Transthoracic and transoesophageal echocardiography: a systematic review of feasibility and impact on diagnosis, management and outcome after cardiac surgery

J. Heiberg, D. El-Ansary, C.F. Royse, A.G. Royse, A.A. Alsaddique, D.J. Canty

Research output: Contribution to journalReview ArticleResearchpeer-review

11 Citations (Scopus)

Abstract

Transthoracic and transoesophageal echocardiography are increasingly used as tools to improve clinical assessment following cardiac surgery. However, most physicians are not trained in echocardiography, and there is no widespread agreement on the feasibility, indications or effect on outcome of transthoracic or transoesophageal echocardiography for patients after cardiac surgery. We performed a systematic review of electronic databases for focused transthoracic and transoesophageal echocardiography after cardiac surgery which revealed 15 full-text articles. They consistently reported that echocardiography is feasible, whether performed by a novice or expert, and frequently resulted in important changes in diagnosis of cardiac abnormalities and their management. However, most were observational studies and there were no well-designed trials investigating the impact of echocardiography on outcome. We conclude that both transthoracic and transoesophageal echocardiography are useful following cardiac surgery.

Original languageEnglish
Pages (from-to)1210-1221
Number of pages12
JournalAnaesthesia
Volume71
Issue number10
DOIs
Publication statusPublished - Oct 2016
Externally publishedYes

Keywords

  • cardiothoracic surgery
  • diagnosis
  • lung ultrasound
  • management
  • transoesophageal echocardiography
  • transthoracic echocardiography
  • ultrasonography

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