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Ventricular fibrillation (VF) is characterized by rapid (>300 beats a per minute), irregular electrical activation with variable electrocardiographic waveforms that prevents coordinated myocardial contraction, resulting in immediate loss of cardiac output.1 It most commonly occurs in the context of coronary artery disease.2,3 Resuscitation efforts are critically time-dependent: with each minute of untreated VF, the survival rate declines […]

Real-time three dimensional transesophageal echocardiography: technical aspects and clinical applications

Eustachio Agricola, Luigi Badano, Donato Mele, Maurizio Galderisi, Massimo Slavich, Susanna Sciomer, Stefano Nistri, Piercarlo Ballo, Antonello D Andrea, Sergio Mondillo
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Published Online: Jul 31st 2018 Heart International 2010;5(1):e6 DOI: https://doi.org/10.4081/hi.2010.e6
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1

Abstract

Overview

Real-time three-dimensional transesophageal
echocardiography (RT3DTEE) is now
commonly used in daily clinical practice. The
transesophageal, compared to the transthoracic
approach, allows the visualization of the
whole spectrum of the mitral valve apparatus
and the posterior cardiac structures.
Moreover, images obtained by RT 3D TEE provide
a unique and complete visualization of
the mitral valve prosthetic elements. Indeed,
the possibility to visualize guidewires and
catheters in cardiac chambers and their relationship
with cardiac structures during percutaneous
transcatheter procedures reduces the
time of radiation exposure and simplifies the
approach becoming the reference method for
monitoring. This review aims to underline the
potential clinical applications and the advantages
of RT3DTEE compared to other methods.

Keywords

Real-time transesophageal echocardiography

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Article Information

Correspondence

Eustachio Agricola, Division of Non-Invasive Cardiology, Cardiothoracic Department, San Raffaele Hospital, IRCCS, via Olgettina 60, 20132, Milano, Italy E-mail: agricola.eustachio@hsr.it

Received

2010-02-27T00:00:00

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