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Agreement of tricuspid annular systolic excursion measurement between transthoracic and transesophageal echocardiography in the perioperative setting

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Abstract

Objective

The aim of our study was to evaluate the level of agreement between tricuspid annular plane systolic excursion (TAPSE) measured by transthoracic echocardiography (TTE) and TAPSE measured using transesophageal echocardiography (TEE) in anesthetized patients.

Materials and methods

Thirty patients scheduled for elective cardiac surgery were prospectively studied. Shortly after induction of anesthesia before the operation, TAPSE was measured by TTE using M-mode in apical 4chamber view (4CH) and by TEE in six different views: using 2D echocardiography in midesophageal (ME) 4CH view, using M-mode in deep transgastric right ventricle (dTG RV) view at 0° and dTG RV longaxis view (LAX) as well as using anatomical M-mode (AM-mode) in ME 4CH, dTG RV at 0° and dTG RV LAX views.

Results

Bland–Altman analysis showed a good agreement for TAPSE measured using M-mode in TTE and using AM-mode in TEE in the ME 4CH and dTG RV at 0° views (−2.5 ± 18 and −2.2 ± 14% respectively). The agreement between TAPSE measured in TTE and TEE using 2D in ME 4CH, using M-mode in dT GRV 0° and using M-mode and AM-mode in dTG RV LAX view showed a significant systematic underestimation of the measurements (−8.8 ± 21, −8.8 ± 24, −17.8 ± 28 and −6.4 ± 20%).

Conclusion

Our study showed that the right ventricular function can be accurately and precisely estimated using TAPSE measurement by TEE in the midesophageal four chamber and deep transgastric right ventricle view at 0° using anatomical M-mode.

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Authors and Affiliations

  1. Department of Anesthesiology and Intensive Care Medicine, Heart Center Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany

    Anna Flo Forner, Elham Hasheminejad, Michael A. Ackermann, Edwin W. Turton & Joerg Ender

  2. Department of Anesthesiology and Intensive Care Medicine, Fundacio Puigvert (IUNA), carrer Cartagena 340-350, 08025, Barcelona, Spain

    Sergi Sabate

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  1. Anna Flo Forner
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  2. Elham Hasheminejad
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Correspondence to Anna Flo Forner.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Flo Forner, A., Hasheminejad, E., Sabate, S. et al. Agreement of tricuspid annular systolic excursion measurement between transthoracic and transesophageal echocardiography in the perioperative setting. Int J Cardiovasc Imaging 33, 1385–1394 (2017). https://doi.org/10.1007/s10554-017-1128-9

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  • DOI: https://doi.org/10.1007/s10554-017-1128-9

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