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首页> 外文期刊>Anaesthesia and intensive care >The impact of intraoperative transoesophageal echocardiography on an unselected cardiac surgical population: a review of 2343 cases.
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The impact of intraoperative transoesophageal echocardiography on an unselected cardiac surgical population: a review of 2343 cases.

机译：术中经食道超声心动图检查对未选定的心脏外科手术人群的影响：回顾2343例。

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摘要

Although intraoperative transoesophageal echocardiography (TOE) has an established role in the management of some cardiac surgical procedures, there is little data on its impact on coronary artery bypass graft (CABG) cases that are stratified for clinical risk. This is a retrospective review of the surgical impact of intraoperative TOE on 2,343 unselected cardiac cases. The surgical impact of TOE findings were rated E (essential)--resulted in changes to the proposed surgical procedure or V (valuable)--the surgical technique for the planned surgery was altered. The surgical impact that routine TOE had on low-, medium- and high-risk CABG cases was also examined. The surgical impact of TOE for the total study population (E + V) was 4.5%. The impact was greatest in combined CABG + mitral valve procedures (18%). The impact in CABG cases was 3.5% overall, with an estimated impact in low-risk patients of 2.8% (95% CI. 2.7-3.0%) versus 6.7% (95% CI. 5.9-7.7%) in high-risk cases. The commonest E-impact in CABG patients was unscheduled valve surgery (2.6% of high-risk patients). The complication rate attributable to TOE was 0.09%. These findings provide indirect evidence for a potential patient benefit from the routine use of TOE in cardiac surgery.
机译：尽管术中经食道超声心动图（TOE）在某些心脏外科手术程序的管理中已确立作用，但关于其对冠状动脉搭桥术（CABG）病例的临床风险分层影响尚无数据。这是对术中TOE对2,343例未选心脏病例的手术影响的回顾性回顾。将TOE结果的手术影响评定为E（基本）（对拟议的手术程序进行了更改而得出的结果）或V（有价值）-改变了计划手术的手术方法。还检查了常规TOE对低，中和高风险CABG病例的手术影响。 TOE对整个研究人群（E + V）的手术影响为4.5％。 CABG +二尖瓣联合手术的影响最大（18％）。 CABG病例的总体影响为3.5％，低风险患者的估计影响为2.8％（95％CI。2.7-3.0％），而高风险病例为6.7％（95％CI。5.9-7.7％） 。 CABG患者中最常见的电子影响是计划外瓣膜手术（占高危患者的2.6％）。 TOE引起的并发症发生率为0.09％。这些发现为心脏手术中常规使用TOE可能为患者带来的益处提供了间接证据。

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