Key result
ICE guidance links to ~36% higher technical success vs TEE in left atrial appendage occlusion.
Why the study?
Does intracardiac echocardiography guidance improve technical success and safety compared to transesophageal echocardiography in patients undergoing left atrial appendage occlusion?
Meta-Analysis (n=124,230)
Does intracardiac echocardiography guidance improve technical success and safety compared to transesophageal echocardiography in patients undergoing left atrial appendage occlusion?
Odds Ratio: 1.36 (95% CI 1.14–1.63)
p-value: p=0.006
ICE-guided LAAO offers higher technical success than TEE but is associated with increased rates of adverse events such as pericardial effusion and vascular complications.
No takes yet. Share an insight, caveat, or question.
May support ICE for higher LAAO technical success; extends observational meta-analysis but leaves safety and RCTs open.
Beneki et al. (2025) conducted a meta-analysis in Atrial fibrillation (n=124,230). Intracardiac echocardiography vs. Transesophageal echocardiography was evaluated on Technical success (OR 1.36, 95% CI 1.14 to 1.63, p=0.006). Intracardiac echocardiography guidance for left atrial appendage occlusion was associated with higher technical success compared to transesophageal echocardiography (OR 1.36).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: