REVIEW
Intracardiac Echocardiography: Clinical Utility and Application
Sheharyar Ali M.D.,
Lekha K. George M.D.,
Pranab Das M.D.,
Santhosh K. G. Koshy M.D., F.A.C.C., F.S.C.A.I.,
Sheharyar Ali M.D.
Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Search for more papers by this authorLekha K. George M.D.
Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Search for more papers by this authorPranab Das M.D.
Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Search for more papers by this authorSanthosh K. G. Koshy M.D., F.A.C.C., F.S.C.A.I.
Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Search for more papers by this authorSheharyar Ali M.D.,
Lekha K. George M.D.,
Pranab Das M.D.,
Santhosh K. G. Koshy M.D., F.A.C.C., F.S.C.A.I.,
Sheharyar Ali M.D.
Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Search for more papers by this authorLekha K. George M.D.
Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Search for more papers by this authorPranab Das M.D.
Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Search for more papers by this authorSanthosh K. G. Koshy M.D., F.A.C.C., F.S.C.A.I.
Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee
Search for more papers by this authorAddress for correspondence and reprint requests: Santhosh K. G. Koshy, M.D., F.A.C.C., F.S.C.A.I., Director of Interventional Cardiology, University of Tennessee Health Science Center, 1211 Union Avenue; Suite 340, Memphis, TN 38104. Fax: 1-901-448-8084; E-mail: [email protected]
Disclosure: The authors received no financial support for the production of this manuscript, and have no commercial or property interests in any drugs or devices mentioned therein.
Abstract
Intracardiac echocardiography (ICE) broadens the spectrum of available echocardiographic techniques and provides the operator direct visualization of cardiac structures in real time. ICE has clear advantages over fluoroscopy, transthoracic echocardiography, and transesophageal echocardiography as the imaging modality of choice in the cardiac catheterization and electrophysiological laboratories. With the development of steerable phased array catheters with low frequency and Doppler qualities, there is marked improvement in visualization of left-sided structures from the right heart. Appropriate utilization of ICE is likely to maximize safety and efficacy of complex interventional procedures and may improve patient outcomes. Future advances in ICE imaging will further improve the ease of device guidance and, in combination with new imaging modalities, could dramatically improve other applications of echocardiography which may result in improved patient outcomes. This review describes the technical evolution of ICE, the use of ICE in guiding percutaneous interventional procedures and possible future applications of ICE in the ever-growing field of interventional cardiology. (Echocardiography 2011;28:582-590)
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