Advantages of intracardiac echocardiography to guide interventional procedures

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Advantages of intracardiac echocardiography to guide interventional procedures:

Intracardiac echocardiography (ICE) has been in use for guiding electrophysiological procedures for quite some time. Now it is being used more and more in interventions for structural heart disease. Following are the advantages of ICE over TEE (transesophageal echocardiography):

  1. ICE can be performed without the need for a second operator, by the primary operator alone
  2. It can be performed under conscious sedation, there is no need for general anaesthesia, which also avoids endotracheal intubation
  3. There is no risk of esophageal injury
  4. Reduces fluoroscopy time and hence the radiation risk to patient and operator
  5. Shortens procedure time
  6. Facilitates early recognition of thrombus formation or pericardial effusion
  7. May improve outcome

Reference

1. Enriquez A, Saenz LC, Rosso R, Silvestry FE, Callans D, Marchlinski FE, Garcia F. Use of Intracardiac Echocardiography in Interventional Cardiology. Working With the Anatomy Rather Than Fighting It. Circulation. 2018;137:2278-2294.