Cardiothoracic & vascular anesthesia
Tricuspid Annular Plane Systolic Excursion (TAPSE) for the Assessment of Right Ventricular Function in Adult and Pediatric Cardiac Surgery: Modified Two-dimensional and M-mode TAPSE by Transesophageal Echocardiography Compared to M-mode TAPSE by Transthoracic Echocardiography
Authors' conclusion
Modified ME TAPSE is a reliable and reproducible measure of RV function before pericardiotomy in both adult and pediatric cardiac surgery. Right ventricular FAC values reflected the RV systolic function better than TAPSE after pericardiotomy. Deep transgastric TAPSE is reliable and reproducible but is less accurate than Mod-ME TAPSE.
Study context
- Population
- Adult and pediatric patients undergoing cardiac surgery42 adult, 42 pediatric
- Exposure
- TOE-guided 2D and M-mode TAPSE vs to transthoracic echocardiography (TTE)-guided M-mode TAPSE
- Outcome
- Method agreement with TTE TAPSE and reproducibility
Methodological detailsAdult and pediatric operating rooms
- Adult and pediatric operating rooms
Main finding
As reported in the abstract
Bias
−0.97
P = 0.08
adult
Bias
0.17
P = 0.71
pediatric
- Modified midesophageal (Mod-ME) TAPSE interobserver variability, percentage error (adult)
- 10.56
- Mod-ME TAPSE interobserver variability, percentage error (pediatric)
- 4.42
- Mod-ME TAPSE intraobserver variability, percentage error (adults)
- 13.1
- Mod-ME TAPSE intraobserver variability, percentage error (pediatric)
- 12.24
Observational data: associations, not effects.
Further findings
Correlation of Mod-ME TAPSE with right ventricular (RV) fractional area change (FAC)
- R (adult), p = 0.006
- 0.41
- R (pediatric), p < 0.001
- 0.57
- Moderate correlation
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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