Echocardiographer-led combined transjugular ICE and TEE enhances imaging synergy and streamlines workflow during tricuspid transcatheter edge-to-edge repair.
Combining transjugular ICE and TEE under echocardiographer control during tricuspid TEER optimizes ergonomics and allows the interventionalist to focus on device implantation.
OBJECTIVES: To describe the advantages of an echocardiographer-led workflow combining transjugular intracardiac echocardiography (ICE) and transesophageal echocardiography (TEE) guidance for tricuspid transcatheter edge-to-edge repair. KEY STEPS: Ultrasound-guided right internal jugular access was obtained for sterile ICE catheter insertion. Intraprocedural imaging was directed entirely by the echocardiographer from the head of the bed, with side-by-side transjugular ICE and TEE probe control within a single ergonomic workspace. This configuration optimizes ergonomics and streamlines workflow while allowing the interventionalist to focus solely on device implantation. POTENTIAL PITFALLS: Careful attention is required to minimize transjugular access-site hematoma and infection. Safe transjugular ICE manipulation requires continuous fluoroscopic and TEE guidance. Effective workflow integration requires advanced intraprocedural imaging expertise. TAKE-HOME MESSAGE: Transjugular ICE complements TEE to enhance imaging synergy, improve ergonomics, and streamline workflow during tricuspid transcatheter edge-to-edge repair, with potential to improve efficiency and procedural success.
Grudzinski et al. (Wed,) conducted a other in Tricuspid regurgitation requiring transcatheter edge-to-edge repair. Echocardiographer-led combined transjugular intracardiac echocardiography (ICE) and transesophageal echocardiography (TEE) was evaluated. Echocardiographer-led combined transjugular ICE and TEE enhances imaging synergy and streamlines workflow during tricuspid transcatheter edge-to-edge repair.