ICE Imaging of the Left Atrial Appendage

DeSimone, Christopher V.; Asirvatham, Samuel J.

doi:10.1111/jce.12536

Cited by 12 publications

(3 citation statements)

References 10 publications

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“…The disadvantages of using ICE include limited 45 views for LAA evaluation, which can sometimes be partly overcome by imaging the LAA from the right ventricular outflow tract or advancing the ICE probe through the transseptal puncture site into the LA. [30][31][32] In a series of 27 patients, Matsuo et al 32 reported successful ICE-guided LAAO using the Watchman device in all the patients. We selected ICE for our patient as well and were able to successfully deploy the Watchman device without any complications.…”

Section: Patient Gmentioning

confidence: 99%

Case-Based Discussion Regarding Challenges in Patient Selection and Procedural Planning in Left Atrial Appendage Occlusion

Panaich

Munger

Friedman

et al. 2018

Mayo Clinic Proceedings

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Atrial fibrillation (AF) accounts for most embolic strokes, especially in elderly individuals. Although anticoagulation is known to reduce the risk of embolic stroke, a significant proportion of patients have relative or absolute contraindications to anticoagulation. The left atrial appendage has been implicated as the major source of emboli in more than 90% of ischemic strokes in nonvalvular AF. Left atrial appendage occlusion offers an alternative for stroke prevention in patients with an elevated stroke risk (CHADS score ≥2 or CHADS-VASc score ≥3) who have a rationale for avoiding long-term oral anticoagulation after a shared decision-making process. However, there remain significant challenges in left atrial appendage occlusion therapy related to patient selection, the procedure itself, and postprocedural patient management decisions. In this review article, we discuss some of these challenges in a case discussion-based approach.

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Section: Patient Gmentioning

confidence: 99%

Case-Based Discussion Regarding Challenges in Patient Selection and Procedural Planning in Left Atrial Appendage Occlusion

Panaich

Munger

Friedman

et al. 2018

Mayo Clinic Proceedings

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“…The current generation of single-plane ICE catheter that creates imaging from the right atrium is rarely sufficient to fully visualize the complicated anatomy of the left atrial appendage [16], and there have been only case reports describing successful appendage closures with ICE monitoring [6,17]. Future ICE iterations with multiplanar capability would allow more accurate measurement of the ostial diameter, which is not circular, and postprocedural color Doppler to check for device leaks.…”

Section: Conflict Of Interestmentioning

confidence: 99%

Use of Intracardiac Echocardiography for Congenital and Structural Heart Disease Interventions

Lim¹

2016

jshd

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Intracardiac echocardiography (ICE) has been commonly utilized for intraprocedural monitoring during structural heart interventions, and AcuNav is the most widely used device. Its imaging quality has been dramatically improved with the addition of a phasedarray system in recent years, and it has been used as an alternative to transesophageal echocardiography (TEE), especially in cases of atrial septal defect and patent fossa ovale closure. One advantage of ICE over TEE is that it does not require general anesthesia with endotracheal intubation, which means it is less invasive procedure. However, its application during other structural interventions remains in an early stage due to technologic limitations. Multiplanar imaging and wide-sector three-dimensional imaging are required to improve its utility.

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“…Although limited, diagnostic views can be obtained by engaging the ICE probe into the coronary sinus. The right ventricular outflow tract and pulmonary arterial system confluence is another usable vantage point 21 . Baran et al., in the Action‐ICE II study, evaluated ICE of the pulmonary artery in detecting false‐positive TEE results.…”

Section: Introductionmentioning

confidence: 99%

Echocardiography in Percutaneous Left Atrial Appendage Occlusion and Related Complications

Thakker,

Faluk,

Modi

et al. 2023

Echocardiography

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Atrial fibrillation (AF) is a devastating disease with a large global prevalence. The left atrial appendage (LAA) is a major source of thrombi in patients with AF. Echocardiography plays an important role in identifying LAA thrombi and has become an invaluable imaging tool in planning for LAA occlusion (LAAO) in patients intolerant to anticoagulation. This review article will discuss the role of echocardiography in selecting patients for LAAO, intraprocedural monitoring, and identifying procedure‐related complications.

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ICE Imaging of the Left Atrial Appendage

Cited by 12 publications

References 10 publications

Case-Based Discussion Regarding Challenges in Patient Selection and Procedural Planning in Left Atrial Appendage Occlusion

Case-Based Discussion Regarding Challenges in Patient Selection and Procedural Planning in Left Atrial Appendage Occlusion

Use of Intracardiac Echocardiography for Congenital and Structural Heart Disease Interventions

Echocardiography in Percutaneous Left Atrial Appendage Occlusion and Related Complications

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