Quantitative Analysis of Left Ventricular Regional Wall Motion with Color Kinesis during Abdominal Aortic Cross-Clamping

Ken Yamaura, Sumio Hoka, Hirotsugu Okamoto, Shosuke Takahashi

研究成果: ジャーナルへの寄稿学術誌査読

3 被引用数 (Scopus)

抄録

Objectives: The authors aimed to establish a technique for quantitative analysis of regional wall motion abnormality (RWMA) using color kinesis (CK) of transesophageal echocardiography (TEE) in surgical patients. This technique was used to determine whether RWMAs develop de novo after infrarenal aortic cross-clamping in patients undergoing vascular surgery with a preoperative dipyridamole thallium stress test (DTST). Design: An observational study. Setting: University hospital. Participants: Thirty-eight patients undergoing infrarenal abdominal aortic aneurysm resection or aortofemoral bypass. Measurements and Main Results: CK images of the left ventricle (LV) were obtained from the midventricular transgastric short-axis view before and after infrarenal aortic cross-clamping using TEE and analyzed off-line using custom software. The predictive value of the category "reversible perfusion defect" (RD) was also estimated from DTST for predicting new RWMAs with CK. CK analysis is suitable for clinical use based on the comparison with conventional two-dimensional echocardiogram measurements and inter-observer variability. CK analysis showed all 7 patients with persistent perfusion defects on DTST had RWMAs. New RWMAs occurred in 2 of 9 patients with RD and in 2 of 15 patients with normal DTST, indicating that there was no significant difference between RD and normal DTST in the incidence of new RWMAs. Conclusions: A new method is available for clinical use, which is capable of visualizing RWMAs. These results suggest that new RWMAs introduced by aortic cross-clamping occur irrespective of the risk as assessed by preoperative DTST. CK with the new analysis method might be a useful tool to quantitatively evaluate RWMAs during surgery.

本文言語英語
ページ(範囲)703-708
ページ数6
ジャーナルJournal of Cardiothoracic and Vascular Anesthesia
17
6
DOI
出版ステータス出版済み - 12月 2003

!!!All Science Journal Classification (ASJC) codes

  • 循環器および心血管医学
  • 麻酔学および疼痛医療

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