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

Research output: Contribution to journalArticle

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

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Atrial Appendage
Echocardiography
Transesophageal Echocardiography
Equipment and Supplies
Coronary Vessels
Hemorrhage

Keywords

  • intracardiac echocardiography
  • left atrial appendage device closure

ASJC Scopus subject areas

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

Cite this

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title = "An alternative transseptal intracardiac echocardiography strategy to guide left atrial appendage closure: The first described case",
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.",
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AB - 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.

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