Key result
Intracardiac echocardiography incidentally detected a mobile pulmonary embolus during an atrial fibrillation ablation procedure, illustrating its potential value for real-time imaging.
Case Report (n=1)
Real-time imaging with intracardiac echocardiography during invasive electrophysiology procedures can incidentally detect critical conditions such as pulmonary embolism.
Single-case incidental PE detection does not support routine ICE use; leaves open its value for real-time procedural imaging.
A 71-year-old female patient was referred for catheter ablation of drug-refractory, symptomatic atrial fibrillation. Initial intracardiac echocardiography (ICE) incidentally showed a mobile embolus stuck at a bifurcation of the right pulmonary artery. The procedure was suspended and the finding was subsequently confirmed by computed tomography pulmonary angiography. This case illustrates a potential value of real-time imaging by ICE during invasive procedures.
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Asbach et al. (2010) conducted a case report in Drug-refractory, symptomatic atrial fibrillation (n=1). Intracardiac echocardiography (ICE) was evaluated on Detection of pulmonary embolus. Intracardiac echocardiography incidentally detected a mobile pulmonary embolus during an atrial fibrillation ablation procedure, illustrating its potential value for real-time imaging.
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