Echocardiogram transesophageal (TEE) minangka test digunakake kanggo netepake struktur lan fungsi jantung. Kaya echocardiogram standar , TEE migunakake ombak swara dhuwur-frekuensi kanggo ngasilake real-time, gambar gerakan jantung sing ngalahake. Nanging, nalika echocardiography standar ditindakake kanthi nempatake transduser gelombang swara ing tembok dada, kanthi TEE transduser kasebut bisa lumaku ing esofagus (tabung sing kena panggul).
TEE bisa ngasilake gambar jantung sing cetha, lan nggunakake TEE tinimbang standar echocardiogram bisa banget migunani ing kahanan sing bener.
Carane TEE Performed?
Yen sampeyan duwe TEE, sampeyan bakal diwenehi sedative intravena sedheng, lan refleks lelucon bakal ditindhes kanthi nyemprotake anestesi lokal menyang mburi tenggorokan. Transducer echo bakal dilewati liwat tutuk lan tenggorokan, lan mudhun esophagus nganti sampeyan dipanggonke langsung ing njero atimu .
Sawise ana ing posisi, transduser digunakake kanggo mumbul ombak swara ati, kaya ing echocardiogram standar. Gelombang swara bali bakal diproses dadi gambar gerak jantung lan diproyeksikan menyang layar komputer kanggo analisis.
Kaluwihan
Keuntungan nyata TEE yaiku bisa nyebabake gambar jantung luwih rinci ketimbang echocardiogram standar. Iki amarga gambar echo digawe langsung saka jantung - ombak swara ora perlu nembus kandhang rib lan jaringan paru-paru sadurunge tekan jantung.
Nalika Apa TEE Migunani?
Umumé ana telung kahanan sing bisa dianjurake dening TEE liwat echocardiogram standar.
Kaping pisanan, TEE migunani yen saben gambar gema cukup ora bisa diduweni dening teknik gema standar. Iki bisa kedadeyan ing wong sing tembok dada utamané kandel, utawa sing duwe emisi, utawa trauma dada anyar utawa operasi dada.
Kadhangkala mung angel kanggo njaluk gambar sing cetha karo echo standar tanpa alasan sing jelas. Kanthi TEE, gambar gema alus bisa didownload ing meh kabeh wong.
Kapindho, TEE bisa ditindakake ing kamar operasi nalika mbukak operasi jantung. TEE intraoperative utamané migunani nalika operasi tutup jantung, utamané nalika nglakoni perbaikan klep kanggo ngobati regurgitasi mitral . TEE bisa menehi umpan cepet menyang ahli bedah nalika perbaikan wis dilakoni.
Katelu, TEE bisa uga migunani kanggo ngetesake manawa pasien ngembangake clots getih ing atrium kiwa. Contone, nuduhake TEE yen ora ana clots getih sing bisa nggawe cardioversion saka fibrilasi atrial luwih aman.
Komplikasi
Masalah sing paling umum karo TEE yaiku nyebabake rasa ora nyaman lan tenggorokan nalika prosedur kasebut. Nanging, biasane gampang kanggo ngontrol gejala kasebut kanthi sedation lan numbing saka tenggorokan. Sampeyan bisa ngalami tenggorokan sawise sawetara dina. Jebluk biasan esophagus bisa kedadeyan, sing minangka darurat bedah, lan sok-sok getihen saka esophagus bisa dideleng. Nanging, acara ala serius iki ora pati umum, lan TEE dianggep cukup aman.
> Sumber:
Quinones, MA, Douglas, PS, Foster, E, et al. Pernyataan kompetisi klinis ACC / AHA ing echocardiography: laporan saka American College of Cardiology / American Heart Association / American College of Doktor-Amerika Society of Internal Medicine Task Force kanggo Kompetensi Klinis. J Am Coll Cardiol 2003; 41: 687.
American College of Cardiology Foundation Sesuai Gunakake Kriteria Task Force, American Society of Echocardiography, American Heart Association, et al. ACCF / ASE / AHA / ASNC / HFSA / HRS / SCAI / SCCM / SCCT / SCMR 2011 Kriteria Sesuai Kanggo Echocardiography. A Report of the American College of Cardiology Foundation Kriteria Panggunaan Suket Kasar, American Society of Echocardiography, American Heart Association, American Society of Nuclear Cardiology, Jantung Gagal Society of America, Jantung Rhythm Society, Society for Angiography and Interventions Cardiovascular, Society of Critical Care Medicine, Society of Tomography Computed Cardiovascular, and Society for Resonance Magnetic Cardiovascular Endorsed by American College of Chest Physicians. J Am Coll Cardiol 2011; 57: 1126.
v