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Updated: Jun 21, 2025
04:29
Author Spotlight: Advancements in Intracardiac Echocardiography for Atrial Anatomy Assessment
Published on: June 30, 2023
885
Structural Heart Imaging Using 3-Dimensional Intracardiac Echocardiography: JACC: Cardiovascular Imaging Position
Gilbert H L Tang1, Syed Zaid2, Rebecca T Hahn3
1Mount Sinai Health System, New York, New York, USA.
JACC. Cardiovascular Imaging
|July 6, 2024
Summary
This expert guide details using 3D intracardiac echocardiography (3D-ICE) for structural heart interventions. It provides standardized practices for indications, utilization, and workflow, enhancing safety and efficacy.
Area of Science:
- Cardiovascular Imaging
- Interventional Cardiology
Background:
- 3D intracardiac echocardiography (3D-ICE) offers a promising alternative to transesophageal echocardiography for structural heart interventions.
- Standardized guidelines are needed to ensure optimal use of this evolving imaging technology.
Purpose of the Study:
- To provide a comprehensive expert position statement on the indications and utilization of 3D-ICE in structural heart procedures.
- To establish standardized practices for 3D-ICE in interventional cardiology.
Main Methods:
- A multidisciplinary expert panel developed recommendations based on current evidence and clinical experience.
- The statement covers imaging fundamentals, workflow, and specific procedural applications.
Main Results:
- Detailed guidance on 3D-ICE imaging, including basic views and workflow, is presented.
- Recommendations are tailored for procedures like transeptal puncture, device closure, and valve interventions.
Conclusions:
- 3D-ICE is a valuable tool for guiding structural heart interventions, complementing or replacing transesophageal echocardiography.
- Addressing challenges and ensuring adequate training will promote wider adoption and clinical success of 3D-ICE.
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