Nazan ATALAN, Türkan KUDSİOĞLU, Nihan YAPICI, Zuhal AYKAÇ, Murat SARGIN, Serap Aykut AKA, Müge Taşdemir METE, Gökçen ORHAN

Mekanik dolaşım desteği uygulamalarında ameliyat sırası transözofageal ekokardiyografinin önemi

Amaç: Bu çalışmada ameliyat sırasında transözofageal ekokardiyografi (TÖE) ile takibin sol ventrikül destek cihazı veya ekstrakorporeal membran oksijenatör (ECMO) takılan hastalara bu cihazların kalıcı veya kısa süreli takılmasında yol göstericiliğinin önemi vurgulandı.Çalışmaplanı:Ocak 2012 - Mart 2014 tarihleri arasında kliniğimizde mekanik dolaşım desteği (sol ventrikül destek sistemi, ECMO) gereken kardiyomiyopati veya ciddi akut kardiyojenik şoktaki 26 hastanın ameliyat sırasındaki TÖE bulguları kaydedildi.Bul gu lar: Mekanik dolaşım destek sistemleri takılan hastalarda ventrikül fonksiyonları, cihazın yerleşimi ve etkin çalışması ameliyat sırası TÖE ile izlendi. Gerekli tedavi ve cerrahi düzeltmeler TÖE rehberliğinde yapıldı ve ilgili veriler kaydedildi.So nuç: Hastaların ameliyat sırası TÖE ile değerlendirilmesi, zamanında ve doğru tedavi yaklaşımının yanı sıra iyi bir hemodinamik monitorizasyon sağlayarak mekanik destek sistemlerinin yerleştirilmesinde başarıyı artırabilir.

The importance of intraoperative transesophageal echocardiography in mechanical circulatory support systems implantations

Background: This study aims to emphasize the significance of guidance provided with intraoperative transesophageal echocardiography (TEE) for patients getting left ventricular assist device or extracorporeal membrane oxygenation (ECMO) installed transiently or permanently. Methods: Intraoperative TEE findings of 26 patients with cardiomyopathy or severe acute cardiogenic shock, which required mechanical circulatory support (left ventricular assist device, ECMO), were recorded in our clinic between January 2012 and March 2014. Results: Ventricular functions, and placement and effective functioning of the device were monitored with intraoperative TEE in patients receiving mechanical circulatory support. Required treatments and surgical corrections were performed with the guidance of TEE, and related data were recorded. Conclusion: The evaluation of patients with intraoperative TEE may allow punctual and accurate identification of treatment approach and good hemodynamic monitorization, thus facilitating successful application of mechanical support systems.

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