دورية أكاديمية
Three-dimensional transoesophageal echocardiography for cardiac output in critically ill patients: A pilot study of ultrasound versus the thermodilution method ; Intérêt de l’échocardiographie trans-œsophagienne tridimensionnelle pour évaluer le débit cardiaque chez les patients admis en réanimation : étude pilote
| العنوان: | Three-dimensional transoesophageal echocardiography for cardiac output in critically ill patients: A pilot study of ultrasound versus the thermodilution method ; Intérêt de l’échocardiographie trans-œsophagienne tridimensionnelle pour évaluer le débit cardiaque chez les patients admis en réanimation : étude pilote |
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| المؤلفون: | Hammoudi, Nadjib, Hékimian, Guillaume, Laveau, Florent, Achkar, Marc, Isnard, Richard, Combes, Alain |
| المساهمون: | Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases (ICAN), Université Pierre et Marie Curie - Paris 6 (UPMC)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière AP-HP, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU) |
| المصدر: | ISSN: 1875-2136. |
| بيانات النشر: | HAL CCSD Elsevier/French Society of Cardiology |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | TOE, Cardiac output, Ultrasound, Intensive care unit, 3D, ETO, Ultrasons, Débit cardiaque, Réanimation, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system |
| الوصف: | International audience ; BackgroundThree-dimensional transoesophageal echocardiography (3D-TOE) is a new noninvasive tool for quantitative assessment of left ventricular (LV) volumes and ejection fraction.AimThe objective of this pilot study was to evaluate the feasibility and accuracy of 3D-TOE for the estimation of cardiac output (CO), using transpulmonary thermodilution with the Pulse index Contour Continuous Cardiac Output (PiCCO) system as the reference method, in intensive care unit (ICU) patients.MethodsFifteen ICU patients on mechanical ventilation prospectively underwent PiCCO catheter implantation and 3D-TOE. 3D-TOE LV end-diastolic and end-systolic volumes were determined using semi-automated software. CO was calculated as the product of LV stroke volume (end-diastolic volume − end-systolic volume) multiplied by heart rate. CO was also determined invasively by transpulmonary thermodilution as the reference method.ResultsAmong 30 haemodynamic evaluations, 29 (97%) LV 3D-TOE datasets were suitable for CO calculation. The mean 3D-TOE image acquisition and post-processing times were 46 and 155 seconds, respectively. There was a correlation (r = 0.78; P < 0.0001) between PiCCO and 3D-TOE CO. Compared with PiCCO, the 3D-TOE CO mean bias was 0.38 L/min, with limits of agreement of −1.97 to 2.74 L/min.ConclusionsNoninvasive estimation of CO by 3D-TOE is feasible in ICU patients. This new semi-automated modality is an additional promising tool for noninvasive haemodynamic assessment of ICU patients. However, the wide limits of agreement with thermodilution observed in this pilot study require further investigation in larger cohorts of patients. ; ContexteL’échocardiographie trans-œsophagienne tridimensionelle (ETO-3D) est une nouvelle modalité non invasive d’évaluation des volumes et de la fraction d’éjection du ventricule gauche (VG).ObjectifÉvaluer la faisabilité et la performance de l’ETO-3D comparativement à la thermodilution transpulmonaire par méthode PiCCO pour la mesure du débit cardiaque ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | hal-01445098; https://hal.sorbonne-universite.fr/hal-01445098Test; https://hal.sorbonne-universite.fr/hal-01445098/documentTest; https://hal.sorbonne-universite.fr/hal-01445098/file/Hammoudi_Three-dimensional.pdfTest |
| DOI: | 10.1016/j.acvd.2016.04.009 |
| الإتاحة: | https://doi.org/10.1016/j.acvd.2016.04.009Test https://hal.sorbonne-universite.fr/hal-01445098Test https://hal.sorbonne-universite.fr/hal-01445098/documentTest https://hal.sorbonne-universite.fr/hal-01445098/file/Hammoudi_Three-dimensional.pdfTest |
| حقوق: | info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.F73BE784 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.acvd.2016.04.009 |
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