Key result
Use of intraoperative TEE in >850,000 patients was associated with lower 30-day mortality after open cardiac valve or proximal aortic surgery compared with not using TEE.
Why the study?
Does intraoperative transesophageal echocardiography (TEE) reduce 30-day mortality in patients undergoing open cardiac valve or proximal aortic surgery?
Cohort (n=850,000)
Yes
Does intraoperative transesophageal echocardiography (TEE) reduce 30-day mortality in patients undergoing open cardiac valve or proximal aortic surgery?
Intraoperative TEE during open cardiac valve or proximal aortic surgery is associated with reduced 30-day mortality and adverse composite outcomes.
Should not yet change practice; leaves open causal confirmation in randomized trials.
UpToDate| September 2022 UpToDate® ASA Monitor September 2022, Vol. 86, 41. https://doi.org/10.1097/01.ASM.0000874300.60733.69 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation UpToDate®. ASA Monitor 2022; 86:41 doi: https://doi.org/10.1097/01.ASM.0000874300.60733.69 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: aortic surgery, heart valves, transesophageal echocardiography UpToDate® and ASA Monitor are collaborating to present select content abstracts on “What's New in Anesthesiology.” UpToDate is an evidence-based, clinical support resource used worldwide by health care practitioners to make decisions at the point of care. For complete, current “What's New” content, or to become a subscriber for full content access, go to www.uptodate.com. “What's New” abstract information is free for all medical professionals. Intraoperative transesophageal echocardiography (TEE) is commonly used during cardiac valve surgery to assess valve function prior to and following repair/replacement and to manage complications. In a matched cohort study including more than 850,000 patients in the Society of Thoracic Surgeons database, use of intraoperative TEE was associated with lower 30-day mortality after open cardiac valve or proximal aortic surgery compared with not using TEE [1]. Composite outcomes were also lower (i.e., stroke or 30-day mortality; reoperation or 30-day mortality). As these... You do not currently have access to this content.
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A 2022 study conducted a cohort in open cardiac valve or proximal aortic surgery (n=850,000). Intraoperative transesophageal echocardiography (TEE) vs. not using TEE was evaluated on 30-day mortality. Use of intraoperative TEE in >850,000 patients was associated with lower 30-day mortality after open cardiac valve or proximal aortic surgery compared with not using TEE.
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