What does this research mean for the field?

Transpericardial real-time 3-dimensional echocardiography provides high-quality imaging of intracardiac anatomy that closely matches direct intraoperative surgical findings in patients with congenital heart disease. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2008Journal of EchocardiographyOpen Access

Pericardial Three-dimensional Echocardiography

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Congenital heart disease (n=22). Intervention: Transpericardial real-time three-dimensional echocardiography vs. Direct surgical observation. Primary outcome: Agreement of 3DE images and surgical findings from the perspective of the surgeon.

View Full Paper

Ask AI

Bookmark

Key result

Transpericardial 3DE matches direct surgical findings in 95% of pediatric CHD cases.

n=22

Why the study?

Does transpericardial real-time 3-dimensional echocardiography provide images equivalent to surgical findings in patients with congenital heart disease?

Population

22 consecutive patients with congenital heart disease who underwent intracardiac repair using…

Comparison

Transpericardial real-time 3-dimensional… vs Direct intraoperative surgical findings and…

Design

Case_series

Follow-up

Intraoperative

Authors

IKIchige KajimuraJikei University School of Medicine GSGengi SatomiNagano Children's Hospital SYSatoshi YasukochiPediatric Cardiology

Discussion

Member takes

Implication

Transpericardial 3-dimensional echocardiography may offer surgeons enhanced anatomical visualization for.

Study Design

Type

Observational (n=22)

Multicenter

Structured PICO

Does transpericardial real-time 3-dimensional echocardiography provide images equivalent to surgical findings in patients with congenital heart disease?

Population

22 pediatric patients (mean age 3.8 years) with congenital heart disease undergoing intracardiac repair using cardiopulmonary bypass.

Intervention

Transpericardial real-time 3-dimensional echocardiography (3DE) acquired just before surgery using a Philips iE33 system with an X3-1 or X7-2 probe.

Comparator

Direct intraoperative surgical findings and pictures taken during the operation.

Outcome

Agreement of 3DE images and surgical findings from the perspective of the surgeon.surrogate

Transpericardial real-time 3-dimensional echocardiography is a feasible and highly accurate method for visualizing intracardiac anatomy equivalent to surgical findings in pediatric patients with congenital heart disease.

Limitations

Difficult to visualize near surface structures to the applied probe
Difficult to visualize large lesions that are over the acoustic window of the 3DE probe
Size of the 3DE probe to be placed between the opened sternum is a limitation
Transpericardial approach is only available after sternotomy
Only available after sternotomy and images can be assessed just before introducing cannulation

Cite This Study

Kajimura et al. (2008) conducted an observational in Congenital heart disease (n=22). Transpericardial real-time three-dimensional echocardiography vs. Direct surgical observation was evaluated on Agreement of 3DE images and surgical findings from the perspective of the surgeon. Transpericardial real-time 3-dimensional echocardiography provided high-quality images that agreed with direct surgical findings in 95% (21/22) of pediatric patients with congenital heart disease.

synapsesocial.com/papers/6aa7c2e1eb815e3469da0c41 https://doi.org/10.2303/jecho.6.39

View Full Paper

Ask AI

Bookmark

Pericardial Three-dimensional Echocardiography

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Pericardial Three-dimensional Echocardiography

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider