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Head-to-head comparison of real-time three-dimensional transthoracic echocardiography with transthoracic and transesophageal two-dimensional contrast echocardiography for the detection of patent foramen ovale
- Source :
- European Journal of Echocardiography. 11:245-249
- Publication Year :
- 2009
- Publisher :
- Oxford University Press (OUP), 2009.
-
Abstract
- Aims To assess the incremental value of real-time three-dimensional echocardiography (RT-3DTE) over contrast transthoracic echocardiography (TTE), compared with contrast transesophageal echocardiography (TEE) in the identification of patent foramen ovale (PFO). Methods and results Eighty-one consecutive patients with history of migraine headache (MH) or unexplained cerebrovascular events (CE) were examined using RT-3DTE, contrast TTE, and contrast TEE in sequence. Feasibility of RT-3DE in patients with MH and CE was 98 and 91%, respectively. Mean time for 3D colour data set acquisition was 9 ± 5 min. PFO was diagnosed using contrast TEE in 36 patients (overall prevalence = 44%). Diagnostic accuracy of RT-3DE was significantly higher than that of contrast TTE: sensitivity 83 vs. 44%, P < 0.001; specificity 100 vs. 100%, P 7 = NS; positive predictive value 100 vs. 100%, P = NS; negative predictive value 88 vs. 69%, P < 0.01; accuracy 93 vs. 75%, P < 0.003. Five of the six patients in whom RT-3DTE did not identify PFOs showed a defect diameter smaller than 2 mm. Conclusion RT-3DTE is a feasible, accurate, and reproducible technique to detect PFO without the need of saline contrast injection. Its accuracy is superior to contrast 2D TTE and close to that of contrast TEE.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Head to head
media_common.quotation_subject
Echocardiography, Three-Dimensional
Foramen Ovale, Patent
Sensitivity and Specificity
Text mining
Internal medicine
medicine
Humans
Contrast (vision)
Radiology, Nuclear Medicine and imaging
In patient
Defect.diameter
Foramen ovale (heart)
media_common
business.industry
General Medicine
medicine.disease
Stroke
medicine.anatomical_structure
Echocardiography
Contrast echocardiography
Patent foramen ovale
Cardiology
Feasibility Studies
Female
Cardiology and Cardiovascular Medicine
business
Echocardiography, Transesophageal
Subjects
Details
- ISSN :
- 15322114 and 15252167
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- European Journal of Echocardiography
- Accession number :
- edsair.doi.dedup.....da0d099564cf9fbfee633827f73b10fc