Key result
Intracardiac echocardiography is emerging as an essential imaging modality for guiding transcatheter interventions in adult congenital heart disease, offering superior visualization without general anesthesia.
Why the study?
A growing population of adults with congenital heart disease requires transcatheter interventions, and imaging plays a critical role in procedural success and safety.
Answers are grounded in this paper and cite their sources.
Intracardiac echocardiography is increasingly recognized as a highly effective alternative to transesophageal echocardiography for guiding complex transcatheter interventions in adults with congenital heart disease, particularly for right-sided structures.
Advancements in congenital heart disease (CHD) care have significantly improved survival, leading to a growing population of adults with congenital heart disease (ACHDs). Many of these patients require ongoing interventions for residual defects, conduit or valve dysfunction, and arrhythmia management, often performed using transcatheter techniques. Imaging plays a critical role in ensuring procedural success and safety. Intracardiac echocardiography (ICE) has emerged as an essential imaging modality in ACHD interventions. With continuous technological advancements, ICE offers several advantages over transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE), including superior visualization, real-time guidance, and the ability to avoid general anesthesia. These benefits have made ICE the preferred imaging tool for many transcatheter procedures. This review explores the expanding role of ICE in ACHD interventions, highlighting its applications in structural and electrophysiological procedures. By enhancing procedural precision and reducing complications, ICE is transforming the management of ACHD patients, optimizing outcomes, and improving long-term care for this complex and growing population.
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Ghantous et al. (2025) conducted a review in Adult congenital heart disease (ACHD). Intracardiac echocardiography (ICE) vs. Transesophageal echocardiography (TEE) and Transthoracic echocardiography (TTE) was evaluated. Intracardiac echocardiography is emerging as an essential imaging modality for guiding transcatheter interventions in adult congenital heart disease, offering superior visualization without general anesthesia.
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