Pitfalls in diagnosing PFO: Characteristics of false-negative contrast injections during transesophageal echocardiography in patients with patent foramen ovales

Journal of the American Society of Echocardiography

Volumn 23, Issue 11, 2010, Pages 1136-1142

  Johansson, Magnus C ^a   Eriksson, Peter ^a   Guron, Cecilia Wallentin ^a   Dellborg, Mikael ^a  

^a UNIVERSITY OF GOTHENBURG   (Sweden)

Author keywords

Contrast echocardiography; False negative reaction; Heart septal defects; Patent foramen ovale; Transesophageal echocardiography

Indexed keywords

CONTRAST MEDIUM;

ARTICLE; CLINICAL ARTICLE; CONTRAST ECHOCARDIOGRAPHY; FALSE NEGATIVE RESULT; FALSE POSITIVE RESULT; HEART ATRIUM; HEART ATRIUM SEPTUM; HUMAN; PATENT FORAMEN OVALE; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; VALSALVA MANEUVER;

AGED; ANALYSIS OF VARIANCE; COHORT STUDIES; CONTRAST MEDIA; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FALSE NEGATIVE REACTIONS; FEMALE; FORAMEN OVALE, PATENT; HUMANS; IMAGE ENHANCEMENT; INJECTIONS, INTRAVENOUS; MALE; MIDDLE AGED; POLYGELINE; REFERENCE VALUES; SEVERITY OF ILLNESS INDEX;

EID: 78049441235     PISSN: 08947317     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.echo.2010.08.004     Document Type: Article

References (37)

1. M.W. Webster, A.M. Chancellor, H.J. Smith, D.L. Swift, D.N. Sharpe, and N.M. Bass Patent foramen ovale in young stroke patients Lancet 2 1988 11 12
2. S.R. Torti, M. Billinger, M. Schwerzmann, R. Vogel, R. Zbinden, and S. Windecker Risk of decompression illness among 230 divers in relation to the presence and size of patent foramen ovale Eur Heart J 25 2004 1014 1020
3. M. Schwerzmann, K. Nedeltchev, F. Lagger, H.P. Mattle, S. Windecker, and B. Meier Prevalence and size of directly detected patent foramen ovale in migraine with aura Neurology 7 2005 7
4. M.C. Johansson, P. Eriksson, Y. Peker, J. Hedner, L. Rastam, and U. Lindblad The influence of patent foramen ovale on oxygen desaturation in obstructive sleep apnoea Eur Respir J 29 2007 149 155
5. S.S. Hacievliyagil, H. Gunen, F.M. Kosar, I. Sahin, and T. Kilic Prevalence and clinical significance of a patent foramen ovale in patients with chronic obstructive pulmonary disease Respir Med 100 2006 903 910
6. M.C. Johansson, P. Eriksson, and M. Dellborg The significance of patent foramen ovale: a current review of associated conditions and treatment Int J Cardiol 134 2009 17 24
7. S. Pfleger, K. Konstantin Haase, S. Stark, A. Latsch, B. Simonis, and A. Scherhag Haemodynamic quantification of different provocation manoeuvres by simultaneous measurement of right and left atrial pressure: implications for the echocardiographic detection of persistent foramen ovale Eur J Echocardiogr 2 2001 88 93
8. M.C. Johansson, H. Helgason, M. Dellborg, and P. Eriksson Sensitivity for detection of patent foramen ovale increased with increasing number of contrast injections: a descriptive study with contrast transesophageal echocardiography J Am Soc Echocardiogr 21 2008 419 424
9. P.T. Hagen, D.G. Scholz, and W.D. Edwards Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts Mayo Clin Proc 59 1984 17 20
10. D.C. Fisher, E.A. Fisher, J.H. Budd, S.E. Rosen, and M.E. Goldman The incidence of patent foramen ovale in 1,000 consecutive patients. A contrast transesophageal echocardiography study Chest 107 1995 1504 1509
11. S.S. Goel, E.M. Tuzcu, M.H. Shishehbor, E.I. de Oliveira, P.P. Borek, and R.A. Krasuski Morphology of the patent foramen ovale in asymptomatic versus symptomatic (stroke or transient ischemic attack) patients Am J Cardiol 103 2009 124 129
12. H.W. Schuchlenz, G. Saurer, W. Weihs, and P. Rehak Persisting Eustachian valve in adults: relation to patent foramen ovale and cerebrovascular events J Am Soc Echocardiogr 17 2004 231 233
13. G. Rigatelli, F. Dell'avvocata, G. Braggion, M. Giordan, M. Chinaglia, and P. Cardaioli Persistent venous valves correlate with increased shunt and multiple preceding cryptogenic embolic events in patients with patent foramen ovale: An intracardiac echocardiographic study Catheter Cardiovasc Interv 72 2008 973 976
14. H.W. Schuchlenz, W. Weihs, E. Hackl, and P. Rehak A large Eustachian valve is a confounder of contrast but not of color Doppler transesophageal echocardiography in detecting a right-to-left shunt across a patent foramen ovale Int J Cardiol 109 2006 375 380
15. K.G. Gin, V.F. Huckell, and C. Pollick Femoral vein delivery of contrast medium enhances transthoracic echocardiographic detection of patent foramen ovale J Am Coll Cardiol 22 1993 1994 2000
16. C. Tei, H. Tanaka, T. Kashima, S. Nakao, M. Tahara, and T. Kanehisa Echocardiographic analysis of interatrial septal motion Am J Cardiol 44 1979 472 477
17. R.M. Lang, M. Bierig, R.B. Devereux, F.A. Flachskampf, E. Foster, and P.A. Pellikka Recommendations for chamber quantification: a report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology J Am Soc Echocardiogr 18 2005 1440 1463
18. H. Rakowski, C. Appleton, K.L. Chan, J.G. Dumesnil, G. Honos, and J. Jue Canadian consensus recommendations for the measurement and reporting of diastolic dysfunction by echocardiography: from the Investigators of Consensus on Diastolic Dysfunction by Echocardiography J Am Soc Echocardiogr 9 1996 736 760
19. S.J. Lester, A.J. Tajik, R.A. Nishimura, J.K. Oh, B.K. Khandheria, and J.B. Seward Unlocking the mysteries of diastolic function: deciphering the Rosetta stone 10 years later J Am Coll Cardiol 51 2008 679 689
20. F. Chirillo, M.C. Brunazzi, M. Barbiero, D. Giavarina, M. Pasqualini, and E. Franceschini-Grisolia Estimating mean pulmonary wedge pressure in patients with chronic atrial fibrillation from transthoracic Doppler indexes of mitral and pulmonary venous flow velocity J Am Coll Cardiol 30 1997 19 26
21. Y. Agmon, B.K. Khandheria, I. Meissner, F. Gentile, J.D. Sicks, and W.M. O'Fallon Comparison of frequency of patent foramen ovale by transesophageal echocardiography in patients with cerebral ischemic events versus in subjects in the general population Am J Cardiol 88 2001 330 332
22. P. Siostrzonek, W. Lang, M. Zangeneh, H. Gossinger, A. Stumpflen, and G. Rosenmayr Significance of left-sided heart disease for the detection of patent foramen ovale by transesophageal contrast echocardiography J Am Coll Cardiol 19 1992 1192 1196
23. R.E. Majd, M.N. Kavarana, M. Bouvette, and R.D. Dowling Improved technique to diagnose a patent foramen ovale during left ventricular assist device insertion Ann Thorac Surg 82 2006 1917 1918
24. R.R. Attaran, G. Baweja, L. Foster, S. Butman, and V.L. Sorrell Lower patent foramen ovale detection with transthoracic echocardiography in atrial fibrillation Int J Cardiovasc Imaging 24 2008 819 824
25. L.B. Goldstein, R. Adams, M.J. Alberts, L.J. Appel, L.M. Brass, and C.D. Bushnell Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group Circulation 113 2006 e873 e923
26. P. Lechat, J.L. Mas, G. Lascault, P. Loron, M. Theard, and M. Klimczac Prevalence of patent foramen ovale in patients with stroke N Engl J Med 318 1988 1148 1152
27. S. Cukon Buttignoni, A. Khorsand, G. Mundigler, J. Bergler-Klein, M. Heger, and M. Zehetgruber Agitated saline versus polygelatine for the echocardiographic assessment of patent foramen ovale J Am Soc Echocardiogr 10 2004 1059 1065
28. K. Spencer, L. Solomon, V. Mor-Avi, K. Dean, L. Weinert, and M. Gulati Effects of MPEG compression on the quality and diagnostic accuracy of digital echocardiography studies Journal of the American Society of Echocardiography 13 2000 51 57
29. H.W. Rahmouni, M.G. Keane, F.E. Silvestry, M.G. St. John Sutton, V.A. Ferrari, and C.H. Scott Failure of digital echocardiography to accurately diagnose intracardiac shunts Am Heart J 155 2008 161 165
30. C. Daniels, C. Weytjens, B. Cosyns, D. Schoors, J. De Sutter, and B. Paelinck Second harmonic transthoracic echocardiography: the new reference screening method for the detection of patent foramen ovale Eur J Echocardiogr 5 2004 449
31. D. Madala, J.G. Zaroff, L. Hourigan, and E. Foster Harmonic imaging improves sensitivity at the expense of specificity in the detection of patent foramen ovale Echocardiography 21 2004 33 36
32. L. Caputi, M.R. Carriero, C. Falcone, E. Parati, P. Piotti, and C. Materazzo Transcranial Doppler and transesophageal echocardiography: comparison of both techniques and prospective clinical relevance of transcranial Doppler in patent foramen ovale detection J Stroke Cerebrovasc Dis 18 2009 343 348
33. H. Van, P. Poommipanit, M. Shalaby, R. Gevorgyan, C.H. Tseng, and J. Tobis Sensitivity of transcranial Doppler versus intracardiac echocardiography in the detection of right-to-left shunt JACC Cardiovasc Imaging 3 2010 343 348
34. L. Afonso, A. Kottam, A. Niraj, J. Ganguly, P. Hari, and M. Simegn Usefulness of intravenously administered fluid replenishment for detection of patent foramen ovale by transesophageal echocardiography Am Journal Cardiol 2010 In Press
35. M.C. Johansson, H. Helgason, M. Dellborg, and P. Eriksson Sensitivity for detection of patent foramen ovale increased with increasing number of contrast injections: a descriptive study with contrast transesophageal echocardiography J Am Soc Echocardiogr 21 2008 419 424
36. A. Dowson, M.J. Mullen, R. Peatfield, K. Muir, A.A. Khan, and C. Wells Migraine Intervention With STARFlex Technology (MIST) trial. A prospective, multicenter, double-blind, sham-controlled trial to evaluate the effectiveness of patent foramen ovale closure with STARFlex septal repair implant to resolve refractory migraine headache Circulation 3 2008 3
37. J.E. Lindeboom, M.J. van Deudekom, and C.A. Visser Traditional contrast echocardiography may fail to demonstrate a patent foramen ovale: negative contrast in the right atrium may be a clue Eur J Echocardiogr 6 2005 75-8