Journal of Perioperative Echocardiography

Register      Login

VOLUME 9 , ISSUE 2 ( July-December, 2021 ) > List of Articles

CLINICAL TECHNIQUE

A Novel View for Performing Left Atrial Strain Analysis by Transesophageal Echocardiography

Kedar Bangal

Keywords : Echocardiography, Perioperative transesophageal echocardiography, Speckle tracking echocardiography, Transesophageal echocardiography, Transthoracic echocardiography

Citation Information : Bangal K. A Novel View for Performing Left Atrial Strain Analysis by Transesophageal Echocardiography. J Perioper Echocardiogr 2021; 9 (2):48-50.

DOI: 10.5005/jp-journals-10034-1132

License: CC BY-NC 4.0

Published Online: 20-02-2024

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim: To devise a technique for producing a view that can be utilized to perform strain analysis of the left atrium (LA) by transesophageal echocardiography (TEE). Background: Advancement in the field of echocardiography has led to the development of strain and speckle tracking. The magnitude of LA deformation is utilized to determine the diastolic function by means of strain rate imaging. It is difficult to accommodate all the borders of LA in an image by TEE. Technique: Hereby, I would like to present a TEE view that is identical to the subcostal view of transthoracic echocardiography (TTE). This may be named as “deep transgastric four-chamber view” (deep TG-4C), and it is unique compared to the 28 TEE views. I have devised a technique for producing this view on TEE, and I have used it to analyze LA strain intraoperatively for 50 cases. Echocardiography was performed using a CVx TEE probe (Philips Healthcare, Andover, Massachusetts) and strain analysis was performed by Tomtec Autostrain software. The exact maneuvers to produce this view are also devised by me. Conclusion: The deep TG-4C view is helpful in performing LA strain analysis by TEE. Clinical significance: The deep TG-4C view of TEE accommodates all the borders of the LA and is helpful in performing LA strain analysis.


HTML PDF Share
  1. Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 2016;29(4):277–314. DOI: 10.1016/j.echo.2016.01.011
  2. Sarvari SI, Haugaa KH, Stokke TM, et al. Strain echocardiographic assessment of left atrial function predicts recurrence of atrial fibrillation. Eur Heart J Cardiovasc Imag 2016;17(6):660–667. DOI: 10.1093/ehjci/jev185
  3. Donal E, Behagel A, Feneon D. Value of left atrial strain: a highly promising field of investigation. Eur Heart J Cardiovasc Imag 2015;16(4):356–357. DOI: 10.1093/ehjci/jeu230
  4. Rong LQ, Menon A, Lopes AJ, et al. Left atrial strain quantification by intraoperative transesophageal echocardiography: validation with transthoracic echocardiography. J Cardiothorac Vasc Anesth 2022;36(8 Pt A):2412–2417. DOI: 10.1053/j.jvca.2021.11.017
  5. Hahn RT, Abraham T, Adams MS, et al. 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 2013;26(9):921–964. DOI: 10.1016/j.echo.2013.07.009
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.