Key result
3D TOE identifies more destructive lesions and perforations than 2D TOE in infective endocarditis.
Why the study?
Infective endocarditis remains a life-threatening condition with high in-hospital mortality despite diagnostic and therapeutic advancements, motivating evaluation of different echocardiographic techniques.
Does 3D transesophageal echocardiography improve the detection of lesions compared to 2D transesophageal echocardiography in patients with infective endocarditis?
Observational (n=59)
Does 3D transesophageal echocardiography improve the detection of lesions compared to 2D transesophageal echocardiography in patients with infective endocarditis?
p-value: p=<0.001
3D transesophageal echocardiography improves the detection of destructive lesions and perforations in infective endocarditis compared to 2D imaging, particularly in prosthetic valve endocarditis.
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May aid IE diagnosis beyond 2D TOE; leaves open whether routine 3D use improves outcomes.
Mladenović et al. (2025) conducted an observational in Infective endocarditis (n=59). 3D transesophageal echocardiography (3DTOE) vs. 2D transesophageal echocardiography (2DTOE) was evaluated on Identification of destructive lesions, particularly perforations (p=<0.001). 3D transesophageal echocardiography identified more destructive lesions, particularly perforations, compared to 2D echocardiography in patients with infective endocarditis (p<0.001).
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