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Rotational method simplifies 3-dimensional measurement of left atrial appendage dimensions during transesophageal echocardiography

Overview of attention for article published in Cardiovascular Ultrasound, August 2016
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Title
Rotational method simplifies 3-dimensional measurement of left atrial appendage dimensions during transesophageal echocardiography
Published in
Cardiovascular Ultrasound, August 2016
DOI 10.1186/s12947-016-0079-y
Pubmed ID
Authors

Chaim Yosefy, Yulia Azhibekov, Boris Brodkin, Vladimir Khalameizer, Amos Katz, Avishag Laish-Farkash

Abstract

Not all echo laboratories have the capability of measuring direct online 3D images, but do have the capability of turning 3D images into 2D ones "online" for bedside measurements. Thus, we hypothesized that a simple and rapid rotation of the sagittal view (green box, x-plane) that shows all needed left atrial appendage (LAA) number of lobes, orifice area, maximal and minimal diameters and depth parameters on the 3D transesophageal echocardiography (3DTEE) image and LAA measurements after turning the images into 2D (Rotational 3DTEE/"Yosefy Rotation") is as accurate as the direct measurement on real-time-3D image (RT3DTEE). We prospectively studied 41 consecutive patients who underwent a routine TEE exam, using QLAB 10 Application on EPIQ7 and IE33 3D-Echo machine (BORTHEL Phillips) between 01/2013 and 12/2015. All patients underwent 64-slice CT before pulmonary vein isolation or for workup of pulmonary embolism. LAA measurements were compared between RT3DTEE and Rotational 3DTEE versus CT. Rotational 3DTEE measurements of LAA were not statistically different from RT3DTEE and from CT regarding: number of lobes (1.6 ± 0.7, 1.6 ± 0.6, and 1.4 ± 0.6, respectively, p = NS for all); internal area of orifice (3.1 ± 0.6, 3.0 ± 0.7, and 3.3 ± 1.5 cm(2), respectively, p = NS for all); maximal LAA diameter (24.8 ± 4.5, 24.6 ± 5.0, and 24.9 ± 5.8 mm, respectively, p = NS for all); minimal LAA diameter (16.4 ± 3.4, 16.7 ± 3.3, and 17.0 ± 4.4 mm, respectively, p = NS for all), and LAA depth (20.0 ± 2.1, 19.8 ± 2.2, and 21.7 ± 6.9 mm, respectively, p = NS for all). Rotational 3DTEE method for assessing LAA is a simple, rapid and feasible method that has accuracy similar to that of RT3DTEE and CT. Thus, rotational 3DTEE ("Yosefy rotation") may facilitate LAA closure procedure by choosing the appropriate device size.

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The data shown below were compiled from readership statistics for 29 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 34%
Other 3 10%
Student > Postgraduate 3 10%
Researcher 3 10%
Student > Bachelor 2 7%
Other 4 14%
Unknown 4 14%
Readers by discipline Count As %
Medicine and Dentistry 19 66%
Biochemistry, Genetics and Molecular Biology 2 7%
Sports and Recreations 2 7%
Psychology 2 7%
Unknown 4 14%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 August 2016.
All research outputs
#20,653,708
of 25,371,288 outputs
Outputs from Cardiovascular Ultrasound
#258
of 328 outputs
Outputs of similar age
#275,214
of 352,643 outputs
Outputs of similar age from Cardiovascular Ultrasound
#11
of 16 outputs
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