Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Evaluation of Vegetation Size and Its Relationship With Embolism in Infective Endocarditis A Real-Time 3-Dimensional Transesophageal Echocardiography Study

Evaluation of Vegetation Size and Its Relationship With Embolism in Infective Endocarditis A... Valvular Heart Disease Evaluation of Vegetation Size and Its Relationship With Embolism in Infective Endocarditis A Real-Time 3-Dimensional Transesophageal Echocardiography Study Javier Berdejo, MD; Kentaro Shibayama, MD; Kenji Harada, MD; Jun Tanaka, MD; Hirotsugu Mihara, MD; Swaminatha V. Gurudevan, MD; Robert J. Siegel, MD; Takahiro Shiota, MD Background—Two-dimensional (2D) echocardiography studies have shown that the maximum length of vegetation (MLV) ≥10 mm is a predictor of embolic events (EEs) in patients with infective endocarditis. However, 2D measurements probably underestimate the vegetation dimensions. In this study, we evaluated the feasibility of real-time 3-dimensional transesophageal echocardiography (RT3DTEE) in determining MLV and its accuracy in identifying the risk for EEs compared with 2D transesophageal echocardiography (2DTEE). Methods and Results—We analyzed 60 patients with vegetations. RT3DTEE measurement of MLV was obtained with Advanced QLAB Quantification Software by cropping the 3D volume with the appropriate 2D plane to obtain the largest value. The standard 2DTEE images were also evaluated to determine the MLV. Major EEs were registered from medical records, and a logistic regression analysis was performed to determine the association between MLV and EEs. The RT3DTEE MLV was larger than the 2DTEE value with a mean difference of 3.2 mm (95% confidence interval, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Circulation: Cardiovascular Imaging Wolters Kluwer Health

Evaluation of Vegetation Size and Its Relationship With Embolism in Infective Endocarditis A Real-Time 3-Dimensional Transesophageal Echocardiography Study

Shiota, Takahiro
Circulation: Cardiovascular Imaging , Volume 7 (1) – Jan 1, 2014
Download PDF
6 pages

Loading next page...
 
/lp/wolters-kluwer-health/evaluation-of-vegetation-size-and-its-relationship-with-embolism-in-0eFXkt1N3j

References

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Copyright
© 2013 American Heart Association, Inc.
ISSN
1941-9651
eISSN
1942-0080
DOI
10.1161/CIRCIMAGING.113.000938
pmid
24214886
Publisher site
See Article on Publisher Site

Abstract

Valvular Heart Disease Evaluation of Vegetation Size and Its Relationship With Embolism in Infective Endocarditis A Real-Time 3-Dimensional Transesophageal Echocardiography Study Javier Berdejo, MD; Kentaro Shibayama, MD; Kenji Harada, MD; Jun Tanaka, MD; Hirotsugu Mihara, MD; Swaminatha V. Gurudevan, MD; Robert J. Siegel, MD; Takahiro Shiota, MD Background—Two-dimensional (2D) echocardiography studies have shown that the maximum length of vegetation (MLV) ≥10 mm is a predictor of embolic events (EEs) in patients with infective endocarditis. However, 2D measurements probably underestimate the vegetation dimensions. In this study, we evaluated the feasibility of real-time 3-dimensional transesophageal echocardiography (RT3DTEE) in determining MLV and its accuracy in identifying the risk for EEs compared with 2D transesophageal echocardiography (2DTEE). Methods and Results—We analyzed 60 patients with vegetations. RT3DTEE measurement of MLV was obtained with Advanced QLAB Quantification Software by cropping the 3D volume with the appropriate 2D plane to obtain the largest value. The standard 2DTEE images were also evaluated to determine the MLV. Major EEs were registered from medical records, and a logistic regression analysis was performed to determine the association between MLV and EEs. The RT3DTEE MLV was larger than the 2DTEE value with a mean difference of 3.2 mm (95% confidence interval,

Journal

Circulation: Cardiovascular Imaging – Wolters Kluwer Health

Published: Jan 1, 2014

There are no references for this article.