Cardiothoracic & vascular anesthesia
Gastrointestinal Complications After Transesophageal Echocardiography for Mitral Valve Transcatheter Edge-to-Edge Repair: Insights From a Large Contemporary Cohort
Authors' conclusion
In patients undergoing MV-TEER, TEE-RCs are uncommon, and major complications are rare.
Study context
- Population
- Consecutive patients undergoing mitral valve transcatheter edge-to-edge repair (MV-TEER) with MitraClip guided by intraoperative TEE, December 2015 to March 2022
- Participants
- 442 consecutive patients
- Exposure
- Transesophageal echocardiography-related complications (TEE-RCs) vs no complications
- TEE-RCsn = 17
- Outcome
- Association between TEE procedure duration and TEE-RC risk
Methodological detailssingle-centre, tertiary academic hospital, consecutive patients, TEE performed by cardiac anesthesiologists in a high-volume referral center
- Single-centre
- Tertiary academic hospital
- Consecutive patients
- TEE performed by cardiac anesthesiologists in a high-volume referral center
Main finding
As reported in the abstract
TEE procedure duration
Observational data: associations, not effects.
Further findings
History of dysphagia as risk factor for TEE-RCs
| TEE-RCs | No complications | RR (95% CI) | P value | ||
|---|---|---|---|---|---|
| History of dysphagiaOnly variable associated with TEE-RCs | 18% | 2.1% | 8.67 (2.57–29.16) | P = 0.008 | |
| 0.050.21520Relative risk (log scale) |
Safety
TEE-related complications (TEE-RC)
- TEE-RCs observed
- 17 out of 442 patients (3.8%)
- Dysphagia (most common TEE-RC)
- n = 9/17, 53%
- New gastroesophageal reflux
- n = 6/17, 35%
- Odynophagia
- n = 3/17, 18%
- Esophageal perforations or upper gastrointestinal bleeds
- 0
Original publication
Gastrointestinal Complications After Transesophageal Echocardiography for Mitral Valve Transcatheter Edge-to-Edge Repair: Insights From a Large Contemporary Cohort. J Cardiothorac Vasc Anesth. Published 5 June 2023. doi:10.
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