Cardiothoracic & vascular anesthesia

Feasibility of Intraoperative 3-Dimensional Speckle-Tracking Echocardiography in Patients Undergoing Surgical Aortic Valve Replacement: A Prospective Observational Pilot Study

J Cardiothorac Vasc AnesthPublished Prospective observational pilot study

Authors' conclusion

3D speckle-tracking-based myocardial deformation analysis from intraoperative TEE datasets is feasible in >60% of patients with aortic valve stenosis. There were no statistically significant differences in GLS, CS, twist, or torsion between the intraoperative examinations.

Study context

Population
Patients undergoing minimally invasive surgical aortic valve replacement
Participants
49 patients
Exposure
After induction vs End of surgery
Outcome
Datasets with quality sufficient for speckle tracking
Methodological detailssingle-centre, tertiary academic cardiac center
  • Single-centre
  • Tertiary academic cardiac center

Main finding

As reported in the abstract

Complete volume datasets with quality sufficient for speckle tracking (of 49)

30

61%

Observational data: associations, not effects.

Further findings

OutcomeP value
Immediate changes after aortic valve replacement (EF, GLS, CS, twist, torsion)End of surgery vs After inductionP = 0.177
Immediate changes after aortic valve replacement (EF, GLS, CS, twist, torsion)End of surgery vs After inductionP = 0.276
Immediate changes after aortic valve replacement (EF, GLS, CS, twist, torsion)End of surgery vs After inductionP = 0.238
Immediate changes after aortic valve replacement (EF, GLS, CS, twist, torsion)End of surgery vs After inductionP = 0.970
Immediate changes after aortic valve replacement (EF, GLS, CS, twist, torsion)End of surgery vs After inductionP = 0.417

Immediate changes after aortic valve replacement (ejection fraction (EF), global longitudinal strain (GLS), circumferential strain (CS), twist, torsion)

No significant differences between the examinations

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Feasibility of Intraoperative 3-Dimensional Speckle-Tracking Echocardiography in Patients Undergoing Surgical Aortic Valve Replacement: A Prospective Observational Pilot Study. J Cardiothorac Vasc Anesth. Published 9 October 2024. doi:10.1053/j.jvca.2024.09.146

Composed by AI from the published abstract and checked against it. How Briefs are made →

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