Safety and Benefit of Transesophageal Echocardiography in Liver Transplant Surgery: A Position Paper From the Society for the Advancement of Transplant Anesthesia (SATA).
Journal
Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
ISSN: 1527-6473
Titre abrégé: Liver Transpl
Pays: United States
ID NLM: 100909185
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
12
02
2020
revised:
11
04
2020
accepted:
03
05
2020
pubmed:
20
5
2020
medline:
20
3
2021
entrez:
20
5
2020
Statut:
ppublish
Résumé
More anesthesiologists are routinely using transesophageal echocardiography (TEE) during liver transplant surgery, but the effects on patient outcome are unknown. Transplant anesthesiologists are therefore uncertain if they should undergo additional training and adopt TEE. In response to these clinical questions, the Society for the Advancement of Transplant Anesthesia appointed experts in liver transplantation and who are certified in TEE to evaluate all available published evidence on the topic. The aim was to produce a summary with greater explanatory power than individual reports to guide transplant anesthesiologists in their decision to use TEE. An exhaustive search recovered 51 articles of uncontrolled clinical observations. Topics chosen for this study were effectiveness and safety because they were a major or minor topic in all articles. The pattern of clinical use was a common topic and was included to provide contextual information. Summarized observations showed effectiveness as the ability to make a new and unexpected diagnosis and to direct the choice of clinical management. These were reported in each stage of liver transplant surgery. There were observations that TEE facilitated rapid diagnosis of life-threatening conditions difficult to identify with other types of monitoring commonly used in the operating room. Real-time diagnosis by TEE images made anesthesiologists confident in their choice of interventions, especially those with a high risk of complications such as use of anticoagulants for intracardiac thrombosis. The summarized observations in this systematic review suggest that TEE is an effective form of monitoring with a safety profile similar to that in cardiac surgery patients.
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1019-1029Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2020 by the American Association for the Study of Liver Diseases.
Références
American Society of Anesthesiologists and Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Practice guidelines for perioperative transesophageal echocardiography. An updated report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transesophageal Echocardiography. Anesthesiology 2010;112:1084-1096.
Fayad A, Shillcutt S, Meineri M, Ruddy TD, Ansari MT. Comparative effectiveness and harms of intraoperative transesophageal echocardiography in noncardiac surgery: a systematic review. Semin Cardiothorac Vasc Anesth 2018;22:122-136.
Zerillo J, Hill B, Kim S, DeMaria S, Mandell MS. Use, training, and opinions about effectiveness of transesophageal echocardiography in adult liver transplantation among anesthesiologists in the United States. Semin Cardiothorac Vasc Anesth 2018;22:137-145.
Ellis JE, Lichtor JL, Feinstein SB, Chung MR, Polk SL, Broelsch C, et al. Right heart dysfunction, pulmonary embolism, and paradoxical embolization during liver transplantation. A transesophageal two-dimensional echocardiographic study. Anesth Analg 1989;68:777-782.
Aniskevich S, Shine TS, Feinglass NG, Stapelfeldt WH. Dynamic left ventricular outflow tract obstruction during liver transplantation: the role of transesophageal echocardiography. J Cardiothorac Vasc Anesth 2007;21:577-580.
OPTN Bylaws. https://optn.transplant.hrsa.gov/governance/bylaws/. Accessed August 1, 2019.
UNOS Bylaws. https://unos.org/wp-content/uploads/unos/UNOS_Bylaws.pdf. Accessed August 1, 2019.
Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods 2017;16:1-13.
Aita V, McIlvain H, Susman J, Crabtree B. Using metaphor as a qualitative analytic approach to understand complexity in primary care research. Qual Health Res 2003;13:1419-1431.
Aubuchon J, Maynard E, Lakshminarasimhachar A, Chapman W, Kangrga I. Intraoperative transesophageal echocardiography reveals thrombotic stenosis of inferior vena cava during orthotopic liver transplantation. Liver Transpl 2013;19:232-234.
Boone JD, Sherwani SS, Herborn JC, Patel KM, De Wolf AM. The successful use of low dose-recombinant tissue plasminogen activator for treatment of intracardiac/pulmonary thrombosis during liver transplantation. Anesth Analg 2011;112:319-321.
