Why the study?
Does multiplane TEE improve diagnostic accuracy for valvular perforation compared to TTE in patients with active infective endocarditis?
Population
88 valves examined at surgery or autopsy from patients with active infective endocarditis
Comparison
Multiplane transesophageal echocardiography (TEE) vs Transthoracic echocardiography (TTE)
Design
Cross-sectional
Authors
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TTE's low sensitivity warrants caution for valvular perforation in active IE; leaves open whether TEE-first improves outcomes.
Does multiplane TEE improve diagnostic accuracy for valvular perforation compared to TTE in patients with active infective endocarditis?
Multiplane TEE is superior to TTE for detecting valvular perforation in active infective endocarditis and should be performed directly in hemodynamically unstable patients.
Castro et al. (2000) studied this question.