{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T15:23:24Z","timestamp":1792423404494,"version":"4.5.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Endosonography (EUS) is the diagnostic tool with the highest resolution for the local staging of gastrointestinal tumours and, due to the detailed visualization of the wall layers, is recommended in current guidelines for cancer management. In addition, an endoscope has an ultrasound tip design and balloon insufflation control design, and a 120\u00b0 bending mechanism to deflect the endoscope tip. These advantages could be beneficial and valuable while investigating the cardiovascular structures during routine gastrointestinal procedures using this diagnostic tool.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We present six cases of incidentally diagnosed cardiac pathologies (pulmonary thromboembolism of the main pulmonary artery, patent foramen oval with right to left shunt under Valsalva, left atrial appendage thrombus, aortic dissection, moderate aortic valve stenosis, mitral and aortic valve endocarditis) during routine gastrointestinal endosonographic procedures. These diagnoses influenced changes in management strategies in four cases.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The introduction of EUS in cardiovascular medicine allows for a real-time high-resolution assessment of cardiovascular structures and allows early detection of silent cardiac pathologies during routine gastrointestinal procedures. It is the diagnostic tool with the highest resolution for accurate definition of variable gastrointestinal anatomy. Thus, help for accurate definitions of cardiovascular anatomy and pathology, which could influence optimal management strategies with improved safety, efficacy, and economic outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjimp\/qyad002","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T13:57:29Z","timestamp":1684331849000},"source":"Crossref","is-referenced-by-count":5,"title":["The role of endosonography in cardiology: case series and literature review"],"prefix":"10.1093","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3315-4167","authenticated-orcid":false,"given":"Abdelrahman","family":"Elhakim","sequence":"first","affiliation":[{"name":"Cardiology Department, Schoen Hospital Neustadt , Am Kiebitzberg 10, 23730 Neustadt in Holstein , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kawther","family":"Karkour","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, AMEOS Hospital Eutin , Eutin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8680-3706","authenticated-orcid":false,"given":"Philip","family":"Sauter","sequence":"additional","affiliation":[{"name":"Schoen Hospital Neustadt in Holstein,Am Kiebitzberg 10 , 23730 Neustadt in Holstein , Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Rode","sequence":"additional","affiliation":[{"name":"Endosonographic Unit, Schoen Hospital Neustadt in Holstein , Neustadt in Holstein , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Elhakim","sequence":"additional","affiliation":[{"name":"Nepean HospitalDerby street , Kingswood NSW2747 Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter W","family":"Radke","sequence":"additional","affiliation":[{"name":"Cardiology Department, Schoen Hospital Neustadt , Am Kiebitzberg 10, 23730 Neustadt in Holstein , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Saad","sequence":"additional","affiliation":[{"name":"Schleswig-Holstein University Hospital-KielArnold-Heller-Street 3 , 24105 Kiel , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"2023083116223349800_qyad002-B1","doi-asserted-by":"crossref","first-page":"36","DOI":"10.3904\/kjim.2017.212","article-title":"Present status and perspectives of endosonography 2017 in gastroenterology","volume":"33","author":"Hocke","year":"2018","journal-title":"Korean J Intern Med"},{"key":"2023083116223349800_qyad002-B2","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.gie.2015.02.017","article-title":"Echoendoscopes","volume":"82","author":"ASGE Technology Committee","year":"2015","journal-title":"Gastrointest Endosc"},{"key":"2023083116223349800_qyad002-B3","doi-asserted-by":"crossref","first-page":"1686","DOI":"10.1111\/jgh.13766","article-title":"Contrast-enhanced harmonic endoscopic ultrasonography for differential diagnosis of submucosal tumors of the upper gastrointestinal tract","volume":"32","author":"Kamata","year":"2017","journal-title":"J Gastroenterol Hepatol"},{"key":"2023083116223349800_qyad002-B4","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1055\/s-0029-1246021","article-title":"Evidence based endoscopic ultrasound","volume":"49","author":"Dietrich","year":"2011","journal-title":"Z Gastroenterol"},{"key":"2023083116223349800_qyad002-B5","author":"Heydarian"},{"key":"2023083116223349800_qyad002-B6","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1016\/j.echo.2013.07.009","article-title":"Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendations from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists","volume":"26","author":"Hahn","year":"2013","journal-title":"J Am Soc Echocardiogr"},{"key":"2023083116223349800_qyad002-B7","volume-title":"Endoscope Camera: Medical Imaging Camera Quality","author":"Anderson","year":"2021"},{"key":"2023083116223349800_qyad002-B8"},{"key":"2023083116223349800_qyad002-B9"},{"key":"2023083116223349800_qyad002-B10"}],"container-title":["European Heart Journal - Imaging Methods and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjimp\/advance-article-pdf\/doi\/10.1093\/ehjimp\/qyad002\/50368596\/qyad002.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjimp\/article-pdf\/1\/1\/qyad002\/51317635\/qyad002.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjimp\/article-pdf\/1\/1\/qyad002\/51317635\/qyad002.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T16:31:55Z","timestamp":1693499515000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjimp\/article\/doi\/10.1093\/ehjimp\/qyad002\/7168242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,5,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjimp\/qyad002","relation":{},"ISSN":["2755-9637"],"issn-type":[{"value":"2755-9637","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,5]]},"published":{"date-parts":[[2023,5]]},"article-number":"qyad002"}}