Endoscopy-guided transesophageal echocardiography for large esophageal varices: Use of the "Double Barrel" technique

被引：0

作者：

Rhee, David W. ^{[1
]}

Nayar, Ambika C. ^{[1
]}

Yan, Joe L. ^{[1
]}

Gausman, Valerie ^{[2
]}

Park, David S. ^{[1
]}

Vareedayah, Ashley A. ^{[2
]}

机构：

[1] New York Univ Langone Hlth, Leon H Charney Div Cardiol, 462 1st Ave, New York, NY 10016 USA

[2] New York Univ Langone Hlth, Div Gastroenterol & Hepatol, New York, NY USA

来源：

ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES | 2021年 / 38卷 / 11期

关键词：

atrial fibrillation; atrial flutter; esophageal varices; esophagogastroduodenoscopy; transesophageal echocardiography;

D O I：

10.1111/echo.15227

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Rhythm control strategies in patients with esophageal varices and atrial arrhythmias pose a unique challenge. The left atrium should be imaged for a thrombus prior to attempting cardioversion or ablation, but the presence of varices is a relative contraindication for transesophageal echocardiography. We present a safe, novel technique of evaluating for left atrial thrombus with simultaneous transesophageal echocardiography and esophagogastroduodenoscopy using slim probes in a patient with large, high-risk esophageal varices, and symptomatic atrial flutter with rapid ventricular rates despite medical therapy.

引用

页码：1970 / 1972

页数：3

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