6. TEE for Coronary Artery Bypass Graft (CABG) Surgery - Part 1

TEE Time: The Perioperative TEE Video Podcast (Anesthesia, Cardiology, Echocardiography, Sonography, Critical Care ICU) - A podcast by Dr. Andreas Plackis

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Optimal TEE Techniques for CABG Surgery - Part 1: Focus on Left Ventricular Function Assessment In this episode of TEE Time, Dr. Andreas Plackis explores the use of Transesophageal Echocardiography (TEE) during Coronary Artery Bypass Grafting (CABG) surgery. The focus is on assessing left ventricular (LV) function, including global and regional function, using methods like the eyeball test, Simpson’s biplane method, and 3D quantification. Additionally, Dr. Plackis discusses when CABG is preferable to PCI, the importance of TEE in high-risk CABG patients, and how to detect wall motion abnormalities indicative of coronary artery issues. Stay tuned for part two, which will cover valvular assessment and post-myocardial infarction complications. 00:00 Introduction to TEE for CABG Surgery 01:18 Understanding CABG vs PCI 02:43 Importance of TEE in CABG Surgery 03:45 Assessing Global LV Function 05:11 Simpson’s Biplane Method 06:42 3D Quantification of LV Function 08:38 Regional LV Function and Wall Motion Abnormalities 12:34 Practical Tips for TEE in CABG Surgery 14:29 Conclusion and Next Steps Keywords: Wall thickening, Simpson’s Biplane, paradoxical motion, global LV function, LV function, chamber quantification, mitral annulus, low-risk CABG, left circumflex lesion, 3D echocardiographic measurements, post-MI complications, end systolic volume, CABG, TEE, moderate valvular disease, 2D echocardiography, akinesis, syntax score, transgastric view, high-risk CABG, graft failure, coronary artery disease, end diastolic volume, mid esophageal view, LAD lesion, inferoseptal wall, mechanical complications, ventricular function, intraoperative TEE, regional assessment, TEE guidelines, surgical interventions, Philips system, ASE recommendations, RCA lesion, anterior wall, thrombosis, dyskinesis, left ventricle, cardiac surgery, myocardial infarction, modified Simpson’s rule, PCI, diabetic patients, 3D quantification, bypass surgery, hypokinesis, inferolateral wall, eyeball test, wall motion abnormalities. #TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #SurgeryPodcast #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #TransesophagealEchocardiography #CICU #CVICU #ICU #ResuscitativeTEE  #LVFunction #ChamberQuantification #CABG #CoronaryArteryDisease #LeftVentricle #WallMotionAbnormalities