Chin JH, Kim YK, Choi DK, Shin WJ, Hwang GS. Aggravation of mitral regurgitation by calcium administration in a patient with hypertrophic cardiomyopathy during liver transplantation: A case report. Transplant Proc 2009;41:1979-1981.
Cywinski JB, Argalious M, Marks TN, Parker BM. Dynamic left ventricular outflow tract obstruction in an orthotopic liver transplant recipient. Liver Transpl 2005;11:692-695.
Dalia AA, Khan H, Flores AS. Intraoperative diagnosis of intracardiac thrombus during orthotopic liver transplantation with transesophageal echocardiography: a case series and literature review. Semin Cardiothorac Vasc Anesth 2017;21:245-251.
de la Morena G, Acosta F, Villegas M, Olivares A, Contreras RF, Bueno FS, et al. Transesophageal echocardiographic evaluation of left ventricular function during orthotopic liver transplantation. Transplant Proc 1993;25:1832.
Eagle SS, Thompson A, Fong PP, Pretorius M, Deegan RJ, Hairr JW, Riedel BJ. Takotsubo cardiomyopathy and coronary vasospasm during orthotopic liver transplantation: separate entities or common mechanism? J Cardiothorac Vasc Anesth 2010;24:629-632.
Ellenberger C, Mentha G, Giostra E, Licker M. Cardiovascular collapse due to massive pulmonary thromboembolism during orthotopic liver transplantation. J Clin Anesth 2006;18:367-371.
Essandoh M, Otey AJ, Dalia A, Dewhirst E, Springer A, Henry M. Refractory hypotension after liver allograft reperfusion: a case of dynamic left ventricular outflow tract obstruction. Front Med (Lausanne) 2016;3.
Gologorsky E, De Wolf AM, Scott V, Aggarwal S, Dishart M, Kang Y. Intracardiac thrombus formation and pulmonary thromboembolism immediately after graft reperfusion in 7 patients undergoing liver transplantation. Liver Transpl 2001;7:783-789.
Harley ID, Jones EF, Liu G, McCall PR, McNicol PL. Orthotopic liver transplantation in two patients with hypertrophic obstructive cardiomyopathy. Br J Anaesth 1996;77:675-677.
Hughes CG, Waldman JM, Barrios J, Robertson A. Postshunt hemochromatosis leading to cardiogenic shock in a patient presenting for orthotopic liver transplant: a case report. Transpl Proc 2009;41:2000-2002.
Kim S, DeMaria S, Cohen E, Silvay G, Zerillo J. Prolonged intraoperative cardiac resuscitation complicated by intracardiac thrombus in a patient undergoing orthotopic liver transplantation. Semin Cardiothorac Vasc Anesth 2016;20:246-251.
Lim YC, Doblar DD, Frenette L, Fan PH, Poplawski S, Nanda NC. Intraoperative transesophageal echocardiography in orthotopic liver transplantation in a patient with hypertrophic cardiomyopathy. J Clin Anesth 1995;7:245-249.
Mandell MS, Seres T, Lindenfeld J, Biggins SW, Chascsa D, Ahigren B, et al. Risk factors associated with acute heart failure during liver transplant surgery: a case control study. Transplantation 2015;99:873-878.
Mutlak H, Wilke HJ, Moench C, Bechstein WO, Lotz G, Zacharowski K, Iber T. Early echocardiographic detection of a massive intracardiac thrombus in a patient scheduled for orthotopic liver transplantation. J Clin Anesth 2012;24:404-406.
Peiris P, Pai SL, Aniskevich S 3rd, Crawford CC, Torp KD, Ladlie BL, et al. Intracardiac thrombosis during liver transplant: a 17-year single-institution study. Liver Transpl 2015;21:1280-1285.
Pissarra F, Oliveira A, Marcelino P. Transoesophageal echocardiography for monitoring liver surgery: data from a pilot study. Cardiol Res Pract 2012;2012:723418.
Planinsic RM, Nicolau-Raducu R, Eghtesad B, Marcos A. Diagnosis and treatment of intracardiac thrombosis during orthotopic liver transplantation. Anesth Analg 2004;99:353-356.
