Skip to main content
Erschienen in: The International Journal of Cardiovascular Imaging 12/2019

18.07.2019 | Original Paper

Novel mesh-derived right ventricular free wall longitudinal strain analysis by intraoperative three-dimensional transoesophageal speckle-tracking echocardiography: a comparison with conventional parameters

verfasst von: Marius Keller, Tobias Lang, Andreas Schilling, Martina Nowak-Machen, Peter Rosenberger, Harry Magunia

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 12/2019

Einloggen, um Zugang zu erhalten

Abstract

Longitudinal right ventricular (RV) function is substantial and might be reflected by free wall longitudinal strain (FWLS). Software solutions for FWLS analysis by two-dimensional (2D) and three-dimensional (3D) transesophageal echocardiography (TEE) are available, but data on validation are sparse. In this study, a novel method for FWLS analysis on 3D meshes (“mesh surface”, MS-FWLS,) was tested for feasibility and compared to available parameters. 80 patients undergoing left-sided cardiac valve surgery with intraoperative TEE were included retrospectively. 2D-FWLS, 3D-derived (3Dd)-FWLS (assessed in optimized four-chamber views after volume analysis) and MS-FWLS were measured and compared to conventional parameters (3Dd-TAPSE, FAC and RVEF). The mean FWLS values did not differ significantly between methods (− 19.0 ± 6.1%, − 20.0 ± 7.3%, − 19.5 ± 7.3% for 2D-, 3Dd- and MS-FWLS, respectively). No significant differences in the mean FWLS between patients with normal or increased pulmonary artery pressures as well as normal or reduced left ventricular ejection fraction were observed. Agreement was best between 3Dd- and MS-FWLS (r = 0.89, bias = − 1.0%, LOA ± 6.9%). Conventional echocardiographic parameters yielded poorer intermodality agreement. In patients with discrepant results between 2D- and 3Dd-FWLS, 3Dd-FWLS and MS-FWLS yielded similar results (r = 0.82, bias = − 0.3%, LOA ± 8.6%), while 2D-FWLS and MS-FWLS did not. Intra- and interobserver variabilities of strain analyses were low. MS-FWLS might represent a promising method to overcome artefacts associated with 2D analysis. Its prognostic relevance needs to be investigated in prospective studies.
Literatur
4.
10.
Zurück zum Zitat Hahn RT, Abraham T, Adams MS, Bruce CJ et al (2013) Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr 269:921–964. https://doi.org/10.1016/j.echo.2013.07.009 CrossRef Hahn RT, Abraham T, Adams MS, Bruce CJ et al (2013) Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr 269:921–964. https://​doi.​org/​10.​1016/​j.​echo.​2013.​07.​009 CrossRef
17.
Zurück zum Zitat Lu KJ, Chen JX, Profitis K, Kearney LG et al (2015) Right ventricular global longitudinal strain is an independent predictor of right ventricular function: a multimodality study of cardiac magnetic resonance imaging, real time three-dimensional echocardiography and speckle tracking echocardiography. Echocardiography 326:966–974. https://doi.org/10.1111/echo.12783 CrossRef Lu KJ, Chen JX, Profitis K, Kearney LG et al (2015) Right ventricular global longitudinal strain is an independent predictor of right ventricular function: a multimodality study of cardiac magnetic resonance imaging, real time three-dimensional echocardiography and speckle tracking echocardiography. Echocardiography 326:966–974. https://​doi.​org/​10.​1111/​echo.​12783 CrossRef
18.
Zurück zum Zitat Korshin A, Grønlykke L, Nilsson JC, Møller-Sørensen H et al (2018) The feasibility of tricuspid annular plane systolic excursion performed by transesophageal echocardiography throughout heart surgery and its interchangeability with transthoracic echocardiography. Int J Cardiovasc Imaging 347:1017–1028. https://doi.org/10.1007/s10554-018-1306-4 CrossRef Korshin A, Grønlykke L, Nilsson JC, Møller-Sørensen H et al (2018) The feasibility of tricuspid annular plane systolic excursion performed by transesophageal echocardiography throughout heart surgery and its interchangeability with transthoracic echocardiography. Int J Cardiovasc Imaging 347:1017–1028. https://​doi.​org/​10.​1007/​s10554-018-1306-4 CrossRef
20.
24.
Zurück zum Zitat Luo L, Zhu J, Chen J, Gao L et al (2016) Study of right ventricular function with preserved left ejection fraction by three-dimensional speckle tracking in uremic patients undergoing peritoneal dialysis. Int J Clin Exp Med 96:11113–11124 Luo L, Zhu J, Chen J, Gao L et al (2016) Study of right ventricular function with preserved left ejection fraction by three-dimensional speckle tracking in uremic patients undergoing peritoneal dialysis. Int J Clin Exp Med 96:11113–11124
26.
Zurück zum Zitat Focardi M, Cameli M, Carbone SF, Massoni A et al (2015) Traditional and innovative echocardiographic parameters for the analysis of right ventricular performance in comparison with cardiac magnetic resonance. Eur Heart J Cardiovasc Imaging 161:47–52. https://doi.org/10.1093/ehjci/jeu156 CrossRef Focardi M, Cameli M, Carbone SF, Massoni A et al (2015) Traditional and innovative echocardiographic parameters for the analysis of right ventricular performance in comparison with cardiac magnetic resonance. Eur Heart J Cardiovasc Imaging 161:47–52. https://​doi.​org/​10.​1093/​ehjci/​jeu156 CrossRef
Metadaten
Titel
Novel mesh-derived right ventricular free wall longitudinal strain analysis by intraoperative three-dimensional transoesophageal speckle-tracking echocardiography: a comparison with conventional parameters
verfasst von
Marius Keller
Tobias Lang
Andreas Schilling
Martina Nowak-Machen
Peter Rosenberger
Harry Magunia
Publikationsdatum
18.07.2019
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 12/2019
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-019-01669-8

Weitere Artikel der Ausgabe 12/2019

The International Journal of Cardiovascular Imaging 12/2019 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.