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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 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
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.
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.
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