Transesophageal Echocardiography: A New View of the Heart

Editorials15 July 1990Transesophageal Echocardiography: A New View of the HeartEdward A. Fisher, MD, Martin E. Goldman, MDEdward A. Fisher, MD, Martin E. Goldman, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-2-91 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptOver the last several years, cardiology has benefited from the introduction of sophisticated new technologies and interventions which have significantly improved patient care, although at increasing cost to patients and the health care system. Unfortunately, wide-scale carefully controlled trials are rarely done to document the efficacy of these costly procedures or their superiority over existing modalities. Transesophageal echocardiography is another relatively new imaging modality with equipment costing from $90 000 to $225 000 and a patient charge of between $500 and $900, a charge similar to that of upper endoscopy, but as much as twice that of a regular transthoracic...References1. FrazinTalanoStephanidesLoebKopelGunnar LJLHLR. Esophageal echocardiography. Circulation. 1976;54:102-8. CrossrefMedlineGoogle Scholar2. MatsumotoOkaLinStromSonnenblickFrater MYYJER. Transesophageal echocardiography for assessing ventricular performance. N Y State J Med. 1979;79:19-21. MedlineGoogle Scholar3. SmithCahalanBenefiel JMD. Intraoperative detection of myocardial ischemia in high-risk patients: electrocardiography versus two-dimensional transesophageal echocardiography. Circulation. 1985;72:1015-21. CrossrefMedlineGoogle Scholar4. NorfleetMitchellMulhollandPhilo RPDJ. Does bacteremia follow upper gastrointestinal endoscopy? Am J Gastroenterol. 1981;76:420-2. MedlineGoogle Scholar5. ShorvonEykynCotton PSP. Gastrointestinal instrumentation, bacteraemia, and endocarditis. Gut. 1983;24:1078-93. CrossrefMedlineGoogle Scholar6. PeruccaMeyer PG. Who should get endocarditis prophylaxis for upper gastrointestinal procedures? [Editorial]. Gastrointest Endosc. 1985;31:285-7. CrossrefMedlineGoogle Scholar7. ErbelRohmannDrexler RSM. Improved diagnostic value of echocardiography in patients with infective endocarditis by transesophageal approach: a prospective study. Eur Heart J. 1988;9:43-53. CrossrefMedlineGoogle Scholar8. CurrieCalafioreStewart PPW. Transesophageal echo in mitral prosthetic dysfunction: echo-surgical correlation [Abstract]. J Am Coll Cardiol. 1989;13:69A. MedlineGoogle Scholar9. Gussenhovenvan HerwerdenRoelandtBosde Jong ELJEN. Detailed analysis of aortic valve endocarditis: comparison of precordial, esophageal and epicardial two-dimensional echocardiography with surgical findings. JCU. 1986;14:209-11. Google Scholar10. LechatMasLascault PJG. Prevalence of patent foramen ovale in patients with stroke. N Engl J Med. 1988;318:1148-52. CrossrefMedlineGoogle Scholar11. GussenhovenTaamsde JongBosSutherlandRoelandt EMNEGJ. Transesophageal echo in the diagnosis of thoracic aortic pathology [Abstract]. Circulation. 1988;78(Suppl 2):298. Google Scholar12. ErbelMohr-KahalyRennollet RSH. Diagnosis of aortic dissection: the value of transesophageal echocardiography. Thorac Cardiovasc Surg. 1987;35(Spec No 2):126-33. CrossrefMedlineGoogle Scholar13. ErbelRennolletEngberding RHR. Detection of aortic dissection by transesophageal echocardiography. A multicenter cooperative study. Circulation. 1988;78(Suppl 2):297. Google Scholar14. CormierVahanianMichel BAP. The contribution of transesophageal echocardiography in the ultrasound assessment of percutaneous mitral valvuloplasty [Abstract]. J Am Coll Cardiol. 1989;13:51A. Google Scholar15. TopolWeissGuzman EJP. Immediate improvement of dysfunctional myocardial segments after coronary revascularization: detection by intraoperative transesophageal echocardiography. J Am Coll Cardiol. 1984;4:1123-34. CrossrefMedlineGoogle Scholar16. BeaupreKremerCahalanLurzSchillerHamilton PPMFNW. Intraoperative detection of changes in left ventricular segmental wall motion by transesophageal two-dimensional echocardiography. Am Heart J. 1984;107:1021-3. CrossrefMedlineGoogle Scholar17. CucchiaraNugentSewardMessick RMJJ. Air embolism in upright neurosurgical patients: detection and localization by two-dimensional transesophageal echocardiography. Anesthesiology. 1984;60:353-5. CrossrefMedlineGoogle Scholar18. DawsonCockel JR. Oesophageal perforation at fibreoptic gastroscopy. Br Med J [Clin Res]. 1981;283:583. CrossrefMedlineGoogle Scholar19. SilvisNebelRogersSugawaMandelstam SOGCP. Endoscopic complications: results of the 1974 American Society of Gastrointestinal Endoscopy Survey. JAMA. 1976;235:928-30. CrossrefMedlineGoogle Scholar20. KhandheriaSewardOh BJJ. Safety of transesophageal echocardiography in awake patients: experience with 400 procedures [Abstract]. J Am Coll Cardiol. 1989;13:225A. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Mount Sinai Medical Center New York, NY 10029 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByEvaluation of shunt flow by multiplane transesophageal echocardiography in adult patients with isolated patent ductus arteriosusPeri-Operative Applications of Transesophageal EchocardiographyDiagnostic and therapeutic implications of transesophageal echocardiography in medical ICU patients with unexplained shock, hypoxemia, or suspected endocarditisDiagnostic Accuracy of Transesophageal Echocardiography for Detecting Patent Ductus Arteriosus in Adolescents and AdultsTransesophageal echocardiography predicts mortality in critically III patients with unexplained hypotensionFrequency of bacteremia associated with transesophageal echocardiography in intensive care unit patientsComparison of transthoracic and transesophageal echocardiography in the diagnosis of intracardiac tumors in adultsHeart disease in patients with stroke. Part II: Impact and implications for rehabilitationDynamic Left Ventricular Outflow Tract ObstructionUsefulness of Transesophageal Echocardiography in the Treatment of Critically III PatientsHeart disease in patients with stroke: Incidence, impact, and implications for rehabilitation part 1: Classification and prevalenceClinical Utility of Echocardiography in Neurologic DisordersProspective study of blood culture during transesophageal echocardiographyCost-effective investigation of patients with suspected transient ischaemic attacks.Editorial: Athrogenic embolism causing cerebral infarctionTransesophageal echocardiography: Procedures and clinical applicationCardiac imaging in stroke.Prospective evaluation of the risk of bacteremia associated with transesophageal echocardiography.Infective EndocarditisThe role of imaging in the management of cerebral and ocular ischaemia 15 July 1990Volume 113, Issue 2Page: 91-93KeywordsEchocardiographyEndoscopyHealth careHeartPatients Issue Published: 15 July 1990 PDF DownloadLoading ...