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The use of Intracardiac Echocardiography in Catheter Ablation of Atrial Fibrillation

  • 12-07-2024
  • Atrial Fibrillation
  • Invasive Electrophysiology and Pacing (EK Heist and S Nedios, Section Editors)
Published in:

Abstract

Purpose of the Review

Intracardiac echocardiography (ICE) provides real-time, fluoroless imaging of cardiac structures, allowing optimal catheter positioning and energy delivery during ablation procedures. This review summarizes the use of ICE in catheter ablation of atrial fibrillation (AF).

Recent Findings

Growing evidence suggests that the use of ICE improves procedural safety and facilitates radiofrequency and cryoballoon AF ablation. ICE-guided catheter ablation is associated with reduced procedural duration and fluoroscopy use. Recent studies have examined the role of ICE in guiding novel ablation techniques, such as pulsed field ablation. Finally, the use of ICE allows for early detection and timely management of potentially serious procedural complications.

Summary

Intracardiac echocardiography offers significant advantages during AF ablation procedures and its use should be encouraged to improve procedural safety and efficacy.
Title
The use of Intracardiac Echocardiography in Catheter Ablation of Atrial Fibrillation
Authors
Vasileios Sousonis
Dimitrios Asvestas
Emmanouil Vavouris
Stavros Karanikas
Elissavet Ypsilanti
Stylianos Tzeis
Publication date
12-07-2024
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 9/2024
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-024-02091-w
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Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
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Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME