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Erschienen in: Der Anaesthesist 3/2006

01.03.2006 | Weiterbildung • Zertifizierte Fortbildung

Perioperative Echokardiographie

Technische Grundlagen für den Kliniker

verfasst von: M. Nowak, P. Rosenberger, T. W. Felbinger, A. E. Götz, S. K. Shernan, K. Unertl, PD Dr. H. K. Eltzschig

Erschienen in: Die Anaesthesiologie | Ausgabe 3/2006

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Zusammenfassung

Die intraoperative Echokardiographie hat sich innerhalb der Anästhesiologie und Intensivmedizin während der letzten Jahre zu einem modernen Verfahren der perioperativen kardialen Diagnostik und Patientenüberwachung entwickelt. Fortschritte in der Bildaufbereitung und die Entwicklung neuer Schallwandlertechniken für die transösophageale Echokardiographie (TEE) haben hierzu in besonderem Maß beigetragen. Durch die Einführung multiplaner TEE-Sonden mit integrierter Doppler-Echokardiographiekapazität steht dem klinisch tätigen Anästhesisten eine neue Technik zur Verfügung, um Herzkammern, Herzklappen sowie die großen Gefäße qualitativ und quantitativ zu beurteilen. Die Kenntnis der physikalisch-technischen Grundlagen der Echokardiographie ist eine wichtige Voraussetzung, um diese Technologie erfolgreich am Patienten einzusetzen. Der vorliegende Übersichtsbeitrag beschreibt die verschiedenen Formen der Echokardiographie (M-mode, 2D- und Doppler-Echokardiographie) und deren spezifische Anwendungsmöglichkeiten. Zusätzlich werden die typischen Artefakte, die bei der Anwendung von Echokardiographieverfahren auftreten können, dargestellt und deren Beurteilung, Erkennung und Vermeidung erläutert.
Literatur
1.
Zurück zum Zitat Aggarwal K, Moos S, Philpot E et al. (1989) Color velocity determination using pixel color intensity in Doppler color flow mapping. Echocardiography 6: 473 Aggarwal K, Moos S, Philpot E et al. (1989) Color velocity determination using pixel color intensity in Doppler color flow mapping. Echocardiography 6: 473
2.
Zurück zum Zitat Alvarez H, Levi S (1984) Normal and pathological ultrasonography of the fetal brain. Ultrasound Med Biol 10: 61–77CrossRefPubMed Alvarez H, Levi S (1984) Normal and pathological ultrasonography of the fetal brain. Ultrasound Med Biol 10: 61–77CrossRefPubMed
3.
Zurück zum Zitat Appelbe AF, Walker PG, Yeoh JK et al. (1993) Clinical significance and origin of artifacts in transesophageal echocardiography of the thoracic aorta. J Am Coll Cardiol 21: 754–760PubMed Appelbe AF, Walker PG, Yeoh JK et al. (1993) Clinical significance and origin of artifacts in transesophageal echocardiography of the thoracic aorta. J Am Coll Cardiol 21: 754–760PubMed
4.
Zurück zum Zitat Arranz J, Riesgo M, Moreno M et al. (1998) Changes in therapeutic attitude based on transesophageal echocardiography in cardiac surgery. Rev Esp Anestesiol Reanim 45: 27–29PubMed Arranz J, Riesgo M, Moreno M et al. (1998) Changes in therapeutic attitude based on transesophageal echocardiography in cardiac surgery. Rev Esp Anestesiol Reanim 45: 27–29PubMed
5.
Zurück zum Zitat Augoustides JG, Hosalkar HH, Savino JS (2005) Utility of transthoracic echocardiography in diagnosis and treatment of cardiogenic shock during noncardiac surgery. J Clin Anesth 17: 488–489CrossRefPubMed Augoustides JG, Hosalkar HH, Savino JS (2005) Utility of transthoracic echocardiography in diagnosis and treatment of cardiogenic shock during noncardiac surgery. J Clin Anesth 17: 488–489CrossRefPubMed
6.
Zurück zum Zitat Bacon DR (1984) Finite amplitude distortion of the pulsed fields used in diagnostic ultrasound. Ultrasound Med Biol 10: 189–195PubMed Bacon DR (1984) Finite amplitude distortion of the pulsed fields used in diagnostic ultrasound. Ultrasound Med Biol 10: 189–195PubMed
7.
Zurück zum Zitat Baker DW, Rubenstein SA, Lorch GS (1977) Pulsed Doppler echocardiography: principles and applications. Am J Med 63: 69–80CrossRefPubMed Baker DW, Rubenstein SA, Lorch GS (1977) Pulsed Doppler echocardiography: principles and applications. Am J Med 63: 69–80CrossRefPubMed
8.
Zurück zum Zitat Bansal RC, Shakudo M, Shah PM (1990) Biplane transesophageal echocardiography: technique, image orientation, and preliminary experience in 131 patients. J Am Soc Echocardiogr 3: 348–366PubMed Bansal RC, Shakudo M, Shah PM (1990) Biplane transesophageal echocardiography: technique, image orientation, and preliminary experience in 131 patients. J Am Soc Echocardiogr 3: 348–366PubMed
9.
Zurück zum Zitat Berger M, Berdoff RL, Gallerstein PE, Goldberg E (1984) Evaluation of aortic stenosis by continuous wave Doppler ultrasound. J Am Coll Cardiol 3: 150–156PubMed Berger M, Berdoff RL, Gallerstein PE, Goldberg E (1984) Evaluation of aortic stenosis by continuous wave Doppler ultrasound. J Am Coll Cardiol 3: 150–156PubMed
10.
Zurück zum Zitat Bolger AF, Eigler NL, Pfaff JM et al. (1988) Computer analysis of Doppler color flow mapping images for quantitative assessment of in vitro fluid jets. J Am Coll Cardiol 12: 450–457PubMed Bolger AF, Eigler NL, Pfaff JM et al. (1988) Computer analysis of Doppler color flow mapping images for quantitative assessment of in vitro fluid jets. J Am Coll Cardiol 12: 450–457PubMed
11.
Zurück zum Zitat Bom K, de Boo J, Rijsterborgh H (1984) On the aliasing problem in pulsed Doppler cardiac studies. J Clin Ultrasound 12: 559–567PubMed Bom K, de Boo J, Rijsterborgh H (1984) On the aliasing problem in pulsed Doppler cardiac studies. J Clin Ultrasound 12: 559–567PubMed
12.
Zurück zum Zitat Bom N, Lancee CT, Honkoop J, Hugenholtz PG (1971) Ultrasonic viewer for cross-sectional analyses of moving cardiac structures. Biomed Eng 6: 500–503, 505PubMed Bom N, Lancee CT, Honkoop J, Hugenholtz PG (1971) Ultrasonic viewer for cross-sectional analyses of moving cardiac structures. Biomed Eng 6: 500–503, 505PubMed
13.
Zurück zum Zitat Bom N, Lancee CT, van Zwieten G et al. (1973) Multiscan echocardiography. I. Technical description. Circulation 48: 1066–1074PubMed Bom N, Lancee CT, van Zwieten G et al. (1973) Multiscan echocardiography. I. Technical description. Circulation 48: 1066–1074PubMed
14.
Zurück zum Zitat Burns PN (1987) The physical principles of Doppler and spectral analysis. J Clin Ultrasound 15: 567–590 Burns PN (1987) The physical principles of Doppler and spectral analysis. J Clin Ultrasound 15: 567–590
15.
Zurück zum Zitat Cahalan MK, Abel M, Goldman M et al. (2002) American Society of Echocardiography and Society of Cardiovascular Anesthesiologists task force guidelines for training in perioperative echocardiography. Anesth Analg 94: 1384–1388PubMed Cahalan MK, Abel M, Goldman M et al. (2002) American Society of Echocardiography and Society of Cardiovascular Anesthesiologists task force guidelines for training in perioperative echocardiography. Anesth Analg 94: 1384–1388PubMed
16.
Zurück zum Zitat Casty M, Giddens DP (1984) 25+1 channel pulsed ultrasound Doppler velocity meter for quantitative flow measurements and turbulence analysis. Ultrasound Med Biol 10: 161–172CrossRefPubMed Casty M, Giddens DP (1984) 25+1 channel pulsed ultrasound Doppler velocity meter for quantitative flow measurements and turbulence analysis. Ultrasound Med Biol 10: 161–172CrossRefPubMed
17.
Zurück zum Zitat Click RL, Abel MD, Schaff HV (2000) Intraoperative transesophageal echocardiography: 5-year prospective review of impact on surgical management. Mayo Clin Proc 75: 241–247PubMed Click RL, Abel MD, Schaff HV (2000) Intraoperative transesophageal echocardiography: 5-year prospective review of impact on surgical management. Mayo Clin Proc 75: 241–247PubMed
18.
Zurück zum Zitat Daniel WG, Pearlman AS, Hausmann D et al. (1993) Initial experience and potential applications of multiplane transesophageal echocardiography. Am J Cardiol 71: 358–361CrossRefPubMed Daniel WG, Pearlman AS, Hausmann D et al. (1993) Initial experience and potential applications of multiplane transesophageal echocardiography. Am J Cardiol 71: 358–361CrossRefPubMed
19.
Zurück zum Zitat Ebina T, Oka S, Tanaka M et al. (1967) The ultrasono-tomography for the heart and great vessels in living human subjects by means of the ultrasonic reflection technique. Jpn Heart J 8: 331–353PubMed Ebina T, Oka S, Tanaka M et al. (1967) The ultrasono-tomography for the heart and great vessels in living human subjects by means of the ultrasonic reflection technique. Jpn Heart J 8: 331–353PubMed
20.
Zurück zum Zitat Eden A (1994) The man behind the technique: in the steps of Christian Doppler. J Hist Neurosci 3: 35–43PubMed Eden A (1994) The man behind the technique: in the steps of Christian Doppler. J Hist Neurosci 3: 35–43PubMed
21.
Zurück zum Zitat Edrich T, Felbinger TW, Rosenberger P et al. (2003) Epicardial echocardiography intraoperative diagnostic utility to assess valve function. Anaesthesist 52: 1152–1157CrossRefPubMed Edrich T, Felbinger TW, Rosenberger P et al. (2003) Epicardial echocardiography intraoperative diagnostic utility to assess valve function. Anaesthesist 52: 1152–1157CrossRefPubMed
22.
Zurück zum Zitat Edrich T, Shernan SK, Smith B, Eltzschig HK (2003) Usefulness of intraoperative epiaortic echocardiography to resolve discrepancy between transthoracic and transesophageal measurements of aortic valve gradient – a case report. Can J Anaesth 50: 293–296PubMed Edrich T, Shernan SK, Smith B, Eltzschig HK (2003) Usefulness of intraoperative epiaortic echocardiography to resolve discrepancy between transthoracic and transesophageal measurements of aortic valve gradient – a case report. Can J Anaesth 50: 293–296PubMed
23.
Zurück zum Zitat Eggleton R et al. (1975) Ultrasound in medicine. Plenum, New York Eggleton R et al. (1975) Ultrasound in medicine. Plenum, New York
24.
Zurück zum Zitat Eggleton R, Johnston K (1974) Real-time mechanical scanning system compared with array techniques. I.I.E.E.E. Proc. Sonics Ultrasonics. Cat. No. 74-CH 0896-1 Eggleton R, Johnston K (1974) Real-time mechanical scanning system compared with array techniques. I.I.E.E.E. Proc. Sonics Ultrasonics. Cat. No. 74-CH 0896-1
25.
Zurück zum Zitat Ehlers R, Felbinger TW, Eltzschig HK (2002) Lowering cardiac risk in noncardiac surgery. N Engl J Med 346: 1096–1097CrossRef Ehlers R, Felbinger TW, Eltzschig HK (2002) Lowering cardiac risk in noncardiac surgery. N Engl J Med 346: 1096–1097CrossRef
26.
Zurück zum Zitat Eltzschig HK, Ehlers R (2001) Noninvasive tests in patients with stable coronary artery disease. N Engl J Med 345: 1351CrossRef Eltzschig HK, Ehlers R (2001) Noninvasive tests in patients with stable coronary artery disease. N Engl J Med 345: 1351CrossRef
27.
Zurück zum Zitat Eltzschig HK, Goetz AE, Schroeder TH et al. (2002) Transesophageal echocardiography: perioperative evaluation of valvular function. Anaesthesist 51: 81–102CrossRefPubMed Eltzschig HK, Goetz AE, Schroeder TH et al. (2002) Transesophageal echocardiography: perioperative evaluation of valvular function. Anaesthesist 51: 81–102CrossRefPubMed
28.
Zurück zum Zitat Eltzschig HK, Kallmeyer IJ, Mihaljevic T et al. (2003) A practical approach to a comprehensive epicardial and epiaortic echocardiographic examination. J Cardiothorac Vasc Anesth 17: 422–429CrossRefPubMed Eltzschig HK, Kallmeyer IJ, Mihaljevic T et al. (2003) A practical approach to a comprehensive epicardial and epiaortic echocardiographic examination. J Cardiothorac Vasc Anesth 17: 422–429CrossRefPubMed
29.
Zurück zum Zitat Eltzschig HK, Lekowski RW Jr, Shernan SK et al. (2002) Intraoperative transesophageal echocardiography to assess septic coronary embolism. Anesthesiology 97: 1627–1629CrossRefPubMed Eltzschig HK, Lekowski RW Jr, Shernan SK et al. (2002) Intraoperative transesophageal echocardiography to assess septic coronary embolism. Anesthesiology 97: 1627–1629CrossRefPubMed
30.
Zurück zum Zitat Eltzschig HK, Mihaljevic T, Byrne JG et al. (2002) Echocardiographic evidence of right ventricular remodeling after transplantation. Ann Thorac Surg 74: 584–586CrossRefPubMed Eltzschig HK, Mihaljevic T, Byrne JG et al. (2002) Echocardiographic evidence of right ventricular remodeling after transplantation. Ann Thorac Surg 74: 584–586CrossRefPubMed
31.
Zurück zum Zitat Eltzschig HK, Shernan SK, Rosenberger P (2004) Ischemic mitral regurgitation during temporary coronary-artery ligation. N Engl J Med 350: 2424–2425CrossRefPubMed Eltzschig HK, Shernan SK, Rosenberger P (2004) Ischemic mitral regurgitation during temporary coronary-artery ligation. N Engl J Med 350: 2424–2425CrossRefPubMed
32.
Zurück zum Zitat Eltzschig HK, Sugarbaker DJ, Felbinger TW (2004) Effusive-constrictive pericarditis. N Engl J Med 350: 2310–2312; author reply 2310–2312CrossRef Eltzschig HK, Sugarbaker DJ, Felbinger TW (2004) Effusive-constrictive pericarditis. N Engl J Med 350: 2310–2312; author reply 2310–2312CrossRef
33.
Zurück zum Zitat Eltzschig HK, Zwissler B, Felbinger TW (2003) Perioperative implications of heart transplant. Anaesthesist 52: 678–689CrossRefPubMed Eltzschig HK, Zwissler B, Felbinger TW (2003) Perioperative implications of heart transplant. Anaesthesist 52: 678–689CrossRefPubMed
34.
Zurück zum Zitat Evans D (1989) Doppler ultrasound: physics, instrumenation and clinical applications. Wiley, Chichester Evans D (1989) Doppler ultrasound: physics, instrumenation and clinical applications. Wiley, Chichester
35.
Zurück zum Zitat Fan P, Nanda NC, Cooper JW et al. (1990) Color Doppler assessment of high flow velocities using a new technology: in vitro and clinical studies. Echocardiography 7: 763–769PubMed Fan P, Nanda NC, Cooper JW et al. (1990) Color Doppler assessment of high flow velocities using a new technology: in vitro and clinical studies. Echocardiography 7: 763–769PubMed
36.
Zurück zum Zitat Feigenbaum H (1994) Echocardiography, 5th edn. Lea & Febiger, Malvern, Pennsylvania Feigenbaum H (1994) Echocardiography, 5th edn. Lea & Febiger, Malvern, Pennsylvania
37.
Zurück zum Zitat Felbinger TW, Lekowski RW Jr, Shernan SK, Eltzschig HK (2003) Images in anesthesia: detection of a defect pulmonary artery catheter balloon by transesophageal echocardiography. Can J Anaesth 50: 480PubMed Felbinger TW, Lekowski RW Jr, Shernan SK, Eltzschig HK (2003) Images in anesthesia: detection of a defect pulmonary artery catheter balloon by transesophageal echocardiography. Can J Anaesth 50: 480PubMed
38.
Zurück zum Zitat Frenk VE, Shernan SK, Eltzschig HK (2003) Epicardial echocardiography: diagnostic utility for evaluating aortic valve disease during coronary surgery. J Clin Anesth 15: 271–274CrossRefPubMed Frenk VE, Shernan SK, Eltzschig HK (2003) Epicardial echocardiography: diagnostic utility for evaluating aortic valve disease during coronary surgery. J Clin Anesth 15: 271–274CrossRefPubMed
39.
Zurück zum Zitat Fry W (1952) Mechanism of acoustic absorption in tissue. J Acoust Soc Am 24: 412CrossRef Fry W (1952) Mechanism of acoustic absorption in tissue. J Acoust Soc Am 24: 412CrossRef
40.
Zurück zum Zitat Gardin JM, Lobodzinski SM (1990) Do Doppler color flow algorithms for mapping disturbed flow make sense? J Am Soc Echocardiogr 3: 310–315PubMed Gardin JM, Lobodzinski SM (1990) Do Doppler color flow algorithms for mapping disturbed flow make sense? J Am Soc Echocardiogr 3: 310–315PubMed
41.
Zurück zum Zitat Goss SA, Frizzell LA, Dunn LA (1979) Ultrasonic absorption and attenuation in mammalian tissues. Ultrasound Med Biol 5: 181CrossRefPubMed Goss SA, Frizzell LA, Dunn LA (1979) Ultrasonic absorption and attenuation in mammalian tissues. Ultrasound Med Biol 5: 181CrossRefPubMed
42.
Zurück zum Zitat Griffith JM, Henry WL (1974) A sector scanner for real time two-dimensional echocardiography. Circulation 49: 1147–1152PubMed Griffith JM, Henry WL (1974) A sector scanner for real time two-dimensional echocardiography. Circulation 49: 1147–1152PubMed
43.
Zurück zum Zitat Hatle L (1986) Introduction to Doppler echocardiography. Acta Paediatr Scand Suppl 329: 7–9PubMed Hatle L (1986) Introduction to Doppler echocardiography. Acta Paediatr Scand Suppl 329: 7–9PubMed
44.
Zurück zum Zitat Hatle L, Angelsen B (1984) Doppler ultrasound in cardiology: physical principles and clinical applications. Lea & Febiger, Philadelphia Hatle L, Angelsen B (1984) Doppler ultrasound in cardiology: physical principles and clinical applications. Lea & Febiger, Philadelphia
45.
Zurück zum Zitat Hatle L, Angelsen B, Tromsdal A (1979) Noninvasive assessment of atrioventricular pressure half-time by Doppler ultrasound. Circulation 60: 1096–1104PubMed Hatle L, Angelsen B, Tromsdal A (1979) Noninvasive assessment of atrioventricular pressure half-time by Doppler ultrasound. Circulation 60: 1096–1104PubMed
46.
Zurück zum Zitat Hatle L, Brubakk A, Tromsdal A, Angelsen B (1978) Noninvasive assessment of pressure drop in mitral stenosis by Doppler ultrasound. Br Heart J 40: 131–140PubMed Hatle L, Brubakk A, Tromsdal A, Angelsen B (1978) Noninvasive assessment of pressure drop in mitral stenosis by Doppler ultrasound. Br Heart J 40: 131–140PubMed
47.
Zurück zum Zitat Hayashi H, Kumon K (1996) Transesophageal echocardiography (Part 1): basic concepts in two-dimensional imaging and M-mode. Masui 45: 717–724PubMed Hayashi H, Kumon K (1996) Transesophageal echocardiography (Part 1): basic concepts in two-dimensional imaging and M-mode. Masui 45: 717–724PubMed
48.
Zurück zum Zitat Hayashi H, Kumon K (1996) Transesophageal echocardiography (Part 2): Basic concepts in Doppler techniques. Masui 45: 852–860PubMed Hayashi H, Kumon K (1996) Transesophageal echocardiography (Part 2): Basic concepts in Doppler techniques. Masui 45: 852–860PubMed
49.
Zurück zum Zitat Hegrenaes L, Hatle L (1985) Aortic stenosis in adults. Non-invasive estimation of pressure differences by continuous wave Doppler echocardiography. Br Heart J 54: 396–404PubMed Hegrenaes L, Hatle L (1985) Aortic stenosis in adults. Non-invasive estimation of pressure differences by continuous wave Doppler echocardiography. Br Heart J 54: 396–404PubMed
50.
Zurück zum Zitat Hill C (1986) Physical principles of medical ultrasonics. Ellis Horwood, Chichester Hill C (1986) Physical principles of medical ultrasonics. Ellis Horwood, Chichester
51.
Zurück zum Zitat Hishida H, Sakabe Y, Kawamura K et al. (1990) Evaluation of cardiac tissue from two-dimensional echocardiogram: analysis of gray level and its distribution. Jpn Circ J 54: 316–321PubMed Hishida H, Sakabe Y, Kawamura K et al. (1990) Evaluation of cardiac tissue from two-dimensional echocardiogram: analysis of gray level and its distribution. Jpn Circ J 54: 316–321PubMed
52.
Zurück zum Zitat Hoit BD, Jones M, Eidbo EE et al. (1989) Sources of variability for Doppler color flow mapping of regurgitant jets in an animal model of mitral regurgitation. J Am Coll Cardiol 13: 1631–1636PubMed Hoit BD, Jones M, Eidbo EE et al. (1989) Sources of variability for Doppler color flow mapping of regurgitant jets in an animal model of mitral regurgitation. J Am Coll Cardiol 13: 1631–1636PubMed
53.
Zurück zum Zitat Holen J, Simonsen S (1979) Determination of pressure gradient in mitral stenosis with Doppler echocardiography. Br Heart J 41: 529–535PubMed Holen J, Simonsen S (1979) Determination of pressure gradient in mitral stenosis with Doppler echocardiography. Br Heart J 41: 529–535PubMed
54.
Zurück zum Zitat Hozumi T, Yoshida K, Abe Y et al. (1998) Visualization of clear echocardiographic images with near field noise reduction technique: experimental study and clinical experience. J Am Soc Echocardiogr 11: 660–667CrossRefPubMed Hozumi T, Yoshida K, Abe Y et al. (1998) Visualization of clear echocardiographic images with near field noise reduction technique: experimental study and clinical experience. J Am Soc Echocardiogr 11: 660–667CrossRefPubMed
55.
Zurück zum Zitat Johnson ML, Holmes JH, Spangler RD, Paton BC (1972) Usefulness of echocardiography in patients undergoing mitral valve surgery. J Thorac Cardiovasc Surg 64: 922–934PubMed Johnson ML, Holmes JH, Spangler RD, Paton BC (1972) Usefulness of echocardiography in patients undergoing mitral valve surgery. J Thorac Cardiovasc Surg 64: 922–934PubMed
56.
Zurück zum Zitat Jones SA (1993) Fundamental sources of error and spectral broadening in Doppler ultrasound signals. Crit Rev Biomed Eng 21: 399–483PubMed Jones SA (1993) Fundamental sources of error and spectral broadening in Doppler ultrasound signals. Crit Rev Biomed Eng 21: 399–483PubMed
57.
Zurück zum Zitat Kalmanson D, Veyrat C, Bouchareine F, Degroote A (1977) Non-invasive recording of mitral valve flow velocity patterns using pulsed Doppler echocardiography. Application to diagnosis and evaluation of mitral valve disease. Br Heart J 39: 517–528PubMed Kalmanson D, Veyrat C, Bouchareine F, Degroote A (1977) Non-invasive recording of mitral valve flow velocity patterns using pulsed Doppler echocardiography. Application to diagnosis and evaluation of mitral valve disease. Br Heart J 39: 517–528PubMed
58.
Zurück zum Zitat Khandheria BK, Oh J (1992) Transesophageal echocardiography: state-of-the art and future directions. Am J Cardiol 69: 61H–75H; discussion 76H–81HCrossRefPubMed Khandheria BK, Oh J (1992) Transesophageal echocardiography: state-of-the art and future directions. Am J Cardiol 69: 61H–75H; discussion 76H–81HCrossRefPubMed
59.
Zurück zum Zitat Khandheria BK, Tajik AJ, Reeder GS et al. (1986) Doppler color flow imaging: a new technique for visualization and characterization of the blood flow jet in mitral stenosis. Mayo Clin Proc 61: 623–630PubMed Khandheria BK, Tajik AJ, Reeder GS et al. (1986) Doppler color flow imaging: a new technique for visualization and characterization of the blood flow jet in mitral stenosis. Mayo Clin Proc 61: 623–630PubMed
60.
Zurück zum Zitat Kisslo J, Ramm OT von, Thurstone FL (1976) Cardiac imaging using a phased array ultrasound system. II. Clinical technique and application. Circulation 53: 262–267PubMed Kisslo J, Ramm OT von, Thurstone FL (1976) Cardiac imaging using a phased array ultrasound system. II. Clinical technique and application. Circulation 53: 262–267PubMed
61.
Zurück zum Zitat Kisslo JA, Ramm OT von, Thurstone FL (1977) Dynamic cardiac imaging using a focused, phased-array ultrasound system. Am J Med 63: 61–68CrossRefPubMed Kisslo JA, Ramm OT von, Thurstone FL (1977) Dynamic cardiac imaging using a focused, phased-array ultrasound system. Am J Med 63: 61–68CrossRefPubMed
62.
Zurück zum Zitat Kossoff G (1966) Diagnostic applications of ultrasound in cardiology. Australas Radiol 10: 101–106PubMed Kossoff G (1966) Diagnostic applications of ultrasound in cardiology. Australas Radiol 10: 101–106PubMed
63.
Zurück zum Zitat Lancee CT, Daigle R, Sahn DJ, Thijssen JM (1985) Transducers in medical ultrasound: Part Three. Transducer applications in echocardiology. Ultrasonics 23: 199–205CrossRefPubMed Lancee CT, Daigle R, Sahn DJ, Thijssen JM (1985) Transducers in medical ultrasound: Part Three. Transducer applications in echocardiology. Ultrasonics 23: 199–205CrossRefPubMed
64.
Zurück zum Zitat Latson LA, Cheatham JP, Gutgesell HP (1981) Resolution and accuracy in two dimensional echocardiography. Am J Cardiol 48: 106–110CrossRefPubMed Latson LA, Cheatham JP, Gutgesell HP (1981) Resolution and accuracy in two dimensional echocardiography. Am J Cardiol 48: 106–110CrossRefPubMed
65.
Zurück zum Zitat Madala D, Zaroff JG, Hourigan L, Foster E (2004) Harmonic imaging improves sensitivity at the expense of specificity in the detection of patent foramen ovale. Echocardiography 21: 33–36CrossRefPubMed Madala D, Zaroff JG, Hourigan L, Foster E (2004) Harmonic imaging improves sensitivity at the expense of specificity in the detection of patent foramen ovale. Echocardiography 21: 33–36CrossRefPubMed
66.
Zurück zum Zitat Meijboom EJ, Rijsterborgh H, Bot H et al. (1987) Limits of reproducibility of blood flow measurements by Doppler echocardiography. Am J Cardiol 59: 133–137CrossRefPubMed Meijboom EJ, Rijsterborgh H, Bot H et al. (1987) Limits of reproducibility of blood flow measurements by Doppler echocardiography. Am J Cardiol 59: 133–137CrossRefPubMed
67.
Zurück zum Zitat Mergner D, Rosenberger P, Unertl K, Eltzschig HK (2005) Preoperative evaluation and perioperative management of patients with increased cardiovascular risk. Anaesthesist 54: 427–441CrossRefPubMed Mergner D, Rosenberger P, Unertl K, Eltzschig HK (2005) Preoperative evaluation and perioperative management of patients with increased cardiovascular risk. Anaesthesist 54: 427–441CrossRefPubMed
68.
Zurück zum Zitat Merritt C (1987) Doppler color flow imaging. JCU Merritt C (1987) Doppler color flow imaging. JCU
69.
Zurück zum Zitat Miyatake K, Okamoto M, Kinoshita N et al. (1984) Clinical applications of a new type of real-time two-dimensional Doppler flow imaging system. Am J Cardiol 54: 857–868CrossRefPubMed Miyatake K, Okamoto M, Kinoshita N et al. (1984) Clinical applications of a new type of real-time two-dimensional Doppler flow imaging system. Am J Cardiol 54: 857–868CrossRefPubMed
70.
Zurück zum Zitat Morgan CL, Trought WS, Clark WM et al. (1978) Principles and applications of a dynamically focused phased array real time ultrasound system. J Clin Ultrasound 6: 385–391PubMed Morgan CL, Trought WS, Clark WM et al. (1978) Principles and applications of a dynamically focused phased array real time ultrasound system. J Clin Ultrasound 6: 385–391PubMed
71.
Zurück zum Zitat Nanda NC (1989) Textbook of color Doppler echocardiography. Lea & Febiger, Philadelphia Nanda NC (1989) Textbook of color Doppler echocardiography. Lea & Febiger, Philadelphia
72.
Zurück zum Zitat Omoto R (1984) Color atlas of real-time two-dimensional Doppler echocardiography. Shindan-To-Chiryo C., Ltd., Tokyo Omoto R (1984) Color atlas of real-time two-dimensional Doppler echocardiography. Shindan-To-Chiryo C., Ltd., Tokyo
73.
Zurück zum Zitat Pearlman AS (1983) Doppler echocardiography. Int. J. Cardiol 3: 81 Pearlman AS (1983) Doppler echocardiography. Int. J. Cardiol 3: 81
74.
Zurück zum Zitat Pedersen JF, Northeved A (1977) An ultrasonic multitransducer scanner for real-time heart imaging. J Clin Ultrasound 5: 11–15PubMed Pedersen JF, Northeved A (1977) An ultrasonic multitransducer scanner for real-time heart imaging. J Clin Ultrasound 5: 11–15PubMed
75.
Zurück zum Zitat Poterack KA (1995) Who uses transesophageal echocardiography in the operating room? Anesth Analg 80: 454–458CrossRefPubMed Poterack KA (1995) Who uses transesophageal echocardiography in the operating room? Anesth Analg 80: 454–458CrossRefPubMed
76.
Zurück zum Zitat Reid J (1966) Diagnostic ultrasound. Plenum Press, New York Reid J (1966) Diagnostic ultrasound. Plenum Press, New York
77.
Zurück zum Zitat Roelandt J, van Dorp WG, Bom N, Laird JD, Hugenholtz PG (1976) Resolution problems in echocardiology: a source of interpretation errors. Am J Cardiol 37: 256–262CrossRefPubMed Roelandt J, van Dorp WG, Bom N, Laird JD, Hugenholtz PG (1976) Resolution problems in echocardiology: a source of interpretation errors. Am J Cardiol 37: 256–262CrossRefPubMed
78.
Zurück zum Zitat Rosenberger P, Shernan SK, Body SC, Eltzschig HK (2004) Utility of intraoperative transesophageal echocardiography for diagnosis of pulmonary embolism. Anesth Analg 99: 12–16CrossRefPubMed Rosenberger P, Shernan SK, Body SC, Eltzschig HK (2004) Utility of intraoperative transesophageal echocardiography for diagnosis of pulmonary embolism. Anesth Analg 99: 12–16CrossRefPubMed
79.
Zurück zum Zitat Rosenberger P, Shernan SK, Eltzschig HK (2004) Suspected pulmonary embolism. N Engl J Med 350: 82–84CrossRef Rosenberger P, Shernan SK, Eltzschig HK (2004) Suspected pulmonary embolism. N Engl J Med 350: 82–84CrossRef
80.
Zurück zum Zitat Rosenberger P, Shernan SK, Mihaljevic T, Eltzschig HK (2004) Transesophageal echocardiography for detecting extrapulmonary thrombi during pulmonary embolectomy. Ann Thorac Surg 78: 862–866CrossRefPubMed Rosenberger P, Shernan SK, Mihaljevic T, Eltzschig HK (2004) Transesophageal echocardiography for detecting extrapulmonary thrombi during pulmonary embolectomy. Ann Thorac Surg 78: 862–866CrossRefPubMed
81.
Zurück zum Zitat Rosenberger P, Shernan SK, Mihaljevic T, Eltzschig HK (2005) Transesophageal echocardiography for pulmonary embolectomy. Ann Thorac Surg 79: 1092–1093CrossRef Rosenberger P, Shernan SK, Mihaljevic T, Eltzschig HK (2005) Transesophageal echocardiography for pulmonary embolectomy. Ann Thorac Surg 79: 1092–1093CrossRef
82.
Zurück zum Zitat Rosenberger P, Shernan SK, Rawn JD et al. (2005) Critical role of inferior vena caval filter placement after pulmonary embolectomy. J Card Surg 20: 289–290CrossRefPubMed Rosenberger P, Shernan SK, Rawn JD et al. (2005) Critical role of inferior vena caval filter placement after pulmonary embolectomy. J Card Surg 20: 289–290CrossRefPubMed
83.
Zurück zum Zitat Rudski LG, Chow CM, Levine RA (2004) Prosthetic mitral regurgitation can be mimicked by Doppler color flow mapping: avoiding misdiagnosis. J Am Soc Echocardiogr 17: 829–833CrossRefPubMed Rudski LG, Chow CM, Levine RA (2004) Prosthetic mitral regurgitation can be mimicked by Doppler color flow mapping: avoiding misdiagnosis. J Am Soc Echocardiogr 17: 829–833CrossRefPubMed
84.
Zurück zum Zitat Rushmer RF, Baker DW, Stegall HF (1966) Transcutaneous Doppler flow detection as a nondestructive technique. J Appl Physiol 21: 554–566PubMed Rushmer RF, Baker DW, Stegall HF (1966) Transcutaneous Doppler flow detection as a nondestructive technique. J Appl Physiol 21: 554–566PubMed
85.
Zurück zum Zitat Scheuble C, Castillo-Fenoy A (1989) Transesophageal, anatomic and Doppler echocardiography. Technic, indications, interpretation. Ann Cardiol Angeiol (Paris) 38: 463–476 Scheuble C, Castillo-Fenoy A (1989) Transesophageal, anatomic and Doppler echocardiography. Technic, indications, interpretation. Ann Cardiol Angeiol (Paris) 38: 463–476
86.
Zurück zum Zitat Schwartz M, DeCristofaro (1978) Review and evaluation of range-gated, pulsed, echo-Doppler. J Clin Eng 3: 153PubMed Schwartz M, DeCristofaro (1978) Review and evaluation of range-gated, pulsed, echo-Doppler. J Clin Eng 3: 153PubMed
87.
Zurück zum Zitat Schwartz MD, De Cristofaro D (1978) Review and evaluation of range-gated, pulsed, Echo-Doppler. J Clin Eng 3: 153–161PubMed Schwartz MD, De Cristofaro D (1978) Review and evaluation of range-gated, pulsed, Echo-Doppler. J Clin Eng 3: 153–161PubMed
88.
Zurück zum Zitat Skorton DJ, Collins SM, Garcia E et al. (1985) Digital signal and image processing in echocardiography. The American Society of Echocardiography. Am Heart J 110: 1266–1283CrossRefPubMed Skorton DJ, Collins SM, Garcia E et al. (1985) Digital signal and image processing in echocardiography. The American Society of Echocardiography. Am Heart J 110: 1266–1283CrossRefPubMed
89.
Zurück zum Zitat Skorton DJ, Collins SM, Woskoff SD et al. (1983) Range- and azimuth-dependent variability of image texture in two-dimensional echocardiograms. Circulation 68: 834–840PubMed Skorton DJ, Collins SM, Woskoff SD et al. (1983) Range- and azimuth-dependent variability of image texture in two-dimensional echocardiograms. Circulation 68: 834–840PubMed
90.
Zurück zum Zitat Somer J (1978) Handbook of clinical ultrasound. John Wiley & Sons, New York Somer J (1978) Handbook of clinical ultrasound. John Wiley & Sons, New York
91.
Zurück zum Zitat Somer JC (1968) Electronic sector scanning for ultrasonic diagnosis. Ultrasonics 6: 153–159CrossRefPubMed Somer JC (1968) Electronic sector scanning for ultrasonic diagnosis. Ultrasonics 6: 153–159CrossRefPubMed
92.
Zurück zum Zitat Spieker LE, Hufschmid U, Oechslin E, Jenni R (2004) Double aortic and pulmonary valves: an artifact generated by ultrasound refraction. J Am Soc Echocardiogr 17: 786–787CrossRefPubMed Spieker LE, Hufschmid U, Oechslin E, Jenni R (2004) Double aortic and pulmonary valves: an artifact generated by ultrasound refraction. J Am Soc Echocardiogr 17: 786–787CrossRefPubMed
93.
Zurück zum Zitat Stamm RB, Martin RP (1983) Quantification of pressure gradients across stenotic valves by Doppler ultrasound. J Am Coll Cardiol 2: 707–718PubMed Stamm RB, Martin RP (1983) Quantification of pressure gradients across stenotic valves by Doppler ultrasound. J Am Coll Cardiol 2: 707–718PubMed
94.
Zurück zum Zitat Tajik AJ, Seward JB, Hagler DJ et al. (1978) Two-dimensional real-time ultrasonic imaging of the heart and great vessels. Technique, image orientation, structure identification, and validation. Mayo Clin Proc 53: 271–303PubMed Tajik AJ, Seward JB, Hagler DJ et al. (1978) Two-dimensional real-time ultrasonic imaging of the heart and great vessels. Technique, image orientation, structure identification, and validation. Mayo Clin Proc 53: 271–303PubMed
95.
