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Updated: Nov 5, 2025

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Epicardial and Coronary Sinus Echocardiography
Nicholas Palmeri1, Andre D'Avila1, Eduardo B Saad2
1Beth Israel Deaconess Medical Center, 185 Pilgrim Road, Boston, MA 02215, USA.
Intracardiac echocardiography is becoming the dominant imaging tool in cardiac electrophysiology. New pericardial and coronary sinus approaches offer unique views, enhancing safety and utility in complex procedures.
Area of Science:
- Cardiovascular Imaging
- Cardiac Electrophysiology
Background:
- Catheter-based ultrasonography is integral to cardiac electrophysiology.
- Intracardiac echocardiography is emerging as the leading imaging modality.
Purpose of the Study:
- To explore the utility of novel echocardiography approaches in cardiac electrophysiology.
- To highlight intrapericardial and coronary sinus echocardiography as valuable imaging tools.
Main Methods:
- Utilizing ultrasound catheters for intrapericardial echocardiography following advances in pericardial access.
- Performing echocardiography from the coronary sinus, an epicardial structure.
Main Results:
- Intrapericardial and coronary sinus echocardiography provide unique imaging vantage points.
- These methods offer valuable alternative views compared to traditional echocardiography.
Conclusions:
- Intrapericardial and coronary sinus echocardiography are safe and effective adjuncts in complex electrophysiology procedures.
- These techniques expand imaging capabilities within the electrophysiology laboratory.
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