Assessment of left ventricular size and function during cardiac surgery: An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference

M. Grossgasteiger; B. Graser; H. Rauch; J. Motsch; M.D. Hien; Matthias Gondan; C. Rosendal

doi:10.1111/echo.12116

Assessment of left ventricular size and function during cardiac surgery: An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference

M. Grossgasteiger, B. Graser, H. Rauch, J. Motsch, M.D. Hien, Matthias Gondan, C. Rosendal

13 Citationer (Scopus)

Abstract

Transesophageal echocardiography is recommended to monitor left ventricular (LV) size and function in various operations. Generally, two-dimensional (2D) methods are applied intraoperatively. The aim of this study was to compare the accuracy and feasibility of 6 commonly used 2D methods to assess LV function during surgery. LV function in 120 consecutive patients was evaluated. Real time three-dimensional transesophageal echocardiograpy (3DTEE) served as reference. End-diastolic and end-systolic volumes and ejection fraction (EF) were analyzed with Simpson's method of discs (monoplane [MP] and biplane [BP]), eyeball method, Teichholz' method, and speckle tracking (ST) methods. Furthermore, fractional area change (FAC) and peak systolic pressure rise (dP/dt) were determined. Each 2D method was evaluated regarding correlation and agreement with 3DE, intra- and interobserver variability and the time required for evaluation. Simpson BP showed the strongest correlation and best agreement with 3DE for EF (limits of agreement 3.7 ± 11.6%) and volumes. Simpson MP showed similar agreement with 3DE compared to ST (2.8 ± 14.5% vs. 2.0 ± 15.3% and 3.8 ± 14.4% vs. 1.9 ± 15.6%, respectively). Both the eyeball method and Teichholz' method showed wide limits of agreement (-1.5 ± 18.2% and 5.2 ± 22.1%, respectively). dP/dt did not correlate with 3DE. FAC and ST FAC showed similar agreement. Application of 3DE (429 ± 108 seconds) took the longest time, and the eyeball method took the shortest time (8 ± 5 seconds) for analysis. Simpson BP is the most accurate intraoperative 2D method to evaluate LV function, followed by long-axis MP evaluations. Short-axis views were less accurate but may be suited for monitoring. We do not recommend using dP/dt.

Originalsprog	Engelsk
Tidsskrift	Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques
Vol/bind	30
Udgave nummer	6
Sider (fra-til)	672-681
Antal sider	10
ISSN	0742-2822
DOI	https://doi.org/10.1111/echo.12116
Status	Udgivet - 1 jul. 2013
Udgivet eksternt	Ja

Adgang til dokumentet

10.1111/echo.12116

Andre filer og links

Link to publication in Scopus

Fingeraftryk

Dyk ned i forskningsemnerne om 'Assessment of left ventricular size and function during cardiac surgery: An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference'. Sammen danner de et unikt fingeraftryk.

Citationsformater

Grossgasteiger, M., Graser, B., Rauch, H., Motsch, J., Hien, M. D., Gondan, M., & Rosendal, C. (2013). Assessment of left ventricular size and function during cardiac surgery: An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference. Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques, 30(6), 672-681. https://doi.org/10.1111/echo.12116

Assessment of left ventricular size and function during cardiac surgery : An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference. / Grossgasteiger, M.; Graser, B.; Rauch, H. et al.

I: Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques, Bind 30, Nr. 6, 01.07.2013, s. 672-681.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Grossgasteiger, M, Graser, B, Rauch, H, Motsch, J, Hien, MD, Gondan, M & Rosendal, C 2013, 'Assessment of left ventricular size and function during cardiac surgery: An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference', Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques, bind 30, nr. 6, s. 672-681. https://doi.org/10.1111/echo.12116

Grossgasteiger M, Graser B, Rauch H, Motsch J, Hien MD, Gondan M et al. Assessment of left ventricular size and function during cardiac surgery: An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference. Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques. 2013 jul. 1;30(6):672-681. doi: 10.1111/echo.12116

Grossgasteiger, M. ; Graser, B. ; Rauch, H. et al. / Assessment of left ventricular size and function during cardiac surgery : An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference. I: Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques. 2013 ; Bind 30, Nr. 6. s. 672-681.

@article{5b4f095350e542e29b36804665e7a8a0,

title = "Assessment of left ventricular size and function during cardiac surgery: An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference",

abstract = "Transesophageal echocardiography is recommended to monitor left ventricular (LV) size and function in various operations. Generally, two-dimensional (2D) methods are applied intraoperatively. The aim of this study was to compare the accuracy and feasibility of 6 commonly used 2D methods to assess LV function during surgery. LV function in 120 consecutive patients was evaluated. Real time three-dimensional transesophageal echocardiograpy (3DTEE) served as reference. End-diastolic and end-systolic volumes and ejection fraction (EF) were analyzed with Simpson's method of discs (monoplane [MP] and biplane [BP]), eyeball method, Teichholz' method, and speckle tracking (ST) methods. Furthermore, fractional area change (FAC) and peak systolic pressure rise (dP/dt) were determined. Each 2D method was evaluated regarding correlation and agreement with 3DE, intra- and interobserver variability and the time required for evaluation. Simpson BP showed the strongest correlation and best agreement with 3DE for EF (limits of agreement 3.7 ± 11.6%) and volumes. Simpson MP showed similar agreement with 3DE compared to ST (2.8 ± 14.5% vs. 2.0 ± 15.3% and 3.8 ± 14.4% vs. 1.9 ± 15.6%, respectively). Both the eyeball method and Teichholz' method showed wide limits of agreement (-1.5 ± 18.2% and 5.2 ± 22.1%, respectively). dP/dt did not correlate with 3DE. FAC and ST FAC showed similar agreement. Application of 3DE (429 ± 108 seconds) took the longest time, and the eyeball method took the shortest time (8 ± 5 seconds) for analysis. Simpson BP is the most accurate intraoperative 2D method to evaluate LV function, followed by long-axis MP evaluations. Short-axis views were less accurate but may be suited for monitoring. We do not recommend using dP/dt.",

