6. TEE for Coronary Artery Bypass Graft (CABG) Surgery - Part 1

Optimal TEE Techniques for CABG Surgery - Part 1: Focus on Left Ventricular Function Assessment

 

In this episode of TEE Time, Dr. Andreas Plackis explores the use of Transesophageal Echocardiography (TEE) during Coronary Artery Bypass Grafting (CABG) surgery. The focus is on assessing left ventricular (LV) function, including global and regional function, using methods like the eyeball test, Simpson's biplane method, and 3D quantification. Additionally, Dr. Plackis discusses when CABG is preferable to PCI, the importance of TEE in high-risk CABG patients, and how to detect wall motion abnormalities indicative of coronary artery issues. Stay tuned for part two, which will cover valvular assessment and post-myocardial infarction complications.

 

00:00 Introduction to TEE for CABG Surgery

01:18 Understanding CABG vs PCI

02:43 Importance of TEE in CABG Surgery

03:45 Assessing Global LV Function

05:11 Simpson's Biplane Method

06:42 3D Quantification of LV Function

08:38 Regional LV Function and Wall Motion Abnormalities

12:34 Practical Tips for TEE in CABG Surgery

14:29 Conclusion and Next Steps

 

Keywords: Wall thickening, Simpson’s Biplane, paradoxical motion, global LV function, LV function, chamber quantification, mitral annulus, low-risk CABG, left circumflex lesion, 3D echocardiographic measurements, post-MI complications, end systolic volume, CABG, TEE, moderate valvular disease, 2D echocardiography, akinesis, syntax score, transgastric view, high-risk CABG, graft failure, coronary artery disease, end diastolic volume, mid esophageal view, LAD lesion, inferoseptal wall, mechanical complications, ventricular function, intraoperative TEE, regional assessment, TEE guidelines, surgical interventions, Philips system, ASE recommendations, RCA lesion, anterior wall, thrombosis, dyskinesis, left ventricle, cardiac surgery, myocardial infarction, modified Simpson’s rule, PCI, diabetic patients, 3D quantification, bypass surgery, hypokinesis, inferolateral wall, eyeball test, wall motion abnormalities.

 

DISCLAIMER: This podcast provides recommendations intended for educational purposes only and should not be used as the sole basis for making medical decisions. The information reflects expert opinions rather than scientifically-verified data, and no express or implied warranties are made regarding its accuracy, completeness, or fitness for any particular purpose. Listeners are encouraged to verify all information independently and consult additional reliable sources. Neither the authors, publishers, nor any parties involved assume responsibility for any errors, omissions, or outcomes resulting from the use of this material. All non-original material featured in this podcast is either used with explicit permission from the copyright owner or is believed to fall under the Fair Use provisions of U.S. copyright law for purposes such as education, commentary, and criticism. If you believe any material has been used improperly, please contact the author directly so the matter can be promptly reviewed and addressed.

 

#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #SurgeryPodcast #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE 

 #LVFunction #ChamberQuantification #CABG #CoronaryArteryDisease #LeftVentricle #WallMotionAbnormalities