Details

Autor(en) / Beteiligte

• Hascoët, Sébastien
• Peyre, Marianne
• Hadeed, Khaled
• Alacoque, Xavier
• Chausseray, Gérald
• Fesseau, Rose
• Amadieu, Romain
• Léobon, Bertrand
• Berthomieu, Lionel
• Dulac, Yves
• Acar, Philippe

Titel

Safety and efficiency of the new micro-multiplane transoesophageal probe in paediatric cardiology

Ist Teil von

• Archives of cardiovascular diseases, 2014-06, Vol.107 (6), p.361-370

Ort / Verlag

Netherlands: Elsevier Masson SAS

Erscheinungsjahr

2014

Quelle

MEDLINE

Beschreibungen/Notizen

• Summary Background Transoesophageal echocardiography (TOE) is feasible in neonates using a miniaturized probe, but is not widely used because of low imaging quality. Aims To assess handling and imaging quality of a new release of a micro-TOE probe in children. Methods Thirty-eight consecutive children, enrolled during February and May 2013, underwent TOE with the Philips S8-3t probe. Insertion, handling and image quality were assessed. Results The 38 children (aged 7 days to 12 years; weight 3.1–27 kg) underwent 75 TOE (30 [40.0%] before cardiac surgery, 31 [41.3%] after cardiac surgery, 4 [5.3%] during a percutaneous procedure, 10 [13.3%] in the intensive care unit). Insertion of the micro-TOE probe was ‘very easy’ in 37/38 patients (97.4%). Handling was better in the lightest children ( P = 0.001). Image quality was mainly ‘good’ or ‘very good’, with no significant changes between preoperative and postoperative examinations or over time. Total scores (insertion, handling, image quality) were significantly better in the lightest children ( P = 0.02). Preoperative TOE did not provide additional information over transthoracic echocardiography. Postoperative TOE was useful to assess surgical results, but no residual lesions required extracorporeal circulation return. Micro-TOE was useful during the postoperative care of neonatal surgery with open breastbone to assess the surgical result and ventricular function. It was also useful to guide extracorporeal membrane oxygenation (ECMO) indication and withdrawal; and was a useful guide for percutaneous procedures. Conclusion Micro-multiplane TOE is safe and efficient for use in neonates and children. This minimally invasive tool increases the impact of TOE in paediatric cardiology.