Epicardial Scanning and Organ Donation

Covers epicardial scanning and organ donation regarding echo

what to assess via echo regarding organ donation

LV: LVEF, wall motion score index, GLS
asses AoV & MV
assess PV₄ inflow
assess diastolic function (TDI, E, A, e’, E/A, E/e’)
RV: fractional area change, longitudinal strain, TAPSE
assess TV and PV
estimate PHTN (RVSP)

epicardial scanning

used intraoperatively when TEE probe cannot be used when better views are needed of AoV, aorta, etc.

pros of epicardial scanning

optimal higher frequency
better views of aorta, AoV, PV, pulmonary arteries
more favorable influence on perioperative decisions

cons of epicardial scanning

requires direct access to surface of heart
needs sternotomy
cannot continuously monitor during surgery
advanced training necessary

pericardiocentesis

echo probe guides placement of needle to drain fluid from around the heart

percutaneous balloon valvuloplasty

opens stiff or stenotic valves

TAVR

transcatheter aortic valve replacement

transcatheter alcohol ablation of septal hypertrophy (ASH)

treats hypertrophic cardiomyopathy

septal occluder device

ASD closures

watchman device

prevents clots from forming in LAA

Mitra-Clip procedure

decreases MV leaking