Intracardiac echography for left atrial appendage closure: A step-by-step tutorial.
Intracardiac echocardiography
left atrial appendage
percutaneous closure
transesophageal echocardiography
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
01 04 2019
01 04 2019
Historique:
received:
06
02
2018
revised:
29
07
2018
accepted:
29
08
2018
pubmed:
1
10
2018
medline:
19
5
2020
entrez:
1
10
2018
Statut:
ppublish
Résumé
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). 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. 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. The use of ICE in the left atrium allows a feasible guidance of all steps of the percutaneous closure of LAA.
Sections du résumé
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.
Types de publication
Comparative Study
Journal Article
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
E302-E310Informations de copyright
© 2018 Wiley Periodicals, Inc.