State-of-the-Art Review
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Journal of Structural Heart Disease, August 2016, Volume 2, Issue 4:108-117
DOI: 10.12945/j.jshd.2016.006.15
Use of Intracardiac Echocardiography for Congenital and Structural Heart Disease Interventions
Mike Saji, MD*, D. Scott Lim, MD
Division of Cardiovascular Medicine, Department of Medicine, Advanced Cardiac Valve Center, University of Virginia, Charlottesville, Virginia, USA
Abstract
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 phased-array 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.
Cite this article as: Saji M, Lim DS. Use of Intracardiac Echocardiography for Congenital and Structural Heart Disease Interventions. Structural Heart Disease 2016;2(4):108-117. DOI: 10.12945/j.jshd.2016.006.15
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State-of-the-Art Review
Journal of Structural Heart Disease, August 2016, Volume 2, Issue 4:108-117
DOI: 10.12945/j.jshd.2016.006.15
Use of Intracardiac Echocardiography for Congenital and Structural Heart Disease Interventions
Mike Saji, MD*, D. Scott Lim, MD
Division of Cardiovascular Medicine, Department of Medicine, Advanced Cardiac Valve Center, University of Virginia, Charlottesville, Virginia, USA
Abstract
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 phased-array 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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Cite this article as: Saji M, Lim DS. Use of Intracardiac Echocardiography for Congenital and Structural Heart Disease Interventions. Structural Heart Disease 2016;2(4):108-117. DOI: 10.12945/j.jshd.2016.006.15
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