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- W3198238837 abstract "DELAYED STERNAL CLOSURE (DSC) is a technique adopted to manage unstable patients after cardiac surgery, including low-cardiac-output state (LCOS), intractable bleeding, and arrhythmia. 1 Boeken U Assmann A Mehdiani A et al. Open chest management after cardiac operations: Outcome and timing of delayed sternal closure. Eur J Cardiothorac Surg. 2011; 40: 1146-1150 PubMed Google Scholar This cohort of patients may have extensive devices within the thorax, including metal retractors, vacuum- assisted closure systems, swabs, drains, and central venoarterial extracorporeal membrane oxygenation (VA ECMO) cannulae, rendering cardiac visualization very challenging. Transesophageal echocardiography (TEE) is the main tool to assess cardiac function in these patients. 2 Fleck T Kickinger B Moidl R et al. Management of open chest and delayed sternal closure with the vacuum assisted closure system: Preliminary experience. Interact Cardiovasc Thorac Surg. 2008; 7: 801-804 Crossref PubMed Scopus (23) Google Scholar However, TEE is not without risk, and it may cause injury and bleeding in this often coagulopathic and anticoagulated DSC patient group. 3 Hilberath JN Oakes DA Shernan SK et al. Safety of transesophageal echocardiography. J Am Soc Echocardiogr. 2010; 23: 1115-1127 Abstract Full Text Full Text PDF PubMed Scopus (274) Google Scholar These risks are multiplied in the DSC cohort due to the need for repeated examinations." @default.
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- W3198238837 date "2022-08-01" @default.
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- W3198238837 title "Ultrasound enhancing agent enables transthoracic echocardiography in patients with delayed sternal closure." @default.
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- W3198238837 doi "https://doi.org/10.1053/j.jvca.2021.08.105" @default.
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