Intraoperative and Intraprocedural Use of 3-Dimensional Transesophageal Echocardiography: An International European Association of Cardiothoracic Anesthesia and Intensive Care Survey of Cardiac Surgical Centers.

URL: https://www.jcvaonline.com/article/S1053-0770(24)00165-4/fulltext

DOI: https://doi.org/10.1053/j.jvca.2024.02.042

Published online: Journal of Cardiothoracic and Vascular Anesthesia 8 March 2024

Authors: Schemberg M, Ender J, Bence J, van der Maaten J, Kunstd G, Mukherjee C, Meineri M.

Article description

Summary:
  • The article aimed to assess the intraoperative use of 3-dimensional transesophageal echocardiography (3D TEE) in cardiac surgical centres
  • Online questionnaire survey;
  • Two hundred thirty-nine respondents from 44 countries (27% of the total 903 EACTAIC members).
  • 59% of the respondents were TEE certified by international bodies, whereas 68% of respondents did not have formal 3D TEE training,
  • 8% did not have access to 3D machines, 40% had one for each operating room, whereas 33% had only one for the entire block.
  • 3D TEE was most frequently used for mitral valve surgery, followed by mitral and tricuspid clip procedures and other valve interventions.
Conclusions:
  • Intraoperative 3D TEE was used mainly in mitral valve surgery, followed by other valve surgeries and transcatheter procedures.
  • 3D machine availability, trained personnel, and limited time to perform TEE in the operating room may impact its use.
  • Educational opportunities in 3D TEE training may further increase its routine use.

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