Left atrial appendage closure with zero fluoroscopic exposure via intracardiac echocardiographic guidance

Chu, Huimin; Du, Xianfeng; Shen, Caijie; He, Bin; Feng, Mingjun; Liu, Jing; Fu, Guohua; Wang, Binhao

doi:10.1016/j.jfma.2020.07.021

Cited by 10 publications

(9 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some have specific advantages, such as limiting contrast administration in patients with chronic kidney disease. However, data supporting these approaches are limited 53,54 . Echocardiography will remain, at least for the foreseen future, an integral part of the LAAO procedure and essential for the ongoing safety and longer-term outcomes 55 .…”

Section: Intraprocedural Imagingmentioning

confidence: 99%

Left atrial appendage occlusion

Holmes¹,

Korsholm²,

Rodés‐Cabau³

et al. 2023

EuroIntervention

110

View full text Add to dashboard Cite

Prevention of stroke represents a goal of primary importance in health systems due to its associated morbidity and mortality. As several patient groups with increased stroke rates have been identified, multiple approaches have been developed and implemented: oral anticoagulation (OAC) for patients with atrial fibrillation, surgical and percutaneous revascularisation in patients with carotid disease, device closure for patients with patent foramen ovale, and now, left atrial appendage occlusion (LAAO) for selected patients with non-valvular atrial fibrillation (NVAF). The latter group of patients are the focus of this review which evaluates the pathophysiology, selection of patients, procedural performance, outcomes of treatment both during and post-procedure, adjunctive therapy, complications, and longer-term outcomes. KEYWORDS • anticoagulation • atrial fibrillation • ischaemic stroke • left atrial appendage occlusion e 1039

show abstract

Section: Intraprocedural Imagingmentioning

confidence: 99%

Left atrial appendage occlusion

Holmes¹,

Korsholm²,

Rodés‐Cabau³

et al. 2023

EuroIntervention

110

View full text Add to dashboard Cite

show abstract

“…ICE is performed independently by the operator, thereby reducing labor costs (22). ICE-guided low X-ray or zero X-ray catheter ablation and LAAC have become increasingly mature and prevalent (23)(24)(25).…”

Section: Application Of Intracardiac Echocardiography In Atrial Arrhy...mentioning

confidence: 99%

“…It focuses on the multi-angle scanning and evaluation of the LAA. Combining the flexible operation of ICE catheter with the systematic evaluation of LAA, the 3D electroanatomical mapping system can even achieve zero X-ray and zero-contrast agent LAAC ( 24 ).…”

Section: Othersmentioning

confidence: 99%

Intracardiac echocardiography Chinese expert consensus

Zhong

Huimin

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

In recent years, percutaneous catheter interventions have continuously evolved, becoming an essential strategy for interventional diagnosis and treatment of many structural heart diseases and arrhythmias. Along with the increasing complexity of cardiac interventions comes ever more complex demands for intraoperative imaging. Intracardiac echocardiography (ICE) is well-suited for these requirements with real-time imaging, real-time monitoring for intraoperative complications, and a well-tolerated procedure. As a result, ICE is increasingly used many types of cardiac interventions. Given the lack of relevant guidelines at home and abroad and to promote and standardize the clinical applications of ICE, the members of this panel extensively evaluated relevant research findings, and they developed this consensus document after discussions and correlation with front-line clinical work experience, aiming to provide guidance for clinicians and to further improve interventional cardiovascular diagnosis and treatment procedures.

show abstract

“…(3) reduce the costs of purchasing and maintenance expenditures 16 The demand for catheter ablation continues to grow rapidly as the level of recommendation for catheter ablation, especially for atrial fibrillation moves towards offering ablation earlier in the disease process. 17,18 19,20 Experience in these procedures without fluo-roscopy remains low. Therefore, recommendations in this consensus primarily focus on fluoroless cardiac electrophysiology catheter ablation in adults.…”

Section: Introductionmentioning

confidence: 99%

“…With the growing widespread adoption and experience with tools such as ICE and 3D mapping, fluoroless techniques have also been explored and developed in other cardiac interventional procedures, such as left atrial appendage closure implantation, pacemaker implantation, and others 19,20 . Experience in these procedures without fluoroscopy remains low.…”

Section: Introductionmentioning

confidence: 99%

Chinese expert consensus on the construction of the fluoroless cardiac electrophysiology laboratory and related techniques

Jiang

Chen

et al. 2023

Pacing Clinical Electrophis

View full text Add to dashboard Cite

Transcatheter radiofrequency ablation has been widely introduced for the treatment of tachyarrhythmias. The demand for catheter ablation continues to grow rapidly as the level of recommendation for catheter ablation. Traditional catheter ablation is performed under the guidance of X‐rays. X‐rays can help display the heart contour and catheter position, but the radiobiological effects caused by ionizing radiation and the occupational injuries worn caused by medical staff wearing heavy protective equipment cannot be ignored. Three‐dimensional mapping system and intracardiac echocardiography can provide detailed anatomical and electrical information during cardiac electrophysiological study and ablation procedure, and can also greatly reduce or avoid the use of X‐rays. In recent years, fluoroless catheter ablation technique has been well demonstrated for most arrhythmic diseases. Several centers have reported performing procedures in a purposefully designed fluoroless electrophysiology catheterization laboratory (EP Lab) without fixed digital subtraction angiography equipment. In view of the lack of relevant standardized configurations and operating procedures, this expert task force has written this consensus statement in combination with relevant research and experience from China and abroad, with the aim of providing guidance for hospitals (institutions) and physicians intending to build a fluoroless cardiac EP Lab, implement relevant technologies, promote the standardized construction of the fluoroless cardiac EP Lab.

show abstract

Left atrial appendage closure with zero fluoroscopic exposure via intracardiac echocardiographic guidance

Cited by 10 publications

References 17 publications

Left atrial appendage occlusion

Left atrial appendage occlusion

Intracardiac echocardiography Chinese expert consensus

Chinese expert consensus on the construction of the fluoroless cardiac electrophysiology laboratory and related techniques

Contact Info

Product

Resources

About