Key result
Intracardiac echocardiography offers advantages over transesophageal echocardiography for guiding left atrial appendage closure, including local anesthesia use, shorter procedures, and less radiation.
Why the study?
TEE requires general anesthesia and tracheal intubation during LAAC, whereas ICE offers potential procedural advantages, prompting a review of differences between the two modalities to inform clinical decision-making.
Does intracardiac echocardiography compared to transesophageal echocardiography improve procedural outcomes in patients undergoing left atrial appendage closure?
Does intracardiac echocardiography compared to transesophageal echocardiography improve procedural outcomes in patients undergoing left atrial appendage closure?
This review highlights that ICE may be a preferable alternative to TEE for guiding LAAC by avoiding general anesthesia and reducing procedural time and radiation exposure.
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May support ICE over TEE for LAAC; leaves open need for randomized confirmation.
Ge et al. (2022) conducted a review in Nonvalvular atrial fibrillation. Intracardiac echocardiography (ICE) vs. Transesophageal echocardiography (TEE) was evaluated. Intracardiac echocardiography offers advantages over transesophageal echocardiography for guiding left atrial appendage closure, including local anesthesia use, shorter procedures, and less radiation.
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