Why the study?
TOE is increasingly used to guide catheter-based and surgical interventions and monitor critically ill patients, warranting guidance on essential steps beyond the echo lab.
This expert consensus document provides standardized guidance for performing transoesophageal echocardiography outside the traditional echo lab, specifically in operating rooms and intensive care units.
Standardizes TOE guidance in ORs and ICUs; extends consensus recommendations to non-traditional settings.
Transoesophageal echocardiography (TOE) is a well-established and valid imaging modality, providing more accurate and of higher quality information than transthoracic echocardiography (TTE) for several specific diagnoses and recently a useful guide of an increasing number of catheter-based and surgical interventions. The present paper represents an effort by the Echocardiography Working Group (WG) of the Hellenic Society of Cardiology to state the essential steps of the TOE exam performed beyond the echo lab: a) in the operating rooms intraoperatively during either transcatheter interventions, or cardiothoracic surgery and b) in the intensive care unit for critically ill patients' monitoring. This paper includes information and tips and tricks about the pre-procedural evaluation, the procedural echocardiographic guidance, and post-procedural evaluation of the result and potential complications.
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Papadopoulos et al. (2024) studied this question.
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