Intracardiac echocardiography in complex cardiac catheter ablation procedures.
With the availability of catheter ablation for the elimination of complex cardiac arrhythmias, new imaging tools have enhanced the safety and efficacy of procedures performed in the electrophysiology laboratory. We review the use of intracardiac ultrasound (ICE) as the modality that allows real-time monitoring and reconstruction of cardiac anatomy. Practical technical information related to the use of ICE in ablation procedures in general and particular aspects related to ablation of atrial fibrillation, atrial flutter, ventricular tachycardia, and arrhythmias in adults with congenital heart disease are discussed in this manuscript.
Banchs
Javier E
JE
Penn State Heart and Vascular Institute, Penn State University College of Medicine, 500 University Drive, H047, Hershey, PA 17033, USA. jbanchs@hmc.psu.edu
Patel
Parag
P
Naccarelli
Gerald V
GV
Gonzalez
Mario D
MD
D001145:Arrhythmias, Cardiac / Q000150:complications / Q000601:surgery*; D001281:Atrial Fibrillation / Q000000981:diagnostic imaging / Q000601:surgery; D001282:Atrial Flutter / Q000000981:diagnostic imaging; D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods*; D004452:Echocardiography / Q000379:methods*; D018619:Echocardiography, Doppler, Pulsed; D019560:Echocardiography, Three-Dimensional; D004562:Electrocardiography; D022062:Electrophysiologic Techniques, Cardiac; D006325:Heart Atria / Q000000981:diagnostic imaging; D006329:Heart Conduction System / Q000000981:diagnostic imaging / Q000601:surgery; D006330:Heart Defects, Congenital / Q000150:complications / Q000601:surgery; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D006351:Heart Valves / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D011667:Pulmonary Veins / Q000000981:diagnostic imaging; D017180:Tachycardia, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery; D018084:Ultrasonography, Interventional