An alternative transseptal intracardiac echocardiography strategy to guide left atrial appendage closure: The first described case

Gaetano Fassini, Antonio Dello Russo, Sergio Conti, Claudio Tondo

Research output: Contribution to journalArticlepeer-review

Abstract

Transseptal Intracardiac Echocardiography Strategy Transesophageal echocardiography (TEE) is the standard imaging technique to guide device implantation for left atrial appendage (LAA) closure. Unfortunately, TEE was contraindicated in this patient due to the high risk of variceal hemorrhage. Critical information about the exact anatomic characteristics of the LAA can be obtained using intracardiac echocardiography (ICE). However, standard right-side views do not allow a complete visualization of the LAA: in particular, a reliable left circumflex coronary artery short axis view, relevant for device positioning, is not always achievable. Transseptal views of the LAA with ICE might be used in planning an appropriate intervention strategy for patients who are not suitable for TEE imaging.

Original languageEnglish
Pages (from-to)1269-1271
Number of pages3
JournalJournal of Cardiovascular Electrophysiology
Volume25
Issue number11
DOIs
Publication statusPublished - Nov 1 2014

Keywords

  • intracardiac echocardiography
  • left atrial appendage device closure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)
  • Medicine(all)

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