Zurück zum Zitat Tamura T, Yoganathan A, Sahn DJ (1987) In vitro methods for studying the accuracy of velocity determination and spatial resolution of a color Doppler flow mapping system. Am Heart J 114: 152–158CrossRefPubMed Tamura T, Yoganathan A, Sahn DJ (1987) In vitro methods for studying the accuracy of velocity determination and spatial resolution of a color Doppler flow mapping system. Am Heart J 114: 152–158CrossRefPubMed
96.
Zurück zum Zitat Taylor R (1990) Evolution of the continuity equation in the Doppler echocardiographic assessment of the severity of valvular aortic stenosis. J Am Soc Echocardiogr 3: 326–330PubMed Taylor R (1990) Evolution of the continuity equation in the Doppler echocardiographic assessment of the severity of valvular aortic stenosis. J Am Soc Echocardiogr 3: 326–330PubMed
97.
Zurück zum Zitat Thomas JD, Hagege AA, Choong CY et al. (1988) Improved accuracy of echocardiographic endocardial borders by spatiotemporal filtered Fourier reconstruction: description of the method and optimization of filter cutoffs. Circulation 77: 415–428PubMed Thomas JD, Hagege AA, Choong CY et al. (1988) Improved accuracy of echocardiographic endocardial borders by spatiotemporal filtered Fourier reconstruction: description of the method and optimization of filter cutoffs. Circulation 77: 415–428PubMed
98.
Zurück zum Zitat Vignon P, Spencer KT, Rambaud G et al. (2001) Differential transesophageal echocardiographic diagnosis between linear artifacts and intraluminal flap of aortic dissection or disruption. Chest 119: 1778–1790CrossRefPubMed Vignon P, Spencer KT, Rambaud G et al. (2001) Differential transesophageal echocardiographic diagnosis between linear artifacts and intraluminal flap of aortic dissection or disruption. Chest 119: 1778–1790CrossRefPubMed
99.
Zurück zum Zitat von Ramm OT, Thurstone FL (1975) Ultrasound in Medicine. Plenum Press, New York von Ramm OT, Thurstone FL (1975) Ultrasound in Medicine. Plenum Press, New York
100.
Zurück zum Zitat von Ramm OT, Thurstone FL (1976) Cardiac imaging using a phased array ultrasound system. I. System design. Circulation 53: 258–262PubMed von Ramm OT, Thurstone FL (1976) Cardiac imaging using a phased array ultrasound system. I. System design. Circulation 53: 258–262PubMed
101.
Zurück zum Zitat Waggoner AD, Perez JE (1990) Principles and physics of Doppler. Cardiol Clin 8: 173–190PubMed Waggoner AD, Perez JE (1990) Principles and physics of Doppler. Cardiol Clin 8: 173–190PubMed
102.
Zurück zum Zitat Webb S (1992) The physics of medical imaging. IOP Publishing, Bristol Webb S (1992) The physics of medical imaging. IOP Publishing, Bristol
103.
Zurück zum Zitat Wells PN (1975) Review: absorption and dispersion of ultrasound in biological tissue. Ultrasound Med Biol 1: 369–376CrossRefPubMed Wells PN (1975) Review: absorption and dispersion of ultrasound in biological tissue. Ultrasound Med Biol 1: 369–376CrossRefPubMed
104.
Zurück zum Zitat Wells PNT (1978) An introduction to echocardiography. Medi-Cine Ltd., London Wells PNT (1978) An introduction to echocardiography. Medi-Cine Ltd., London
105.
Zurück zum Zitat Yeh EL (1977) Reverberations in echocardiograms. J Clin Ultrasound 5: 84–86PubMed Yeh EL (1977) Reverberations in echocardiograms. J Clin Ultrasound 5: 84–86PubMed
106.
Zurück zum Zitat Yoganathan AP, Cape EG, Sung HW et al. (1988) Review of hydrodynamic principles for the cardiologist: applications to the study of blood flow and jets by imaging techniques. J Am Coll Cardiol 12: 1344–1353PubMed Yoganathan AP, Cape EG, Sung HW et al. (1988) Review of hydrodynamic principles for the cardiologist: applications to the study of blood flow and jets by imaging techniques. J Am Coll Cardiol 12: 1344–1353PubMed
107.
Zurück zum Zitat Yoshida T (1956) Study of examining the heart with ultrasonics. III. Kinds of Doppler beats. IV. Clinical applications. Jpn Circ J 20 Yoshida T (1956) Study of examining the heart with ultrasonics. III. Kinds of Doppler beats. IV. Clinical applications. Jpn Circ J 20
108.
Zurück zum Zitat Yoshikawa J (1977) Electroscan echocardiography: application to the cardiac diagnosis. J Cardiogr 7: 33 Yoshikawa J (1977) Electroscan echocardiography: application to the cardiac diagnosis. J Cardiogr 7: 33
Metadaten
Titel
Perioperative Echokardiographie
Technische Grundlagen für den Kliniker
verfasst von
M. Nowak
P. Rosenberger
T. W. Felbinger
A. E. Götz
S. K. Shernan
K. Unertl
PD Dr. H. K. Eltzschig
Publikationsdatum
01.03.2006
Verlag
Springer-Verlag
Erschienen in
Die Anaesthesiologie / Ausgabe 3/2006
Print ISSN: 2731-6858
Elektronische ISSN: 2731-6866
DOI
https://doi.org/10.1007/s00101-006-0992-9

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