SHA24/016008

• Saad Khoshhal • Consultant pediatric cardiologist • General director of Taibah university medical services SHA SHA--13/2/2013 13/2/2013

History

1984: 3D (experimental)

Dekker et al (1974 ) 1966: Real-Time B-Mode 1954: B-Mode

1991: 3D TEE (commercial)

1950: A-Mode

1964: M-Mode 1968: Doppler 1983: Color Flow

Lang et al JACC:CARDIOVASCULAIMAGING,VOL. 2,NO.1,2009

1964: M-Mode

1966: Real-Time B-Mode

Why 3DE = Three D Adds Elevation Plane Elevation Plane

+ 2DE

Elevation Elevation Plane

Depth

=

3DE Azimuthal

Why 3DE

Saad khoshhal

3DE Transducers

13/2/2013

Is 3DE a replacement to 2DE

Direct cropping

Echoangiogram - PDA stent & RMBTS

LV Fx, Mass, CRT

13/2/2013

Is 3DE a replacement to 2DE

Is 3DE a replacement to 2DE

Saad khoshhal

A Bhan et al Heart 2010;96:153–163

13/2/2013

Is 3DE a replacement to 2DE

Saad khoshhal

MCC – 3DE patients ASD

Saad khoshhal

MCC – 3DE patients ASD – RA view

Saad khoshhal

MCC – 3DE patients ASD – RA view

Saad khoshhal

MCC – 3DE patients ASD

Saad khoshhal

MCC – 3DE patients ASD

Saad khoshhal

MCC – 3DE patients ASD

Saad khoshhal

MCC – 3DE patients ASD

Saad khoshhal

MCC – 3DE patients VSD- DCRV

Saad khoshhal

MCC – 3DE patients- VSD- DCRV

Saad khoshhal

MCC – 3DE patients , VSD- DCRV

Saad khoshhal

MCC – 3DE patients , VSD- DCRV

Saad khoshhal

MCC – RV, PV,Veg.

Saad khoshhal

MCC – RV, PV,Veg

Saad khoshhal

MCC – RV, PV,Veg

Saad khoshhal

MCC – RV,PV,Veg.

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR

Saad khoshhal

MCC – 3DE,Huge ASD,MR,TR Saad khoshhal

MCC – Cases

Saad khoshhal

Ken Takahashi, MD, Andrew S. Mackie, MD, Ivan M. Rebeyka, MD, David B. Ross, MD, Murray Robertson, MD, John D. Dyck, MD, Akio Inage, MD, and Jeffrey F. Smallhorn, MBBS, Edmonton, Alberta, Canada (J Am Soc Echocardiogr 2010;23:726-34.)

(PSCC- 2007)

Saad khoshhal

It’s up to you

Saad khoshhal

My Advice, Use both 2DE & 3DE

Saad khoshhal

13/2/201 3

Saad khoshhal

Is 3DE a replacement to 2DE SHA, 13/2/2013

Saad khoshhal

Q1 • 3DE Addition to 2DE is • A) Elevation (thickness ) plane • B) Horizontal plane • C) superior 2DE images

13/2/2013

Is 3DE a replacement to 2DE

Is 3DE a replacement to 2DE

Saad khoshhal

Q -2 • Pediatric 3DE probe (x7-2) • A) can perform 3DE study only • B) Can perform 2DE,3DE but not color doppler • C) Can perform 2DE,3DE,color flow and doppler studies

13/2/2013

Is 3DE a replacement to 2DE

Is 3DE a replacement to 2DE

Saad khoshhal

Q-3 • 3DE • A) Didn’t add any additional structural information to those obtained by 2DE • B ) is a replacement to 2DE • C ) Is complementary to 2DE

13/2/2013

Is 3DE a replacement to 2DE

Is 3DE a replacement to 2DE

Saad khoshhal