Brief report
Intracardiac echocardiography during transcatheter interventions for congenital heart disease

https://doi.org/10.1016/j.amjcard.2003.08.067Get rights and content

Abstract

Although transesophageal echocardiography is often used for guidance during transcatheter interventions, few data exist regarding the use of the newer modality of intracardiac echocardiography. This brief report summarizes our single center experience using intracardiac echocardiographic guidance during transcatheter interventional procedures for congenital heart disease.

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Cited by (10)

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    In the catheterization laboratory during these procedures, an advantage over TEE is that ICE obviates the need for general anesthesia and for additional echocardiography physician support. Compared with guidance using TEE, ICE has been shown to improve patient comfort, shorten both procedure and fluoroscopy times, and offer comparable cost with TEE-guided interventions.15-17,25,28,29 Additional uses of ICE may include guidance of transseptal catheterization, the placement of LAA occluder devices, the placement of percutaneous left ventricular assist device cannulas, the performance of PBMV, and many others.5,7,30-33

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    The use of intracardiac echocardiography to monitor transcardiac interventions continues to expand. In many institutions, intracardiac echocardiography has replaced transesophageal monitoring of device closure of atrial septal defects, patent foramen ovale, and a variety other procedures including balloon valvuloplasty, ventricular tachycardia ablation (30), and coil ablation of pulmonary A-V fistulae (31,32). Intracardiac echocardiography has several advantages over transesophageal echocardiography: it eliminates the need for general anesthesia, thus allowing greater flexibility in procedure scheduling.

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