Intracardiac echocardiography for guidance of transcatheter left atrial appendage occlusion: An expert consensus document
Corresponding Author
Sergio Berti MD
Fondazione CNR-RegioneToscana G Monasterio, Ospedale del Cuore G Massa, Italy
Life Science Institute, Scuola Superiore Sant'Anna, Pisa
Correspondence
Sergio Berti, Department of Interventional and Diagnostic Cardiology, Fondazione CNR RegioneToscana G Monasterio, Ospedale del Cuore G Massa, Italy. Via Aurelia Sud, 54100 Massa, Italy.
Email: [email protected]
Search for more papers by this authorLuigi E. Pastormerlo MD, PhD
Fondazione CNR-RegioneToscana G Monasterio, Ospedale del Cuore G Massa, Italy
Life Science Institute, Scuola Superiore Sant'Anna, Pisa
Search for more papers by this authorKasper Korsholm MD
Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark
Search for more papers by this authorJacqueline Saw MD
Interventional Cardiology, Division of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada
Search for more papers by this authorMohamad Alkhouli MD
Department of Cardiology, Mayo Clinic School of Medicine, Rochester, Minnesota, USA
Search for more papers by this authorMarco P. Costa MD
Serviço de Cardiologia, Centro Hospilatar e Universitário de Coimbra, Coimbra, Portugal
Search for more papers by this authorJacob Odenstedt MD, PhD
Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden
Search for more papers by this authorErik JS Packer MD
Department of Heart Disease, Haukeland University Hospital, Bergen, Norway
Search for more papers by this authorClaudio Tondo MD, PhD
Heart Rhythm Center, Centro Cardiologico Monzino IRCCS, Milan, Italy, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Search for more papers by this authorGennaro Santoro MD
Fondazione CNR-RegioneToscana G Monasterio, Ospedale del Cuore G Massa, Italy
Search for more papers by this authorJens E. Nielsen-Kudsk MD, DMSc
Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark
Search for more papers by this authorCorresponding Author
Sergio Berti MD
Fondazione CNR-RegioneToscana G Monasterio, Ospedale del Cuore G Massa, Italy
Life Science Institute, Scuola Superiore Sant'Anna, Pisa
Correspondence
Sergio Berti, Department of Interventional and Diagnostic Cardiology, Fondazione CNR RegioneToscana G Monasterio, Ospedale del Cuore G Massa, Italy. Via Aurelia Sud, 54100 Massa, Italy.
Email: [email protected]
Search for more papers by this authorLuigi E. Pastormerlo MD, PhD
Fondazione CNR-RegioneToscana G Monasterio, Ospedale del Cuore G Massa, Italy
Life Science Institute, Scuola Superiore Sant'Anna, Pisa
Search for more papers by this authorKasper Korsholm MD
Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark
Search for more papers by this authorJacqueline Saw MD
Interventional Cardiology, Division of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada
Search for more papers by this authorMohamad Alkhouli MD
Department of Cardiology, Mayo Clinic School of Medicine, Rochester, Minnesota, USA
Search for more papers by this authorMarco P. Costa MD
Serviço de Cardiologia, Centro Hospilatar e Universitário de Coimbra, Coimbra, Portugal
Search for more papers by this authorJacob Odenstedt MD, PhD
Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden
Search for more papers by this authorErik JS Packer MD
Department of Heart Disease, Haukeland University Hospital, Bergen, Norway
Search for more papers by this authorClaudio Tondo MD, PhD
Heart Rhythm Center, Centro Cardiologico Monzino IRCCS, Milan, Italy, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Search for more papers by this authorGennaro Santoro MD
Fondazione CNR-RegioneToscana G Monasterio, Ospedale del Cuore G Massa, Italy
Search for more papers by this authorJens E. Nielsen-Kudsk MD, DMSc
Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark
Search for more papers by this authorAbstract
Transcatheter left atrial appendage occlusion (LAAO) is an increasingly used alternative to oral anticoagulation in selected patients with atrial fibrillation. Intraprocedural imaging is a crucial for a successful intervention, with transesophageal echocardiography (TEE) as the current gold standard. Since some important limitations may affect TEE use, intracardiac echocardiography (ICE) is increasingly used as an alternative to TEE for guiding LAAO. The lack of a standardized imaging protocol has slowed the adoption of ICE into clinical practice. On the basis of current research and expert consensus, this paper provides a protocol for ICE support of left atrial appendage occlusion.
CONFLICT OF INTEREST
S.B. is proctor for Abbott, Edwards Lifesciences and Boston Scientific. J.E.N.-K. is proctor for Abbott, Boston Scientific and Gore Medical. K.K. has received speaker's honorarium from Abbott, and a travel grant from Abbott/Boston Scientific. J.S. is proctor and consultant for Abbott Vascular and Boston Scientific. And consultant for Gore Medical, Baylis, and FEOps. C.T. is proctor for Abbott, Boston Scientific and he serves as member of the Advisory Board of Boston Scientific. The other authors report no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.
Open Research
DATA AVAILABILITY STATEMENT
Data derived from public domain resources.
Supporting Information
| Filename | Description |
|---|---|
| ccd29791-sup-0001-VideoS1.mp4MPEG-4 video, 44.9 MB | Video S1. Double ipislateral venous femoral access. |
| ccd29791-sup-0002-VideoS2.mp4MPEG-4 video, 46.6 MB | Video S2. Vascular access final closure. |
| ccd29791-sup-0003-VideoS3.mp4MPEG-4 video, 20.1 MB | Video S3. ICE home view. |
| ccd29791-sup-0004-VideoS4.mp4MPEG-4 video, 26.8 MB | Video S4. Aortic and Fossa ovalis ICE view. |
| ccd29791-sup-0005-VideoS5.mp4MPEG-4 video, 24 MB | Video S5. ICE check for pericardial effusion. |
| ccd29791-sup-0006-VideoS6.mp4MPEG-4 video, 41.9 MB | Video S6. ICE guided transeptal puncture. |
| ccd29791-sup-0007-VideoS7.mp4MPEG-4 video, 10.9 MB | Video S7. ICE mid left atrium view of left atrial appendage. |
| ccd29791-sup-0008-VideoS8.mp4MPEG-4 video, 38.5 MB | Video S8. ICE guided left atrial appendage engagement. |
| ccd29791-sup-0009-VideoS9.mp4MPEG-4 video, 16.1 MB | Video S9. ICE device position assessment in left atrial appendage. |
| ccd29791-sup-0010-VideoS10.mp4MPEG-4 video, 44 MB | Video S10. ICE guided device implant in left atrial appendage. |
| ccd29791-sup-0011-VideoS11.mp4MPEG-4 video, 34.9 MB | Video S11. ICE guided device release and doppler assessment. |
| ccd29791-sup-0012-VideoS12.mp4MPEG-4 video, 14.7 MB | Video S12. Final device assessment by ICE. |
| ccd29791-sup-0013-VideoS13.mp4MPEG-4 video, 13.5 MB | Video S13. LAA measurement by ICE. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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