Usefulness of biplane transesophageal echocardiography in neonates, infants and children with congenital heart disease.
Usefulness of biplane transesophageal echocardiography in neonates, infants and children with congenital heart disease.
复制标题
双平面经食管超声心动图对患有先天性心脏病的新生儿、婴儿和儿童的有用性。
DOI：
10.1016/0002-9149(93)90888-j
复制
发表时间：
1993
期刊：
影响因子：
--
通讯作者：
C. A. Visser
中科院分区：
文献类型：
--
作者：
Jan Lam;Rodolfo A. Neirotti;Wies J. Lubbers;Mies S.J. Naeff;C. Blom;Jaap L. Schuller;F J Macartney;C. A. Visser
进行了一项研究，以评估双平面经食管超声心动图在新生儿、婴儿和儿童中的可行性、附加诊断价值和潜在应用。对 111 名患有先天性心脏病的麻醉儿童进行了 132 项连续研究。使用 3 种方法比较纵向和横向平面：（1）顺序使用单独的 7 mm 纵向和横向儿科传感器； (2) 实验性 9 × 8 mm 双平面儿科换能器； (3) 标准成人双平面传感器（12 × 9 或 13 × 9 毫米）。除一名患者外，所有患者均可以插入探针。纵向平面提供了右心室和左心室流出道、房间隔、主肺动脉、升主动脉和右冠状动脉的良好可视化。在 18 名患者 (16%) 中，纵向平面提供了联合经胸和横向平面经食管超声心动图无法获得的全新诊断信息。然而，为了演示 4 腔视图、大动脉、远端右肺动脉和左冠状动脉分叉的短轴横截面，必须使用横向平面。纵向平面与横向平面互补，但不能替代它。
A study was performed to assess the feasibility, additional diagnostic value and potential applications of biplane transesophageal echocardiography in neonates, infants and children. One hundred thirty-two consecutive studies were attempted in 111 anesthetized children with congenital heart disease. Longitudinal and transverse planes were compared using 3 methods: (1) separate 7 mm longitudinal and transverse pediatric transducers used sequentially; (2) an experimental 9 × 8 mm biplane pediatric transducer; and (3) a standard adult biplane transducer (12 × 9 or 13 × 9 mm). In all but 1 patient, a probe could be inserted. The longitudinal plane provided superior visualization of both the right and left ventricular outflow tracts, the interatrial septum, the main pulmonary artery, the ascending aorta and the right coronary artery. In 18 patients (16%), the longitudinal plane provided completely new diagnostic information that was not obtained with combined transthoracic and transverse plane transesophageal echocardiography. However, the transverse plane was mandatory for demonstration of the 4-chamber view, short-axis cross sections through the great arteries, the distal right pulmonary artery and bifurcation of the left coronary artery. The longitudinal plane is complementary to the transverse plane, but cannot substitute for it.