A Comprehensive Review of Transesophageal Echocardiography During Orthotopic Liver Transplantation

Adam A Dalia; Antolin Flores; Hovig Chitilian; Michael G Fitzsimons

doi:10.1053/j.jvca.2018.02.033

A Comprehensive Review of Transesophageal Echocardiography During Orthotopic Liver Transplantation

J Cardiothorac Vasc Anesth. 2018 Aug;32(4):1815-1824. doi: 10.1053/j.jvca.2018.02.033. Epub 2018 Feb 22.

Authors

Adam A Dalia¹, Antolin Flores², Hovig Chitilian³, Michael G Fitzsimons²

Affiliations

¹ Department of Anesthesiology, Pain Medicine, and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address: [email protected].
² Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH.
³ Department of Anesthesiology, Pain Medicine, and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

PMID: 29573952
DOI: 10.1053/j.jvca.2018.02.033

Abstract

Orthotopic liver transplantation (OLT) is characterized by significant hemodynamic disturbances and anesthetic challenges. Intraoperative transesophageal echocardiography (TEE) can be used to guide management during these procedures. This review examines the role of echocardiography during OLT, presents common TEE findings during each phase of OLT, and discusses the benefits demonstrated with TEE use and the safety of TEE in this patient population. Finally, the authors propose an algorithm for the safe use of TEE during OLT.

Keywords: echocardiography; intracardiac thrombus; intraprocedural transesophageal echocardiography guidance; orthotopic liver transplantation; transesophageal echocardiography; transesophageal echocardiography certification; transesophageal echocardiography monitoring; transplantation anesthesiology.

Publication types

Review

MeSH terms

Echocardiography, Transesophageal / methods*
End Stage Liver Disease / diagnostic imaging*
End Stage Liver Disease / physiopathology
End Stage Liver Disease / surgery*
Hemodynamics / physiology
Humans
Liver Transplantation / adverse effects
Liver Transplantation / methods*
Monitoring, Intraoperative / methods*
Postoperative Complications / diagnostic imaging
Postoperative Complications / physiopathology
Postoperative Complications / prevention & control