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Related Concept Videos

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The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
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Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Related Experiment Video

Updated: Feb 2, 2026

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Intracardiac Echocardiography in Structural Heart Disease Interventions.

Mohamad Alkhouli1, Ziyad M Hijazi2, David R Holmes3

  • 1Division of Cardiology, West Virginia University, Morgantown, West Virginia.

JACC. Cardiovascular Interventions
|November 10, 2018
PubMed
Summary

Intracardiac echocardiography (ICE) offers a promising alternative to transesophageal echocardiography for structural heart interventions, potentially avoiding endotracheal intubation. Further research and operator experience are needed for wider adoption of this imaging technology.

Keywords:
atrial septal defectintracardiac echocardiographyleft atrial appendage closurepercutaneous interventionstructural heart diseasetranscatheter aortic valve replacement

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Area of Science:

  • Cardiovascular Imaging
  • Interventional Cardiology
  • Medical Technology

Background:

  • Intracardiac echocardiography (ICE) has a limited history in guiding transcatheter cardiac interventions.
  • Advances in structural heart disease interventions have increased interest in ICE as an alternative to transesophageal echocardiography (TEE).
  • ICE may reduce the need for endotracheal intubation during cardiac procedures.

Purpose of the Study:

  • To review current evidence on the use of ICE in structural heart interventions.
  • To provide guidance for interventionalists on employing ICE for various structural heart procedures.
  • To address barriers to wider ICE adoption.

Main Methods:

  • Review of contemporary scientific literature and clinical data.
  • Synthesis of evidence regarding ICE application in structural heart interventions.
  • Illustrative guide for practical use.

Main Results:

  • Growing interest in ICE as a TEE alternative due to potential to avoid intubation.
  • Existing barriers include limited data, probe imperfections, and operator inexperience.
  • ICE is increasingly recognized for guiding diverse structural heart interventions.

Conclusions:

  • ICE shows potential as a valuable tool in structural heart interventions.
  • Overcoming current limitations is crucial for broader clinical implementation.
  • This review offers a guide for utilizing ICE in interventional settings.