Evaluation of adult versus pediatric transesophageal echocardiography probe efficiency for guiding septal puncture during atrial fibrillation ablation

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dc.authorid0000-0002-4607-5724
dc.authorid0000-0001-9975-5507
dc.authorid0000-0003-1919-3183
dc.authorid0000-0001-5825-8627
dc.contributor.authorGüler, Ekrem
dc.contributor.authorBabür Güler, Gamze
dc.contributor.authorDemir, Gültekin Günhan
dc.contributor.authorKızılırmak, Filiz
dc.contributor.authorGüneş, Hacı Murat
dc.contributor.authorBarutçu, İrfan
dc.contributor.authorTürkmen, Muhsin
dc.contributor.authorKılıçaslan, Fethi
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:51:55Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:51:55Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.descriptionWOS: 000357607900008
dc.descriptionPubMed ID: 25363846
dc.description.abstractPurposeTransesophageal echocardiography (TEE) has a pivotal role in invasive cardiology practice in terms of guiding a variety of procedures. It is challenging to perform TEE examination with sedated patients due to difficulties in cooperation and positioning the patient properly, therefore the risk of complications is escalated. We aimed to assess the impact of pediatric TEE probe utilization on procedural success and complication rates; in comparison with conventional adult TEE probe. MethodsFifty-eight patients undergoing atrial fibrillation (AF) ablation with TEE guidance were enrolled and patients were grouped based on probe size: Group 1 (n=35) included patients undergoing the procedure with adult TEE probe guidance and Group 2 (n=23) included patients with pediatric TEE probe guidance. Procedural success, postprocedural odynophagia and periprocedural intra-oral bleeding frequency, number of intubation attempts, TEE imaging time, and midazolam doses for both groups were compared. ResultsOdynophagia frequency was significantly higher in Group 1 (25.7% [n=9] vs. 0%, P=0.008) besides oral mucosal bleeding was also higher in Group 1, although the difference did not reach statistical significance (5.7% [n=2] vs. 0%, P=0.513). Number of repeated attempts was lower in Group 2 (median, 1; range [3-1] vs. 1, [1-1], P=0.038). Image resolutions and septal puncture success rates were similar for both groups. Total imaging time with TEE was significantly shorter in Group 2 (6.41.8min vs. 3.6 +/- 0.9min, P<0.001). Midazolam dose was lower in Group 2 (7.0 +/- 1.7 vs. 6.2 +/- 1.7, P=0.065). ConclusionUsing TEE probes with smaller size for guiding invasive percutaneous procedures performed in cardiac catheterization laboratory decreased TEE-associated complication rates and enhanced patient comfort without any negative effect on procedural success.
dc.identifier.citationGüler, E., Babür Güler, G., Demir, G. G., Kızılırmak, F., Güneş, H. M., Barutçu, İ. ... Kılıçaslan, F. (2015). Evaluation of adult versus pediatric transesophageal echocardiography probe efficiency for guiding septal puncture during atrial fibrillation ablation. Echocardiography, 32(7), 1109-1114. https://dx.doi.org/10.1111/echo.12821
dc.identifier.doi10.1111/echo.12821
dc.identifier.endpage1114
dc.identifier.issn0742-2822
dc.identifier.issn1540-8175
dc.identifier.issue7
dc.identifier.scopusqualityQ2
dc.identifier.startpage1109
dc.identifier.urihttps://dx.doi.org/10.1111/echo.12821
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2307
dc.identifier.volume32
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBlackwell Publishing
dc.relation.ispartofEchocardiographyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectTransesophageal Echocardiography
dc.subjectAtrial Fibrillation
dc.subjectCatheter Ablation
dc.titleEvaluation of adult versus pediatric transesophageal echocardiography probe efficiency for guiding septal puncture during atrial fibrillation ablation
dc.typeArticle

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