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Author Spotlight: Advancements in Intracardiac Echocardiography for Atrial Anatomy Assessment
Published on: June 30, 2023
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Intracardiac Echocardiography for Structural Heart and Electrophysiological Interventions
Craig Basman1, Yuvrajsinh J Parmar1, Itzhak Kronzon2
1Department of Cardiovascular Medicine, Lenox Hill Hospital - Northwell Health, New York, NY, USA.
Current Cardiology Reports
|September 8, 2017
Summary
Intracardiac echocardiography (ICE) offers internal cardiac imaging for structural heart and electrophysiology interventions, providing high resolution. While it has limitations, ICE is increasingly used to guide complex procedures safely and efficiently.
Area of Science:
- Cardiology
- Medical Imaging
- Interventional Procedures
Background:
- Interventional procedures for structural heart disease and arrhythmias are increasing.
- Echocardiographic guidance is crucial for procedural safety and efficiency.
Purpose of the Study:
- To review the principles of intracardiac echocardiography (ICE).
- To describe the peri-interventional role of ICE in structural heart disease and electrophysiology interventions.
Main Methods:
- Review of recent reports and data on ICE utilization.
- Comparison of ICE with transthoracic (TTE) and transesophageal echocardiography (TEE).
Main Results:
- ICE offers high-resolution imaging from within the heart, potentially avoiding sedation and esophageal intubation.
- ICE is effective in guiding various procedures including device closure of interatrial shunts, transseptal puncture, and electrophysiologic interventions.
- ICE can supplement or serve as primary guidance for left atrial appendage closure, TAVI, mitral valve repair, and other interventions.
Conclusions:
- ICE is a valuable tool for improving structural heart and electrophysiology interventions.
- Continued expansion of ICE technology is expected to enhance procedural outcomes.
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