echocardiography.

Sources: A systematic search of the English and French literature was undertaken using PubMed from the National Library of Medicine. Relevant articles were obtained from a Medline search spanning the years 1975 – 2007, and their reference lists were used to retrieve additional articles.

Principal findings: Complications of transesophageal echocardiography are primarily related to the gastrointestinal, cardiovascular, and respiratory systems, and include infection, toxic drug reaction, local reaction through contamination of the probe, and ultrasound cavitation. Strategies to prevent these complications are reviewed.

Conclusion: Whereas transesophageal echocardiography is associated with a low complication rate, the echocardiographer must be knowledgeable about the types of complications and their predisposing factors, and should be meticulous in preventing their occurrence.

Résumé

Objectif: Au cours des dernières années, l’utilisation de l’échocardiographie transoesophagienne a augmenté. Cette modalité est en général considérée comme un outil de diagnostic et de monitorage sécuritaire. Bien que des complications associées à un examen échocardiographique ne surviennent que rarement, il est néanmoins important que les échocardiographistes en soient conscients. L’objectif de ce compte-rendu est de résumer les complications potentielles associées à l’échocardiographie transoesophagienne.

Sources: Une recherche systématique de la littérature en anglais et en français a été menée dans la base de données PubMed de la Bibliothèque nationale de médecine américaine. Les articles pertinents ont été extraits d’une recherche Medline couvrant la période 1975–2007, et leurs listes de références ont été utilisées pour récupérer d’autres articles pertinents.

Constatations principales: Les complications associées à l’utilisation de l’échocardiographie transoesophagienne sont principalement liées aux systèmes gastro-intestinal, cardiovasculaire et respiratoire. Elles comprennent l’infection, la réaction toxique au médicament, la réaction locale en raison d’une contamination de la sonde, et la cavitation des ultrasons. Les différentes stratégies pour prévenir ces complications sont passées en revue.

Conclusion: Bien que l’échocardiographie transoesophagienne soit associée à un faible taux de complications, l’échocardiographiste doit connaître les différents types de complications ainsi que les facteurs les prédisposant, et devrait apporter un soin particulier à les prévenir.

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Authors and Affiliations

  1. From the Department of Anesthesiology, CHU Mère-Enfant Sainte-Justine Hospital, Université de Montréal, Montréal, Québec, Canada

    Geneviève Côté msc frcpc

  2. Department of Anesthesiology, Montreal Heart Institute, Université de Montréal, Montréal, Québec, Canada

    André Denault md fase frcpc

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Correspondence to André Denault md fase frcpc.

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Financial support: Fonds de la recherche en santé du Québec and Fondation de l’Institut de Cardiologie de Montréal.

Conflicts of interest: None declared.

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Côté, G., Denault, A. Transesophageal echocardiography-related complications. Can J Anesth 55, 622–647 (2008). https://doi.org/10.1007/BF03021437

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  • Accepted: 23 June 2008

  • Issue Date: September 2008

  • DOI: https://doi.org/10.1007/BF03021437

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Keywords

  • Transesophageal Echocardiography
  • Esophageal Perforation
  • Methemoglobinemia
  • Esophageal Intubation
  • Esophageal Echocardiography
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