Live 3-Dimensional Echocardiography Guidance for the Insertion of a Retrograde Cardioplegic Catheter through the Coronary Sinus

Authors

  • Yoshihiro Suematsu
  • Bob Kiaii
  • Daniel Bainbridge
  • Richard J. Novick

DOI:

https://doi.org/10.1532/HSF98.20071004

Abstract

Objective. We evaluated the feasibility and accuracy of live 3-dimensional (3D) epicardial echocardiography (echo) to guide the insertion of a retrograde cardioplegic catheter into the coronary sinus.

Methods. A real-time 3D echo system with a x4 matrix transducer was used. Live 3D echo-guided catheter insertion was compared with blind insertion. Completion times and success rates were recorded. During all experiments, the operator was blinded to the target and, in the echo-guided group, the procedure was performed with only ultrasonic guidance.

Results. Live 3D echo provided sufficient spatial resolution and a satisfactory frame rate to provide a "virtual surgeon's view" of the relevant anatomy. Although there was no significant difference in completion time, live 3D echo guidance significantly improved the success rate of catheter insertion as compared to the blind group (90% versus 35%; P <.001).

Conclusions. Live 3D echo-guided coronary sinus catheter insertion is feasible and safe.

References

Cohen G, Borger MA, Weisel RD, Rao V. 1999. Intraoperative myocardial protection: current trends and future perspectives. Ann Thorac Surg 68:1995-2001.nClements F, Wright SJ, de Bruijn N. 1998. Coronary sinus catheterization made easy for port-access minimally invasive cardiac surgery. J Cardiothorac Vasc Anesth 12:96-101.nPanos AL, Ali IS, Birnbaum PL, et al. 1992. Coronary sinus injuries during retrograde continuous normothermic blood cardioplegia. Ann Thorac Surg 54:1137-8.nKisslo J, Firek B, Ota T, et al. 2000. Real-time volumetric echocardiography: the technology and the possibilities. Echocardiography 17:773-9.nKurusz M, Girouard MK, Brown PS Jr. 2002. Coronary sinus rupture with retrograde cardioplegia. Perfusion 17:77-80.nLang R, Sugeng L. 2002. A fantastic journey: 3D cardiac ultrasound goes live. Radiol Manage 24:18-22.nLillehei CW, Dewall RA, Gott VL, et al. 1965. The direct vision correction of calcification of calcific aortic stenosis by means of pump-oxygenator and retrograde coronary sinus perfusion. Dis Chest 30:123.nPratt FH. 1898. The nutrition of the heart through the vessels of Thebesius and the coronary veins. Am J Physiol 1:86.nSuematsu Y, Marx GR, Triedman JK, Mihaljevic T, Mora BN, del Nido PJ. 2004. 3-dimensional echo-guided beating-heart surgery without cardiopulmonary bypass: feasibility study. J Thorac Cardiovasc Surg. 128:579-87.n

Published

2007-03-27

How to Cite

Suematsu, Y., Kiaii, B., Bainbridge, D., & Novick, R. J. (2007). Live 3-Dimensional Echocardiography Guidance for the Insertion of a Retrograde Cardioplegic Catheter through the Coronary Sinus. The Heart Surgery Forum, 10(3), E188-E190. https://doi.org/10.1532/HSF98.20071004

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