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Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions
Author(s) -
Strachinaru Mihai,
Kievit Chris M.,
Yap Sing C.,
Hirsch Alexander,
Geleijnse Marcel L.,
SziliTorok Tamas
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14318
Subject(s) - intracardiac injection , continuous monitoring , lead (geology) , medicine , radiology , cardiology , engineering , operations management , geomorphology , geology
Both transesophageal echocardiography ( TEE ) and intracardiac echocardiography have been used to assist transvenous lead extractions. The clinical utility of continuous echocardiographic monitoring during the procedure is still debated, with different reports supporting opposite findings. In cases where the procedure is expected to be difficult, we propose adding a continuous TEE monitoring using a static 3D/multiplane probe in mid‐esophageal position, with digital remote manipulation of the field of view. This approach may improve the chances of a successful extraction, increase safety, or even guide the entire intervention. We present here a short case series where continuous monitoring by TEE played an important role.