2019
DOI: 10.5114/aic.2019.90219
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Comparison of transesophageal and intracardiac echocardiography in guiding percutaneous left atrial appendage closure with an Amplatzer Amulet device

Abstract: Introduction: Percutaneous occlusion of the left atrial appendage (LAAO) is becoming an extensively used method of stroke prevention in individuals with contraindications to oral anticoagulants. Transesophageal echocardiography (TOE) is the gold standard for LAAO guiding, but intracardiac echocardiography (ICE) appears to be a potential alternative. Aim: To compare the LAAO procedure guided by TOE or ICE with respect to procedural success and safety. Material and methods: TOE-guided LAAO was performed in 12 pa… Show more

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Cited by 6 publications
(10 citation statements)
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“…After careful evaluation, a total of 12 observational studies comprising 5637 patients undergoing LAAO (1071 using 2D ICE guidance and 4566 using TEE guidance) were included (Figure 1). [17][18][19][20][21][22][23][24][25][26][27][28] Six of the studies (Frangieh and colleagues, Nielsen-Kudsk and colleagues, Streb and colleagues, Alkhouli and colleagues, Pommier and colleagues, Su and colleagues) were observational prospective cohort studies; all other studies were observational retrospective cohort studies. The characteristics of the studies, mean follow-up periods and patient characteristics are described in Table 1.…”
Section: Resultsmentioning
confidence: 99%
“…After careful evaluation, a total of 12 observational studies comprising 5637 patients undergoing LAAO (1071 using 2D ICE guidance and 4566 using TEE guidance) were included (Figure 1). [17][18][19][20][21][22][23][24][25][26][27][28] Six of the studies (Frangieh and colleagues, Nielsen-Kudsk and colleagues, Streb and colleagues, Alkhouli and colleagues, Pommier and colleagues, Su and colleagues) were observational prospective cohort studies; all other studies were observational retrospective cohort studies. The characteristics of the studies, mean follow-up periods and patient characteristics are described in Table 1.…”
Section: Resultsmentioning
confidence: 99%
“…Several observational studies have reported the feasibility of ICE‐guided LAAC relative to TEE 4−12 . However, most of these studies were single‐center studies with small sample sizes.…”
Section: Discussionmentioning
confidence: 99%
“…4−12 However, some of these studies have found ICE to be superior to TEE and associated with shorter turnover times, less radiation exposure, and lower costs. 4,8,12 Most of these studies, though, were single-center studies with a small number of patients.…”
Section: Introductionmentioning
confidence: 99%
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