author = "M. Grossgasteiger and B. Graser and H. Rauch and J. Motsch and M.D. Hien and Matthias Gondan and C. Rosendal",

year = "2013",

month = jul,

day = "1",

doi = "10.1111/echo.12116",

language = "English",

volume = "30",

pages = "672--681",

journal = "Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques",

issn = "0742-2822",

publisher = "Wiley-Blackwell",

number = "6",

}

TY - JOUR

T1 - Assessment of left ventricular size and function during cardiac surgery

T2 - An intraoperative evaluation of six two-dimensional echocardiographic methods with real time three-dimensional echocardiography as a reference

AU - Grossgasteiger, M.

AU - Graser, B.

AU - Rauch, H.

AU - Motsch, J.

AU - Hien, M.D.

AU - Gondan, Matthias

AU - Rosendal, C.

PY - 2013/7/1

Y1 - 2013/7/1

N2 - Transesophageal echocardiography is recommended to monitor left ventricular (LV) size and function in various operations. Generally, two-dimensional (2D) methods are applied intraoperatively. The aim of this study was to compare the accuracy and feasibility of 6 commonly used 2D methods to assess LV function during surgery. LV function in 120 consecutive patients was evaluated. Real time three-dimensional transesophageal echocardiograpy (3DTEE) served as reference. End-diastolic and end-systolic volumes and ejection fraction (EF) were analyzed with Simpson's method of discs (monoplane [MP] and biplane [BP]), eyeball method, Teichholz' method, and speckle tracking (ST) methods. Furthermore, fractional area change (FAC) and peak systolic pressure rise (dP/dt) were determined. Each 2D method was evaluated regarding correlation and agreement with 3DE, intra- and interobserver variability and the time required for evaluation. Simpson BP showed the strongest correlation and best agreement with 3DE for EF (limits of agreement 3.7 ± 11.6%) and volumes. Simpson MP showed similar agreement with 3DE compared to ST (2.8 ± 14.5% vs. 2.0 ± 15.3% and 3.8 ± 14.4% vs. 1.9 ± 15.6%, respectively). Both the eyeball method and Teichholz' method showed wide limits of agreement (-1.5 ± 18.2% and 5.2 ± 22.1%, respectively). dP/dt did not correlate with 3DE. FAC and ST FAC showed similar agreement. Application of 3DE (429 ± 108 seconds) took the longest time, and the eyeball method took the shortest time (8 ± 5 seconds) for analysis. Simpson BP is the most accurate intraoperative 2D method to evaluate LV function, followed by long-axis MP evaluations. Short-axis views were less accurate but may be suited for monitoring. We do not recommend using dP/dt.

AB - Transesophageal echocardiography is recommended to monitor left ventricular (LV) size and function in various operations. Generally, two-dimensional (2D) methods are applied intraoperatively. The aim of this study was to compare the accuracy and feasibility of 6 commonly used 2D methods to assess LV function during surgery. LV function in 120 consecutive patients was evaluated. Real time three-dimensional transesophageal echocardiograpy (3DTEE) served as reference. End-diastolic and end-systolic volumes and ejection fraction (EF) were analyzed with Simpson's method of discs (monoplane [MP] and biplane [BP]), eyeball method, Teichholz' method, and speckle tracking (ST) methods. Furthermore, fractional area change (FAC) and peak systolic pressure rise (dP/dt) were determined. Each 2D method was evaluated regarding correlation and agreement with 3DE, intra- and interobserver variability and the time required for evaluation. Simpson BP showed the strongest correlation and best agreement with 3DE for EF (limits of agreement 3.7 ± 11.6%) and volumes. Simpson MP showed similar agreement with 3DE compared to ST (2.8 ± 14.5% vs. 2.0 ± 15.3% and 3.8 ± 14.4% vs. 1.9 ± 15.6%, respectively). Both the eyeball method and Teichholz' method showed wide limits of agreement (-1.5 ± 18.2% and 5.2 ± 22.1%, respectively). dP/dt did not correlate with 3DE. FAC and ST FAC showed similar agreement. Application of 3DE (429 ± 108 seconds) took the longest time, and the eyeball method took the shortest time (8 ± 5 seconds) for analysis. Simpson BP is the most accurate intraoperative 2D method to evaluate LV function, followed by long-axis MP evaluations. Short-axis views were less accurate but may be suited for monitoring. We do not recommend using dP/dt.

UR - http://www.scopus.com/inward/record.url?scp=84879788060&partnerID=8YFLogxK

U2 - 10.1111/echo.12116

DO - 10.1111/echo.12116

M3 - Journal article

C2 - 23405969

AN - SCOPUS:84879788060

SN - 0742-2822

VL - 30

SP - 672

EP - 681

JO - Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques

JF - Echocardiography: A Journal of Cardiovascular Ultrasound and Allied Techniques

IS - 6

ER -