Comparison of intracardiac echocardiography versus transesophageal echocardiography guidance for percutaneous transcatheter closure of atrial septal defect

Boccalandro, Fernando; Baptista, Edward; Muench, Andreas; Carter, Catherine; Smalling, Richard W.

doi:10.1016/j.amjcard.2003.10.037

Cited by 85 publications

(54 citation statements)

References 10 publications

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“…Intracardiac echocardiography has been used extensively to guide percutaneous ASD/PFO closure procedures and is the imaging modality of choice in many centers in the cardiac catheterization laboratory. [84][85][86][87][88] The advantages of ICE include an image quality that is similar (but not identical) to that of TEE, facilitating a comprehensive assessment of the IAS, location and size of the defects, the adequacy of the rims, and location of the pulmonary veins. It also retains an advantage compared with TEE in imaging the inferior and posterior portions of the IAS.…”

Section: Role Of Echocardiography In Percutaneous Transcatheter Devicmentioning

confidence: 99%

Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Silvestry

Cohen

Armsby

et al. 2015

Journal of the American Society of Echocardiography

441

436

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Section: Role Of Echocardiography In Percutaneous Transcatheter Devicmentioning

confidence: 99%

Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Silvestry

Cohen

Armsby

et al. 2015

Journal of the American Society of Echocardiography

441

436

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“…Several studies have confirmed the utility of ICE imaging for secundum atrial septal defect closure [3,5,16,20,24,30,36]. For pediatric cases, ICE has been used in children as small as 8 kg [29,35] with reasonable safety and excellent imaging.…”

mentioning

confidence: 94%

“…For pediatric cases, ICE has been used in children as small as 8 kg [29,35] with reasonable safety and excellent imaging. Other studies comparing the use of ICE vs. transesophageal echocardiography (TEE) for imaging during atrial septal defect closure have concluded that ICE is not only a superior imaging technique [3][4][5] but decreases procedure time [3,5] and fluoroscopy time [37], and may even be cost effective [1], limiting the need for anesthesia or additional personnel in the room.…”

mentioning

confidence: 99%

“…The remainder of the atrial septum can also be imaged to exclude the rare occurrence of additional secundum or sinus venosus atrial septal defects. Balloon sizing of the defect has been shown to correlate well with angiographic measurements, and device positioning, deployment, and release is ideally guided without interference from a transesophageal echo probe in the fluoroscopic viewing field [5]. Device stability and the presence of residual shunting can be assessed after final device release [3].…”

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confidence: 99%

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Intracardiac Echocardiography in Congenital Heart Disease

Barker

2009

J. of Cardiovasc. Trans. Res.

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The use of intracardiac echocardiography (ICE) in congenital heart disease has become well established over the past 7 years since its introduction into clinical imaging. The greatest experience has been to guide percutaneous device closures of secundum atrial septal defects and patent foramen ovale, with excellent safety and clinical results. However, ICE has also been used for the evaluation and management of many other congenital heart defects given its unique blood/transducer interface and close proximity to relevant cardiac anatomy. Clinical application of ICE is expanding, with the current ICE catheters being used as micro-transesophageal echo probes, and three-dimensional prototypes already developed and tested in animal models. It is expected that ICE will further increase in use with refinements in technology and greater operator experience, aiding the management of complex congenital heart disease.

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“…Especially, in the percutaneous closure of atrial septal defects, the combination with ICE allows quantitative and qualitative information for both proper ASO selection and optimal device placement [6,7]. It is associated with shorter laboratory and interventional procedure time as compared with trans-esopageal guided procedures [8]. ICE is of help in visualizing clinical complications that might occur in some procedures such as pericardial effusion, clot detection, and therapeutic device mispositioning [9].…”

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confidence: 98%

Intracardiac echocardiography. A new tool in the cath lab

Bouma

Mulder

2005

Int J Cardiovasc Imaging

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In response to the article by Zanchetta et al. (Int. J. Cardiovasc. Imaging 21,[391][392][393][394][395][396][397][398][399][400][401] In this volume, Zanchetta et al. [1] validate intracardiac echocardiography (ICE) by correlating the ICE images with anatomic sections and magnetic resonance scan planes.Interventional cardiac procedures, as for electrophysiology and interventions in congenital heart disease, have always been performed under fluoroscopic guidance and/or transesophageal echocardiography. Fluroscopy only produces global representation of the heart, necessitates an experienced skills level of the physician. Transesophageal echocardiography requires the presence of an ultrasound physician and an anesthesiologist to assist in procedures such as closure of atrial septum defects, patent foramen ovale, and more. These procedures can gain benefit by reducing Xray time, eliminating heavy sedation and discomfort and aspiration risk associated with transesophageal echocardiography and by simplifying the procedure into a single-operator action. The need for a feasible and accurate alternative imaging modality was obvious.Current intracardiac echocardiography catheters are flexible by its ability to move in four directions (anterior-posterior, and left-right position) up to 160°. They can be connected to standard and laptop size ultrasound machines. The high resolution images reveal critical information about cardiac anatomy, great vessels, blood flow direction and velocity, and the position of devices. This rapidly makes the ultrasound catheter a standard tool in many interventional procedures [2].The clinical application of intracardiac echocardiography started some years ago. In the electrophysiology, the use of ICE generates with its excellent visualization of the fossa ovalis, better imaging modality than fluoroscopy in the guidance of trans-septal punctures, especially in less experienced hands [3]. It is useful in the positioning and stabilization of the imaging ablation catheter, the evaluation of the lesion size and continuity and in the immediate identification of complications. Furthermore it improves the long-term outcome in pulmonary vein isolation with its direct visualization of microbubble formation and thereby reducing the risk of pulmonary vein stenosis [4].In congenital heart disease, ICE can be used for diagnostic purposes because of its superior image quality as compared to similar views with transesopageal echocardiography [5]. Interventions in congenital heart disease use already extendedly ICE. Especially, in the percutaneous closure of atrial septal defects, the combination with ICE allows quantitative and qualitative information for both proper ASO selection and optimal device placement [6,7]. It is associated with shorter laboratory and interventional procedure time as compared with trans-esopageal guided procedures [8]. ICE is of help in visualizing clinical complications that might occur in some procedures such as pericardial effusion, clot detection, and therapeutic device misposit...

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Comparison of intracardiac echocardiography versus transesophageal echocardiography guidance for percutaneous transcatheter closure of atrial septal defect

Cited by 85 publications

References 10 publications

Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Guidelines for the Echocardiographic Assessment of Atrial Septal Defect and Patent Foramen Ovale: From the American Society of Echocardiography and Society for Cardiac Angiography and Interventions

Intracardiac Echocardiography in Congenital Heart Disease

Intracardiac echocardiography. A new tool in the cath lab

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