A systematic review of transesophageal echocardiography-induced esophageal perforation

Sandeep Sainathan, Shahriyour Andaz

Research output: Contribution to journalReview article

23 Citations (Scopus)

Abstract

A systematic review of transesophageal echocardiography (TEE)-induced esophageal perforation was done using the MEDLINE (PubMed and OVID interfaces), Google Scholar and EMBASE databases. Thirty-five cases of esophageal perforation from 22 studies were analyzed. TEE-induced esophageal perforation occurs in elderly female patients, predominantly in an intra-operative setting. Thoracic esophagus is the most commonly involved segment, especially, when TEE is performed intra-operatively. Majority of the esophageal perforations occur in cases with a perceived low risk or smooth TEE exam and thus, screening for high risk factors may not eliminate the occurrence of a perforation. A delayed detection of perforation occurs when it is a thoracic esophageal perforation, performed intra-operatively and when there are no known preoperative risk factors. Shock during the detection of the perforation is associated with mortality. Majority of the perforations can be repaired primarily.

Original languageEnglish (US)
Pages (from-to)977-983
Number of pages7
JournalEchocardiography
Volume30
Issue number8
DOIs
StatePublished - Sep 1 2013
Externally publishedYes

Fingerprint

Esophageal Perforation
Transesophageal Echocardiography
Thorax
PubMed
MEDLINE
Esophagus
Shock
Databases
Mortality

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

A systematic review of transesophageal echocardiography-induced esophageal perforation. / Sainathan, Sandeep; Andaz, Shahriyour.

In: Echocardiography, Vol. 30, No. 8, 01.09.2013, p. 977-983.

Research output: Contribution to journalReview article

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