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J Am Soc Echocardiogr. 2005 Sep;18(9):925-9.

Clinical features of complications from transesophageal echocardiography: a single-center case series of 10,000 consecutive examinations.

Author information

1
Department of Medicine, University of Chicago Hospitals, Chicago, Illinois 60637, USA.

Abstract

BACKGROUND:

Transesophageal echocardiography (TEE) is an essential diagnostic tool that has gained widespread use in clinical cardiology. It is considered reasonably noninvasive and safe; however, insertion and operation of the TEE probe may cause hypopharyngeal, esophageal, or gastric trauma. The current study reports a single-center experience of esophagogastric trauma in 10,000 consecutive TEE examinations.

METHODS:

TEE examinations were performed by 9 attending physicians who were trained in endoscopic procedures and had been performing TEE studies for at least 1 year.

RESULTS:

One case of hypopharyngeal perforation (0.01%), 2 cases of cervical esophageal perforation (0.02%), and no cases of gastric perforation (0%) occurred after TEE examination. No fatalities (0%) occurred. We describe the clinical characteristics of individuals who experienced esophageal perforation during this 10-year period.

CONCLUSIONS:

This single-center study demonstrates that TEE examinations are associated with a very low risk of esophagogastric trauma when performed in a safe setting by experienced operators.

PMID:
16153515
DOI:
10.1016/j.echo.2005.01.034
[Indexed for MEDLINE]

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