Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Role of Endosongraphy in Cardiology: Clinical Applications

Version 1 : Received: 14 July 2023 / Approved: 19 July 2023 / Online: 19 July 2023 (12:05:13 CEST)
Version 2 : Received: 24 September 2023 / Approved: 26 September 2023 / Online: 27 September 2023 (14:24:14 CEST)

How to cite: Elhakim, A.; Karkour, K.; Sauter, P.; Rode, M.; Elhakim, M.; Radke, P.; Saad, M. The Role of Endosongraphy in Cardiology: Clinical Applications. Preprints 2023, 2023071290. https://doi.org/10.20944/preprints202307.1290.v1 Elhakim, A.; Karkour, K.; Sauter, P.; Rode, M.; Elhakim, M.; Radke, P.; Saad, M. The Role of Endosongraphy in Cardiology: Clinical Applications. Preprints 2023, 2023071290. https://doi.org/10.20944/preprints202307.1290.v1

Abstract

Background: Ultrasonography in medicine allows real time “dynamic” assessment of structure where the procedure takes place. This feature and design could be more advantageous than radiological “static” view imaging. Thus, it is the convincing imaging tool for many structural cardiovascular and gastrointestinal interventions. Technically, the image resolution for Endosonography (EUS) is noticeably higher than that of transesophageal echocardiography (TOE). The benefits of investigating the cardiovascular structures using this high-resolution endoscope are unknown. Clinical applications: We present clinical applications of incidentally diagnosed cardiovascular structures, which demonstrated during routine gastrointestinal endosonographic procedures. These diagnoses could influence changes in management strategies. Discussion: The introduction of high resolution endosonography (EUS) in cardiology allows "panoramic" and “dynamic” real-time assessment of cardiovascular structures with an accurate definition of the variable cardiovascular anatomy. Using this advantage during routine gastrointestinal procedures allows for the early detection of asymptomatic cardiac pathologies and accompanying diseases, prevents double investigations for patients and operators, eliminates the risk of esophageal trauma, highlights interdisciplinary teamwork benefits, and could facilitate in the future the indications for cardiac-based structural procedures, which could influence management strategies with improved safety, efficacy, and economic outcomes. Conclusion: The introduction of endosonography (EUS) in cardiology provide high-resolution real-time assessments of cardiovascular anatomy. Thus, it can be used for early detections of variable cardiovascular pathologies during routine gastrointestinal procedures.

Keywords

Endosonographic ultrasound; transesophageal echocardiography; left atrial appendage thrombus; mitral and aortic valve; left ventricle

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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