Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experience
OBJECTIVE: To report the role played by transesophageal echocardiography during implantation of self-expanding aortic endoprostheses (stent) at a hemodynamics laboratory. METHODS: Thirteen patients underwent stent implantation in the descending thoracic aorta with the aid of transesophageal echocard...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cardiologia (SBC)
2001-07-01
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| Series: | Arquivos Brasileiros de Cardiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000700001 |
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| author | Cláudio Henrique Fischer Orlando Campos Fº José Honório de Almeida Palma da Fonseca Cláudia Maria Rodrigues Alves José Augusto Marcondes Sousa Edgar Bezerra de Lira Fº Antonio Carlos de Camargo Carvalho Ângelo Amato Vicenzo de Paola Ênio Buffolo |
| author_facet | Cláudio Henrique Fischer Orlando Campos Fº José Honório de Almeida Palma da Fonseca Cláudia Maria Rodrigues Alves José Augusto Marcondes Sousa Edgar Bezerra de Lira Fº Antonio Carlos de Camargo Carvalho Ângelo Amato Vicenzo de Paola Ênio Buffolo |
| author_sort | Cláudio Henrique Fischer |
| collection | DOAJ |
| description | OBJECTIVE: To report the role played by transesophageal echocardiography during implantation of self-expanding aortic endoprostheses (stent) at a hemodynamics laboratory. METHODS: Thirteen patients underwent stent implantation in the descending thoracic aorta with the aid of transesophageal echocardiography during the entire procedure. Indications for stenting were as follows: 8 aortic dissections, 2 true aneurysms, 2 penetrating atherosclerotic ulcers, and 1 traumatic pseudoaneurysm. RESULTS: No complications resulting from the use of transesophageal echocardiography were observed. In 12 patients, the initial result was considered appropriate, with total or partial resolution of the major lesion confirmed by a posterior examination. In 1 patient, the procedure was suspended after transesophageal echocardiography and angiography showed that the proximal aortic diameter was inappropriate. Transesophageal echocardiography contributed to clarifying relevant points, such as aortic diameter, anatomic detail of the intimal lesion, and location and size of the communicating orifice. In addition, it facilitated placing the stent in the target lesion, reduced the time of exposure to radiation and the use of contrast medium, and provided rapid identification of intercurrent events, possibly reducing the total duration of the procedure. CONCLUSION: The use of transesophageal echocardiography during placement of aortic stents seems appropriate. The actual advantages of the procedure will be defined in a comparative prospective study. |
| first_indexed | 2024-12-19T20:23:52Z |
| format | Article |
| id | doaj.art-afe03a5d37134db5a9e3f67d42392403 |
| institution | Directory Open Access Journal |
| issn | 0066-782X 1678-4170 |
| language | English |
| last_indexed | 2024-12-19T20:23:52Z |
| publishDate | 2001-07-01 |
| publisher | Sociedade Brasileira de Cardiologia (SBC) |
| record_format | Article |
| series | Arquivos Brasileiros de Cardiologia |
| spelling | doaj.art-afe03a5d37134db5a9e3f67d423924032022-12-21T20:06:53ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702001-07-01771050810.1590/S0066-782X2001000700001Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experienceCláudio Henrique FischerOrlando Campos FºJosé Honório de Almeida Palma da FonsecaCláudia Maria Rodrigues AlvesJosé Augusto Marcondes SousaEdgar Bezerra de Lira FºAntonio Carlos de Camargo CarvalhoÂngelo Amato Vicenzo de PaolaÊnio BuffoloOBJECTIVE: To report the role played by transesophageal echocardiography during implantation of self-expanding aortic endoprostheses (stent) at a hemodynamics laboratory. METHODS: Thirteen patients underwent stent implantation in the descending thoracic aorta with the aid of transesophageal echocardiography during the entire procedure. Indications for stenting were as follows: 8 aortic dissections, 2 true aneurysms, 2 penetrating atherosclerotic ulcers, and 1 traumatic pseudoaneurysm. RESULTS: No complications resulting from the use of transesophageal echocardiography were observed. In 12 patients, the initial result was considered appropriate, with total or partial resolution of the major lesion confirmed by a posterior examination. In 1 patient, the procedure was suspended after transesophageal echocardiography and angiography showed that the proximal aortic diameter was inappropriate. Transesophageal echocardiography contributed to clarifying relevant points, such as aortic diameter, anatomic detail of the intimal lesion, and location and size of the communicating orifice. In addition, it facilitated placing the stent in the target lesion, reduced the time of exposure to radiation and the use of contrast medium, and provided rapid identification of intercurrent events, possibly reducing the total duration of the procedure. CONCLUSION: The use of transesophageal echocardiography during placement of aortic stents seems appropriate. The actual advantages of the procedure will be defined in a comparative prospective study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000700001transesophageal echocardiographystentsaortopathies |
| spellingShingle | Cláudio Henrique Fischer Orlando Campos Fº José Honório de Almeida Palma da Fonseca Cláudia Maria Rodrigues Alves José Augusto Marcondes Sousa Edgar Bezerra de Lira Fº Antonio Carlos de Camargo Carvalho Ângelo Amato Vicenzo de Paola Ênio Buffolo Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experience Arquivos Brasileiros de Cardiologia transesophageal echocardiography stents aortopathies |
| title | Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experience |
| title_full | Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experience |
| title_fullStr | Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experience |
| title_full_unstemmed | Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experience |
| title_short | Use of transesophageal echocardiography during implantation of aortic endoprosthesis (stent). Initial experience |
| title_sort | use of transesophageal echocardiography during implantation of aortic endoprosthesis stent initial experience |
| topic | transesophageal echocardiography stents aortopathies |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000700001 |
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