Key result
3D transesophageal echocardiography provided superior diagnostic detail over 2D imaging, correctly identifying complete vegetation characteristics in 72% vs 24% of cases and perforations in 44% vs 4%.
Why the study?
Does 3D transesophageal echocardiography improve the diagnostic assessment of infective endocarditis compared to 2D transesophageal echocardiography in patients with definite infective endocarditis?
Observational (n=25)
No
Does 3D transesophageal echocardiography improve the diagnostic assessment of infective endocarditis compared to 2D transesophageal echocardiography in patients with definite infective endocarditis?
3D transesophageal echocardiography provides incremental diagnostic value over 2D imaging in infective endocarditis by better delineating vegetation size, abscesses, perforations, and fistulae.
3D TEE may enhance IE complication assessment; hypothesis-generating and should not yet change practice.
Infective endocarditis is a peculiar disease that still carries a poor prognosis and high mortality despite major advances in both diagnostic and therapeutic procedures. It is not a uniform disease, but presents in a variety of different forms, varying according to the initial clinical manifestations, the underlying cardiac disease (if any), the microorganism involved, the presence or absence of complications, and underlying patient characteristics. The incidence of infective endocarditis ranges from one country to another within 3-10 episodes/100 000 person-years.
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Ola Elgebaly (2018) conducted an observational in Infective Endocarditis (n=25). 3D Transesophageal Echocardiography vs. 2D Transesophageal Echocardiography was evaluated on Diagnostic accuracy and complete identification of endocarditis complications (vegetations, abscesses, fistulae, perforations, dehiscence). 3D transesophageal echocardiography provided superior diagnostic detail over 2D imaging, correctly identifying complete vegetation characteristics in 72% vs 24% of cases and perforations in 44% vs 4%.
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