The use of intracardiac echocardiography (ICE) has gained significant traction in recent years
February 03, 2025
The use of intracardiac echocardiography (ICE) has gained significant traction in recent years, particularly with the introduction of advanced 3D and 4D imaging capabilities. These systems are now increasingly being used for structural heart procedures, either as a standalone imaging system or in combination with traditional transesophageal echo (TEE)
Dr. D. Scott Lim from the University of Virginia Health utilizes the ICE catheter for interventions such as left atrial appendage occlusion, and tricuspid and mitral valve procedures. He notes that modern ICE platforms can sometimes replace transesophageal echocardiography (TEE), eliminating the need for general anesthesia and intubation, which is particularly beneficial for frail patients. Positioned within the heart’s blood pool, ICE provides superior 2D imaging, especially of right-sided structures like the tricuspid valve, overcoming challenges like shadowing that TEE might encounter. Additionally, ICE is valuable in left atrial appendage occlusion procedures, allowing them to be performed without TEE or general anesthesia, thereby simplifying logistics and reducing the need for coordinating multiple teams. The latest ICE platforms offer enhanced image quality and maneuverability, enabling operators to electronically steer the image plane for precise visualization during procedures like tricuspid transcatheter edge-to-edge repair. A notable advantage of ICE is that the interventional operator can directly control the catheter, enhancing efficiency. However, there is a learning curve, and operators are advised to start with simpler cases before progressing to more complex anatomies. Challenges include navigating around shadowing caused by device delivery systems, necessitating an understanding of the specific characteristics of the ICE catheters in use.
https://cardiovascularbusiness.us13.list-manage.com/track/click?u=ede357a4dde4e6d1363fede03&id=d6f4057dc3&e=e8ff1dad3e
