Role of Intracardiac Echography for Transcatheter Occlusion of Left Atrial Appendage

Apoor Patel; Miguel Valderrábano

doi:10.1016/j.ccep.2021.02.004

Role of Intracardiac Echography for Transcatheter Occlusion of Left Atrial Appendage

Card Electrophysiol Clin. 2021 Jun;13(2):313-323. doi: 10.1016/j.ccep.2021.02.004. Epub 2021 Apr 24.

Authors

Apoor Patel¹, Miguel Valderrábano²

Affiliations

¹ Division of Cardiac Electrophysiology, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX, USA.
² Division of Cardiac Electrophysiology, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, TX, USA. Electronic address: mvalderrabano@houstonmethodist.org.

PMID: 33990270
DOI: 10.1016/j.ccep.2021.02.004

Abstract

Left atrial appendage closure (LAAC) is an increasingly common procedure for patients with nonvalvular atrial fibrillation and contraindications to long-term anticoagulation. Traditionally, LAAC has been performed under transesophageal echocardiography (TEE) guidance. Although most operators have become experienced and comfortable with TEE-guided appendage closure, there has been a growing interest in the use of intracardiac echocardiography (ICE) for LAAC. This article describes the rationale and technique for ICE-guided LAAC.

Keywords: Amplatzer; Intracardiac echocardiography; Left atrial appendage occlusion; Transesophageal echocardiogram; Watchman.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review

MeSH terms

Atrial Appendage* / diagnostic imaging
Atrial Appendage* / surgery
Atrial Fibrillation* / diagnostic imaging
Atrial Fibrillation* / surgery
Cardiac Surgical Procedures / methods*
Echocardiography*
Humans
Septal Occluder Device
Surgery, Computer-Assisted

Grants and funding

R01 HL115003/HL/NHLBI NIH HHS/United States