JOURNAL CLUB

Thank you for visiting the Journal Club. Please find below the current articles for discussion at the next meeting. For more information about the Journal Club, please contact James Edgerton, MD, at 972-596-6676.

TEE for the Surgeon

3D Echocardiography: A Review of the Current Status and Future Directions (pdf)

Ultrasound technology has improved markedly in the past 10 to 15 years, prompting echocardiographers to extend its use in studying cardiac structure and function...
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ACC/AHA Clinical Competence Statement on Echocardiography (pdf)

The granting of clinical staff privileges to physicians is a primary mechanism used by institutions to uphold the quality of care. The Joint Commission...
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ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography: Summary Article (pdf)

The previous guideline for the use of echocardiography was published in March 1997. Since that time, there have been significant advances in the technology of echocardiography and growth in its clinical use and in the scientific...
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Recommendations for Evaluation of Prosthetic Valves With Echocardiography and Doppler Ultrasound (pdf)

In patients with significant valvular stenosis or regurgitation, an intervention on the valve with repair, valvuloplasty, or valve replacement is ultimately inevitable. Although valve repair is now frequently performed, especially for mitral regurgitation (MR) and tricuspid regurgitation (TR), valve...
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Recommendations for Quantification of Doppler Echocardiography: A Report From the Doppler Quantification Task Force of the Nomenclature and Standards Committee of the American Society of Echocardiography (pdf)

Doppler echocardiography is a noninvasive technique that provides unique hemodynamic information otherwise not available without invasive monitoring. The accuracy of the results depends,however, on meticulous technique and an understanding of Doppler principles...
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Echocardiographic Assessment of Valve Stenosis: EAE/ASE Recommendations for Clinical Practice (pdf)

Valve stenosis is a common heart disorder and an important cause of cardiovascular morbidity and mortality. Echocardiography has become the key tool for the diagnosis and evaluation of valve disease, and is the primary non-invasive imaging method for valve stenosis assessment....
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Recommendations for Chamber Quantification: A Report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, Developed in Conjunction with the European Association of Echocardiography, a Branch of the European Society of Cardiology (pdf)

Quantification of cardiac chamber size, ventricular mass, and function ranks among the most clinically important and most frequently requested tasks of echocardiography. Standardization of chamber quantification has been an early concern in echocardiography and recommendations on how to measure...
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Impact of Mitral Valve Regurgitation Evaluated by Intraoperative Transesophageal Echocardiography on Long-Term Outcomes After Coronary Artery Bypass Grafting (pdf)

It is unclear if mild or moderate mitral valve regurgitation (MR) should be repaired at the time of coronary artery bypass grafting (CABG). We sought to determine the long-term effect of uncorrected MR, measured by intraoperative transesophageal echocardiography ...
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Predictive value of less than moderate residual mitral regurgitation as assessed by transesophageal echocardiography for the short-term outcomes of patients with mitral regurgitation treated with mitral valve repair (pdf)

Traditionally, in patients with mitral regurgitation (MR) a successful mitral valve repair is considered when residual MR by post-pump transesophageal echocardiography (TEE) is less than moderate or absent. Little is known about the prognostic value of less than moderate (mild or mild-to-moderate) residual...
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A Retrospective Analysis of the Costs and Benefits Related to Alterations in Cardiac Surgery from Routine Intraoperative Transesophageal Echocardiography (pdf)

Transesophageal echocardiography (TEE) is now routinely used in many cardiac centers. The cost-benefit of routine TEE in cardiac surgery is still an unresolved question (1). There have been two studies published that address the costbenefit of TEE. Whereas these studies evaluated all changes in intraoperative...
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ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Echocardiography Examination: Recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography (pdf)

Since the introduction of transesophageal echocardiography (TEE) to the operating room in the early 1980s,1-4 its effectiveness as a clinical monitor to assist in the hemodynamic management of patients during general anesthesia and its reliability to make intraoperative diagnoses during cardiac operations has been well established.5-26 In recognition of the increasing clinical applications and use of intraoperative TEE, the American...
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Impact of Perioperative Transesophageal Echocardiography in Aortic Valve Replacement (pdf)

Intraoperative transesophageal echocardiography (TEE) is currently being used routinely during aortic valve replacement (AVR). TEE provides information that can lead to modifications of anesthetic and surgical care that leads to improved outcome. Numerous studies have shown that modifications in therapy occur...
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Role of Intraoperative Transesophageal Echocardiography in Patients Having Coronary Artery Bypass Graft Surgery (pdf)

Previous studies have shown that intraoperative transesophageal echocardiography provides important preoperative and postoperative information in various cardiac and noncardiac surgeries that may alter patient management and outcome. The role of intraoperative transesophageal echocardiography in patients in whom isolated coronary...
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Recommendations for Evaluation of the Severity of Native Valvular Regurgitation with Two-dimensional and Doppler Echocardiography (pdf)

Valvular regurgitation has long been recognized as an important cause of morbidity and mortality. Although the physical examination can alert the clinician to the presence of significant regurgitation, diagnostic methods are often needed to assess the severity of valvular regurgitation and remodeling of the cardiac chambers in response to...
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