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Improving Transeptal Puncture Accuracy and Safety: The Role of ICE Imaging

Leave a Comment / ICE /

Transeptal puncture (TSP) is a crucial step in numerous electrophysiology procedures, including atrial fibrillation ablation, left atrial (LA) and left ventricular (LV) mapping and ablation, and various interventional procedures like implantation of left atrial appendage (LAA) occlusion devices or mitral valve modifying clips, with transseptal puncture being the most commonly employed method for gaining access […]

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Cardiac Structures in Intracardiac Echocardiography

Leave a Comment / Electrophysiology, ICE, Structural Heart /

Intracardiac echocardiography (ICE) is a cutting-edge diagnostic tool that offers an unparalleled view of the heart’s anatomy and function during electrophysiological procedures. This technique allows physicians to visualize the heart from within, providing detailed images of the cardiac structures that are crucial for successful electrophysiology studies. In this article, we will explore the role of

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Atrial Fibrillation, Pulmonary Vein Mapping Techniques

Leave a Comment / Cathlab Protocols, Electrophysiology /

Based on the understanding of the atrial fibrillation initiation mechanism by focal discharges in the pulmonary veins, focal ablation appeared to be a less effective ablative technique than electrical disconnection at the PV ostium. The unpredictability, inconsistent inducibility, and risk of repeatedly inducing AF during the procedure limit ablation guided by mapping focal ectopy, which

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Basic Setup for Atrial Fibrillation Ablation

Leave a Comment / Electrophysiology /

Catheter ablation for atrial fibrillation is becoming more common and is increasing in popularity around the world. Since pulmonary vein isolation has remained the foundation of atrial fibrillation ablation procedures, imaging and visualization technologies, as well as energy sources and energy delivery systems, have advanced significantly. To get good and safe results, you must have

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Intracardiac Echocardiography Catheters

Electrophysiology, ICE /

Intracardiac Echocardiography catheters are designed for use in adult and adolescent pediatric patients to view cardiac architecture, blood flow, and other devices inside the heart. ICE has the potential to become one of the best ways to use imaging to guide interventions. Extremely aggressive techniques for electrophysiologic ablation therapy for the treatment of cardiac arrhythmias

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Non-Fluoroscopy ICE Catheter Manipulation

Electrophysiology, ICE /

Non-Fluoroscopy ICE Catheter Manipulation is an evolving technique, Compared to transthoracic and transesophageal echo, ICE has a number of benefits. Higher resolution and picture quality are possible because of the substantially shorter image distances created by the probe’s intra-cardiac position. In contrast to the difficult transesophageal echo probe, it can also be done without anaesthesia.

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Intracardiac Echocardiography Catheter Manipulation Technique

Electrophysiology, ICE /

Intracardiac Echocardiography (ICE) enables direct visualisation of structures that are not normally visible with fluoroscopy or 3D anatomical mapping, monitoring for procedural problems, and real-time visualisation of catheters and cardiac structures. This article explains the techniques for acquiring views of all cardiac structures utilising a phased array ICE catheter. Catheter Manipulation Every ICE Console setup

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PCI Post TAVI with Core Valve

Cathlab Protocols, Structural Heart /

Unplanned PCI post TAVI is uncommon, and the incidence decreases over time. In the first two years following TAVI, acute coronary syndrome is the primary rationale for PCI; thereafter, chronic coronary syndromes are more common. Balloon-expandable and self-expandable bioprostheses appear to have no differences in the frequency or success of unplanned PCIs after TAVR. Hardware’s

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Coronary Angiogram Protocols Post TAVI With Core Valve

Leave a Comment / Cathlab Protocols, Structural Heart /

Following TAVI, coronary interventions can be technically challenging. The selective cannulation of the coronary ostia, which is dependent on patient anatomy, valve type and design, and implantation parameters including implantation depth and the orientation of the commissural tabs with respect to the ostia, is the most difficult part of the surgery. The following, we summarise

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How can coronary access be improved after TAVI?

Leave a Comment / Structural Heart /

The prevalence of coronary artery disease in patients with severe aortic stenosis undergoing TAVI ranges from 40% to 75%. According to single-center studies, between 3.5% and 5.7% of TAVI patients required PCI after TAVI. “As the indication for TAVR expands to lower risk patients with a better long-term prognosis, the need for repeat coronary angiography and

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