Intracardiac Echocardiography to Guide Left Atrial Appendage Occlusion: An Update

被引:0
作者
Brankovic, Milos [1 ]
Tsangaris, Adamantios [1 ]
Petrovic, Luka [2 ]
Sharma, Abhishek [3 ]
机构
[1] Univ Minnesota, Dept Med, Cardiovasc Div, Minneapolis, MN 55455 USA
[2] Mt Sinai Morningside Hosp, Mt Sinai Fuster Heart Hosp, Icahn Sch Med, Dept Cardiol, New York, NY 10025 USA
[3] Rutgers New Jersey Med Sch, Dept Med, Div Cardiol, Newark, NJ 07103 USA
关键词
left atrial appendage occlusion; LAA closure; intracardiac echocardiography; ICE; transesophageal echocardiography; TEE; atrial fibrillation; stroke; anticoagulation; INITIAL CLINICAL-EXPERIENCE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; WATCHMAN DEVICE; CLOSURE; FIBRILLATION; DIAGNOSIS; WARFARIN; OUTCOMES;
D O I
10.31083/RCM28189
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The left atrial appendage occlusion (LAAO) procedure is an important intervention for stroke prevention in patients with non-valvular atrial fibrillation who cannot tolerate anticoagulation. Accurate imaging is essential to guide and ensure optimal device deployment. Transesophageal echocardiography (TEE) has traditionally been the gold standard for procedural guidance, but intracardiac echocardiography (ICE) is emerging as an alternative owing to its unique advantages. This review examines the comparative effectiveness, procedural advantages, limitations, and clinical outcomes of ICE and TEE in LAAO closure, highlighting emerging trends and implications for future clinical practice.
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