Key result
ICE enables safe transseptal puncture and catheter placement in complex congenital heart disease.
Why the study?
Guidance for cardiac catheterization and hemodynamic assessment in patients with complex congenital abnormalities and prosthetic aortic valves is challenging and requires precise imaging techniques.
Case Report (n=1)
Intracardiac echocardiography can safely and effectively guide complex cardiac catheterization and hemodynamic assessment in patients with severe congenital abnormalities and prosthetic valves.
Answers are grounded in this paper and cite their sources.
May enable safe transseptal access in complex congenital cases with prosthetic valves; hypothesis-generating and requires prospective validation.
In this case report, we present the use of intracardiac echocardiography (ICE) for guiding the cardiac catheterization and subsequent hemodynamic investigation in an unusual patient case with multiple congenital abnormalities (bicuspid aortic valve, left cervical aortic arch, two aortic coarctations) and two aortic valve replacement operations in the past. The ICE catheter (AcuNav) permitted us to accurately and safely puncture the interatrial septum and place the Swan-Ganz catheter in the left ventricle; additionally, visualization of the aortic coarctation in the ascending aorta was also achieved.
No takes yet. Share an insight, caveat, or question.
Papafaklis et al. (2005) conducted a case report in Multiple congenital abnormalities and prior aortic valve replacements (n=1). Intracardiac echocardiography (ICE) guidance was evaluated on Successful guidance of cardiac catheterization and hemodynamic investigation. Intracardiac echocardiography successfully guided cardiac catheterization, permitting safe interatrial septum puncture and Swan-Ganz catheter placement in a patient with complex congenital abnormalities.
Synapse has enriched 10 related papers. Consider them for comparative context: