[Aortic flow measurement by transesophageal Doppler effect]. 1985

D Cathignol, and B Lavandier, and R Muchada

Continuous measurement of cardiac output by thermodilution is invasive, impractical and unpleasant for the patient. We propose to measure descending aortic blood flow with a specially designed intra-oesophageal Doppler echo probe. The apparatus is composed of two main parts. First an A scan system makes possible the measurement of the diameter of the vessel, second a continuous wave velocimeter is used to measure the spatial mean velocity of the blood. An output calculator determines the descending aortic blood flow. The oesophageal catheter contains three ultrasonic transducers at its tip mounted on an epoxy resin bracket produced by moulding. They are connected to a flexible hose placed inside a flexible polyvinyl sheath whose outer diameter is 6.8 mm and length is 50 cm. A cylindrical latex balloon is mounted on this sheath which is water inflated to minimum pressure, ensuring a good ultrasonic coupling between the transducers and the oesophageal wall. Connection between the probe and the apparatus is made by three coaxial cables. Three isolator-transformers are built into the connector cable to ensure a safe electrical circuit. After having bled the probe of any air, the balloon is deflated. The probe is gently introduced into the oesophagus by nasal or oral route until the transducers are situated between the 5th and 6th vertebra. The balloon is then inflated to minimum pressure with 10 ml of distilled water contained in a syringe. To find the aorta, the velocimeter is first used like a Doppler stethoscope. The probe is rotated into a position corresponding to the maximum level of Doppler signal.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001013 Aorta, Thoracic The portion of the descending aorta proceeding from the arch of the aorta and extending to the DIAPHRAGM, eventually connecting to the ABDOMINAL AORTA. Aorta, Ascending,Aorta, Descending,Aortic Arch,Aortic Root,Arch of the Aorta,Descending Aorta,Sinotubular Junction,Ascending Aorta,Thoracic Aorta,Aortic Roots,Arch, Aortic,Ascending Aortas,Junction, Sinotubular,Root, Aortic,Sinotubular Junctions

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