Prevalence and characteristics of transesophageal echocardiography-related esophageal mucosal injury in patients with atrial fibrillation who underwent pulmonary vein isolation

Omuro, Ayumi; Wada, Yasuaki; Yoshiga, Yasuhiro; Okuda, Shinichi; Okamoto, Takeshi; Fukuda, Masakazu; Omuro, Takuya; Maeda, Takako; Kinoshita, Natsu; Okamura, Takayuki; Nishikawa, Jun; Takami, Taro; Tanaka, Nobuaki; Yano, Masafumi

doi:10.1016/j.ijcard.2021.12.057

Cited by 1 publication

(2 citation statements)

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“…26 However, TEE requires the coordination with the ultrasound department, and there are notable risks of damage to the oropharynx and esophagus and stimulate the vagus nerve to induce severe bradyarrhythmia and hypotension. 27,28 For patients who cannot tolerate transesophageal echocardiography, intraoperative ICE may be considered in lieu of transesophageal echocardiography to screen for left atrial thromboses. 29,30 However, further validation of ICE as a definitive strategy for left atrial appendage thrombus assessment is needed.…”

Section: ) Assessment Of Left Atrial Thrombusmentioning

confidence: 99%

“…Transesophageal echocardiography (TEE) is a traditional means of screening for left atrial thrombus in such patients, and it is still the gold standard for assessing left atrial thrombus 26 . However, TEE requires the coordination with the ultrasound department, and there are notable risks of damage to the oropharynx and esophagus and stimulate the vagus nerve to induce severe bradyarrhythmia and hypotension 27,28 . For patients who cannot tolerate transesophageal echocardiography, intraoperative ICE may be considered in lieu of transesophageal echocardiography to screen for left atrial thromboses 29,30 .…”

Section: Preprocedural Screening and Evaluationmentioning

confidence: 99%

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Chinese expert consensus on the construction of the fluoroless cardiac electrophysiology laboratory and related techniques

Jiang

Chen

et al. 2023

Pacing Clinical Electrophis

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Transcatheter radiofrequency ablation has been widely introduced for the treatment of tachyarrhythmias. The demand for catheter ablation continues to grow rapidly as the level of recommendation for catheter ablation. Traditional catheter ablation is performed under the guidance of X‐rays. X‐rays can help display the heart contour and catheter position, but the radiobiological effects caused by ionizing radiation and the occupational injuries worn caused by medical staff wearing heavy protective equipment cannot be ignored. Three‐dimensional mapping system and intracardiac echocardiography can provide detailed anatomical and electrical information during cardiac electrophysiological study and ablation procedure, and can also greatly reduce or avoid the use of X‐rays. In recent years, fluoroless catheter ablation technique has been well demonstrated for most arrhythmic diseases. Several centers have reported performing procedures in a purposefully designed fluoroless electrophysiology catheterization laboratory (EP Lab) without fixed digital subtraction angiography equipment. In view of the lack of relevant standardized configurations and operating procedures, this expert task force has written this consensus statement in combination with relevant research and experience from China and abroad, with the aim of providing guidance for hospitals (institutions) and physicians intending to build a fluoroless cardiac EP Lab, implement relevant technologies, promote the standardized construction of the fluoroless cardiac EP Lab.

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