Intracardiac echocardiography in electrophysiology

A. Dello Russo, M. Casella, G. Pelargonio, F. Bonelli, P. Santangeli, G. Fassini, S. Riva, C. Carbucicchio, F. Giraldi, P. De Iuliis, S. Bartoletti, F. Pintus, L. Di Biase, M. Pepi, A. Natale, C. Fiorentini, C. Tondo

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Intracardiac echocardiography (ICE) is a recent, invaluable tool which can provide real-time anatomical guidance in electrophysiological procedures. By inserting intravenously an ultrasound probe and advancing it into the heart, various different views can be obtained which allow to better visualize patient anatomy, to guide the placement of electrophysiological catheters, and to detect immediately procedural complications as they occur. In atrial fibrillation ablation, ICE proves particularly useful to achieve a safer trans-septal puncture (especially in the presence of anatomical anomalies of the interatrial septum) and to help to monitor the visualization of the mapping catheters (circular, high density), or the monitoring of the balloons catheter (Cryo, Laser) position. In ventricular tachycardia ablation, on the other hand, ICE allows for continuous correlation between electrophysiological and structural findings (such as wall motion anomalies or changes in echodensity), and helps to ensure correct catheter contact and to position it, particularly around delicate structures such as the aortic cusps. In any procedure, ICE is also useful to immediately detect procedural complications, such as thrombus formation along catheters, or pericardial effusion. Thanks to its real-time morphological information, ICE provides an ideal complement to simple fluoroscopy or to more complex electroanatomic mapping techniques and is set to gain a wider role in a broad range of electrophysiological procedures.

Original languageEnglish (US)
Pages (from-to)333-342
Number of pages10
JournalMinerva Cardioangiologica
Volume58
Issue number3
StatePublished - Jun 1 2010
Externally publishedYes

Keywords

  • Atrial fibrillation
  • Echocardiography, Doppler
  • Electrophysiology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Dello Russo, A., Casella, M., Pelargonio, G., Bonelli, F., Santangeli, P., Fassini, G., Riva, S., Carbucicchio, C., Giraldi, F., De Iuliis, P., Bartoletti, S., Pintus, F., Di Biase, L., Pepi, M., Natale, A., Fiorentini, C., & Tondo, C. (2010). Intracardiac echocardiography in electrophysiology. Minerva Cardioangiologica, 58(3), 333-342.