Prah GN, Lisman SR, Maslow AD, Freeman RB, Rohrer RJ. Transesophageal echocardiography reveals an unusual cause of hemodynamic collapse during orthotopic liver transplantation: two case reports. Transplantation 1995;59:921-925.
Protin C, Bezinover D, Kadry Z, Verbeek T. Emergent management of intracardiac thrombosis during liver transplantation. Case Rep Transplant 2016;2016:1-5.
Sanchez RA, Kim B, Berumen J, Schmidt U. Transesophageal echocardiography-guided thrombus extraction and catheter-directed thrombolytic therapy during orthotropic liver transplantation. J Cardiothorac Vasc Anesth 2017;31:2127-2130.
Sharma A, Pagel PS, Bhatia A. Intraoperative iatrogenic acute pericardial tamponade: use of rescue transesophageal echocardiography in a patient undergoing orthotopic liver transplantation. J Cardiothorac Vasc Anesth 2005;19:364-366.
Shillcutt SK, Ringenberg KJ, Chacon MM, Brakke TR, Montzingo CR, Lyden ER, et al. Liver transplantation: intraoperative transesophageal echocardiography findings and relationship to major postoperative adverse cardiac events. J Cardiothorac Vasc Anesth 2016;30:107-114.
Steltzer H, Blazek G, Gabriel A, Leitner K, Mayer N, Müller C, et al. Two-dimensional transesophageal echocardiography in early diagnosis and treatment of hemodynamic disturbances during liver transplantation. Transplant Proc 1991;23:1957-1958.
Suriani RJ, Cutrone A, Feierman D, Konstadt S. Intraoperative transesophageal echocardiography during liver transplantation. J Cardiothorac Vasc Anesth 1996;10:699-707.
Tiwari AK, D’Attellis N. Intraoperative left ventricular apical ballooning: transient Takotsubo cardiomyopathy during orthotopic liver transplantation. J Cardiothorac Vasc Anesth 2008;22:442-445.
Tüchy GL, Gabriel A, Müller C, Tüchy E, Naderer M, Steltzer H, Zimpfer M. Titrating the preload by using the rapid infusion system: use of echocardiography during orthotopic liver transplantation. Transplant Proc 1993;25:1858-1860.
Vannucci A, Johnston J, Earl TM, Doyle M, Kangrga IM. Intraoperative transesophageal echocardiography guides liver transplant surgery in a patient with thrombosed transjugular intrahepatic portosystemic shunt. Anesthesiology 2011;115:1389-1391.
Vetrugno L, Barbariol F, Baccarani U, Forfori F, Volpicelli G, Della Rocca G. Transesophageal echocardiography in orthotopic liver transplantation: a comprehensive intraoperative monitoring tool. Crit Ultrasound J 2017;9.
Vogt MNP, Amundson AW, Heimbach JK, Martin DP. Successful removal of intracardiac thrombus with a Poole tip suction device through the inferior vena cava of a patient with cardiovascular collapse during liver transplant: a case report. A Pract 2018;10:272-275.
Xia VW, Ho JK, Nourmand H, Wray C, Busuttil RW, Steadman RH. Incidental intracardiac thromboemboli during liver transplantation: Incidence, risk factors, and management. Liver Transpl 2010;16:1421-1427.
Groose MK, Aldred BN, Joshua DM, Hammel LL. Risk factors for intracardiac thrombus during liver transplantation. Liver Transpl 2019;25:1682-1689.
Burger-Klepp U, Karatosic R, Thum M, Schwarzer R, Fuhrmann V, Hetz H, et al. Transesophageal echocardiography during orthotopic liver transplantation in patients with esophagoastric varices. Transplantation 2012;94:192-196.
Daniel WG, Erbel R, Kasper W, Visser CA, Engberding R, Sutherland GR, et al. Safety of transesophageal echocardiography. A multicenter survey of 10,419 examinations. Circulation 1991;83:817-821.
Elsayed H, Page R, Agarwal S, Chalmers J. Oesophageal perforation complicating intraoperative transoesophageal echocardiography: suspicion can save lives. Interact Cardiovasc Thorac Surg 2010;11:380-382.
Hogue CW, Lappas GD, Creswell LL, Ferguson TB Jr, Sample M, Pugh D, et al. Swallowing dysfunction after cardiac operations. Associated adverse outcomes and risk factors including intraoperative transesophageal echocardiography. J Thorac Cardiovasc Surg 1995;110:517-522.
