Transcatheter Left Atrial Appendage Closure Using Intracardiac Echocardiographic Guidance From the Left Atrium

Masson, Jean‐Bernard; Kouz, Remi; Riahi, M.; Thanh, Hien Kiem Nguyen; Potvin, Jeannot; Naim, Charbel; Salem, Réda; Raymond, Jean‐Marc

doi:10.1016/j.cjca.2015.04.031

Cited by 46 publications

(49 citation statements)

References 26 publications

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“…Masson JB. et al reported the result of 37 patients undergoing LAA closure with ICE catheter probe in the LA via a second TS puncture, allowing to obtain excellent imaging of the LAA However, our proposed technique allows left atrial positioning of the ICE probe by performing a single TS puncture to guide the LAA closure procedure using a simple and standardized approach. The fact that the LAA images are directly acquired from the LA allows for high quality images which facilitate accurate LAA dimensions, in contrast to the frequently suboptimal images when obtained from the right atrium.…”

Section: Discussionmentioning

confidence: 99%

Single trans‐septal access technique for left atrial intracardiac echocardiography to guide left atrial appendage closure

Aguirre

Pincetti²,

Pérez

et al. 2017

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 99%

Single trans‐septal access technique for left atrial intracardiac echocardiography to guide left atrial appendage closure

Aguirre

Pincetti²,

Pérez

et al. 2017

Cathet Cardio Intervent

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“…Transoesophageal echocardiography (TOE) is currently the gold standard imaging modality for the guidance of LAAO . However, intracardiac echocardiography (ICE) is now being used to guide a multitude of percutaneous interventions for structural heart disease and its utility in guiding percutaneous LAAO has been suggested by several studies …”

Section: Introductionmentioning

confidence: 99%

Comparison of intracardiac and transoesophageal echocardiography for guidance of percutaneous left atrial appendage occlusion: A meta‐analysis

et al. 2019

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Aims We performed a meta‐analysis to compare the safety and efficacy of intracardiac echocardiography (ICE) vs transoesophageal echocardiography (TOE) for the guidance of percutaneous left atrial appendage occlusion (LAAO). Methods and Results A comprehensive search of the literature was performed, from inception to December 2018 using MEDLINE, Cochrane Library, and Google Scholar electronic databases, and references from articles. Publications comparing ICE and TOE for the guidance of percutaneous LAAO were included in the analysis. The co‐primary endpoints were procedural success and procedure‐related complications. Secondary endpoints included procedural and fluoroscopy times and the volume of contrast media used. Five studies were included in the analysis, providing a total of 1122 patients. Procedural success was similar with both techniques (pooled odd ratio [OR] 1.46, 95% confidence interval [CI] 0.77–2.75, P = 0.24, I2 = 0%), with a trend for less procedure‐related complications in the ICE group (pooled OR 0.57, 95% CI 0.31–1.05, P = 0.07, I2 = 0%). Neither procedural (mean difference −1.64 minutes, 95% CI −16.42 to 13.14, P = 0.83, I2 = 96%) nor fluoroscopy times (mean difference + 1.29 minutes, 95% CI −1.38 to 3.97, P = 0.34, I2 = 76%) varied significantly between groups. There was a reduction in the volume of contrast media used in the ICE group (mean difference −9.71 mL, 95% CI −14.61 to −4.81, P > 0.01, I2 = 0%). Conclusion Intracardiac echocardiography is a safe and effective alternative to TOE for guidance of percutaneous LAAO.

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“…The use of ICE in the left atrium allows an effective guidance of the percutaneous closure of the LAA, with several potential advantages over the TEE in selected patients (Tables and ). This innovative ICE use has been described previously in less detail, and in our tertiary, referral center has become the default imaging modality for LAA closure since 2016, as it avoids general anesthesia or deep sedation, improves patient experience, room turnover time and logistics, namely by reducing the need for anesthesiologists, sonographers, and nursing support for postanesthetic recovery.…”

Section: Discussionmentioning

confidence: 99%

Intracardiac echography for left atrial appendage closure: A step‐by‐step tutorial

Paiva

Costa

Barra

et al. 2018

Cathet Cardio Intervent

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Objectives We sought to provide a practical educational tool for the utilization of intracardiac echography (ICE) in the left atrium for the percutaneous closure of the left atrial appendage (LAA). Background Although transesophageal echocardiography (TEE) is the gold‐standard imaging technique for LAA closure, ICE is stepping in to support noncoronary cardiology interventions by improving workflow and case turnover and may be more adequate for frail patients with significant and multiple comorbidities. Methods This article discusses the utility of ICE for LAA closure, its advantages compared to TEE, contraindications to TEE use and offers an extensive illustration of the main steps of the procedure. Conclusions The use of ICE in the left atrium allows a feasible guidance of all steps of the percutaneous closure of LAA.

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Transcatheter Left Atrial Appendage Closure Using Intracardiac Echocardiographic Guidance From the Left Atrium

Cited by 46 publications

References 26 publications

Single trans‐septal access technique for left atrial intracardiac echocardiography to guide left atrial appendage closure

Single trans‐septal access technique for left atrial intracardiac echocardiography to guide left atrial appendage closure

Comparison of intracardiac and transoesophageal echocardiography for guidance of percutaneous left atrial appendage occlusion: A meta‐analysis

Intracardiac echography for left atrial appendage closure: A step‐by‐step tutorial

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