{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:43:52Z","timestamp":1789695832185,"version":"4.0.1"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":339,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transesophageal echocardiography (TEE) is an indispensable modality in cardiac surgery; however, the complications associated with its use in veterinary clinical settings remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis\/Objectives<\/jats:title>\n                    <jats:p>To investigate the complications associated with TEE probe manipulation during mitral valve repair in dogs and identify the risk factors for new mucosal injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>This prospective study evaluated 60 client-owned dogs that underwent TEE to support mitral valve repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Esophageal endoscopy was performed twice\u2014once after anesthesia induction and once before extubation\u2014to assess esophageal mucosal injuries during the procedure. The type of injury was classified as \u2018complex\u2019 (intramural hematoma and mucosal laceration), \u2018minor\u2019 (petechiae and ecchymosis), or \u2018minute\u2019 (visible only on narrowband imaging) lesions. During the surgery, TEE was performed three times. Hemodynamics were evaluated before the initial TEE insertion and immediately after it was removed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 60 dogs, newly detected mucosal lesions were observed in 20 dogs and classified as \u2018minor\u2019 in four and \u2018minute\u2019 in 16 dogs. These \u2018minute\u2019 lesions were not visible with conventional endoscopy, and no \u2018complex\u2019 lesions were identified. No significant factors were associated with the presence of mucosal lesions. After TEE insertion, systolic blood pressure decreased from 95\u2009\u00b1\u200913\u2009mmHg to 92\u2009\u00b1\u200911\u2009mmHg (p\u2009=\u20090.008), and heart rate decreased from 128\u2009\u00b1\u200925\u2009bpm to 123\u2009\u00b1\u200924\u2009bpm (p\u2009&amp;lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Clinical Importance<\/jats:title>\n                    <jats:p>Intraoperative TEE results in a low incidence of esophageal mucosal injuries. Hemodynamic changes could occur during TEE manipulation, underscoring the need for close monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jvim.70037","type":"journal-article","created":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T07:14:51Z","timestamp":1742195691000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Transesophageal Echocardiography-Related Complications During Mitral Valve Repair in Dogs"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1206-7769","authenticated-orcid":false,"given":"Kentaro","family":"Kurogochi","sequence":"first","affiliation":[{"name":"JASMINE Veterinary Cardiovascular Medical Center , Yokohama, Kanagawa,","place":["Japan"]},{"name":"North Carolina State University, College of Veterinary Medicine Department of Clinical Sciences, , Raleigh, North 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