Kallmeyer IJ, Collard CD, Fox JA, Body SC, Shernan SK. The safety of intraoperative transesophageal echocardiography: a case series of 7200 cardiac surgical patients. Anesth Analg 2001;92:1126-1130.
Lu SY, Matsusaki T, Abuelkasem E, Sturdevant ML, Humar A, Hilmi IA, et al. Complications related to invasive hemodynamic monitors during adult liver transplantation. Clin Transplant 2013;27:823-828.
MacGregor DA, Zvara DA, Treadway RM Jr, Ibdah JA, Maloney JD, Kon ND, Riley RD. Late presentation of esophageal injury after transesophageal echocardiography. Anesth Analg 2004;99:41-44.
Markin NW, Sharma A, Grant W, Shillcutt SK. The safety of transesophageal echocardiography in patients undergoing orthotopic liver transplantation. J Cardiothorac Vasc Anesth 2015;29:588-593.
Min JK, Spencer KT, Furlong KT, DeCara JM, Sugeng L, Ward RP, Lang RM. Clinical features of complications from transesophageal echocardiography: a single-center case series of 10,000 consecutive examinations. J Am Soc Echocardiogr 2005;18:925-929.
Myo Bui CC, Worapot A, Xia W, Delgado L, Steadman RH, Busuttil RW, Xia VW. Gastroesophageal and hemorrhagic complications associated with intraoperative transesophageal echocardiography in patients with model for end-stage liver disease score 25 or higher. J Cardiothorac Vasc Anesth 2015;29:594-597.
Purza R, Ghosh S, Walker C, Hiebert B, Koley L, Mackenzie GS, Grocott HP. Transesophageal echocardiography complications in adult cardiac surgery: a retrospective cohort study. Ann Thorac Surg 2017;103:795-802.
Rousou JA, Tighe DA, Garb JL, Krasner H, Engleman RM, Flack JE 3rd, Deaton DW. Risk of dysphagia after transesophageal echocardiography during cardiac operations. Ann Thorac Surg 2000;69:486-490.
Spier BJ, Larue SJ, Teelin TC, Leff JA, Swize LR, Borkan SH, et al. Review of complications in a series of patients with known gastro-esophageal varices undergoing transesophageal echocardiography. J Am Soc Echocardiogr 2009;22:396-400.
Schumann R, Mandell MS, Mercaldo N, Michaels D, Robertson A, Banerjee A, et al. Anesthesia for liver transplantation in United States academic centers: intraoperative practice. J Clin Anesth 2013;25:542-550.
Soong W, Sherwani SS, Ault ML, Baudo AM, Herborn JC, De Wolf AM. United States practice patterns in the use of transesophageal echocardiography during adult liver transplantation. J Cardiothorac Vasc Anesth 2014;28:635-639.
Wax DB, Torres A, Scher C, Leibowitz AB. Transesophageal echocardiography utilization in high-volume liver transplantation centers in the United States. J Cardiothorac Vasc Anesth 2008;22:811-813.
De Pietri L, Mocchegiani F, Leuzzi C, Montalti R, Vivarelli M, Agnoletti V. Transoesophageal echocardiography during liver transplantation. World J Hepatol 2015;7:2432-2448.
Burtenshaw AJ, Isaac JL. The role of trans-oesophageal echocardiography for perioperative cardiovascular monitoring during orthotopic liver transplantation. Liver Transpl 2006;12:1577-1583.
Hofer CK, Zollinger A, Rak M, Matter-Ensner S, Klaghofer R, Pasch T, Zalunardo MP. Therapeutic impact of intra-operative transoesophageal echocardiography during noncardiac surgery. Anaesthesia 2004;59:3-9.
Hoffmann TC, Del Mar C. Clinicians’ expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med 2017;177:407-419.
Seers K. Qualitative systematic reviews: their importance for our understanding of research relevant to pain. Br J Pain 2015;9:36-40.
Benoot C, Hannes K, Bilsen J. The use of purposeful sampling in a qualitative evidence synthesis: a worked example on sexual adjustment to a cancer trajectory. BMC Med Res Methodol 2016;16:21.