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Practical Intracardiac Echocardiography in Electrophysiology

Practical Intracardiac. Echocardiography in Electrophysiology. Jian-Fang Ren, MD. Senior Research Investigator. Clinical and Experimental Electrophysiology Laboratories. University of Pennsylvania School of Medicine. Philadelphia, PA, USA. Francis E. Marchlinski, MD. Professor of Medicine and Director of ...


Intracardiac Echocardiography

Electrophysiology. Several practical uses for intracardiac echo have emerged in the setting of electrophysiology pro- cedures, potentially enhancing procedural safety and success. Moreover, ICE may expedite otherwise lengthy procedures, reducing fluoroscopy time thereby minimizing radiation to both patient and operator ...


Intracardiac Echocardiography during Catheter-Based Ablation of

Apr 2, 2012 ... Cardiology Research and Practice. Volume 2012, Article ID 921746, ... offer the opportunity to reconstruct multiple two-dimensional ultrasound fans generated by intracardiac echocardiography to a three-dimensional object ..... used in interventional cardiac electrophysiology. Advances in catheter-based ...


stopped with significant artifact on a nonfocused and off-axis frame

Aug 17, 2015 ... clinical application of intracardiac echocardiography in more than 3,000 cases of left heart ablation, we noted that a ... system: a note of caution. J Am Coll Cardiol Intv 2015;8:450–9. 2. Ren JF, Marchlinski FE, Callans DJ, Schwartzman D. Practical Intracardiac · Echocardiography in Electrophysiology.


Role of Intracardiac Echocardiography in Atrial Fibrillation Ablation

now a well-established technology in complex electrophysiological procedures, in particular in AF abla- tion. ... Figure 1: Panel A: Intracardiac echocardiography ( ICE)-2D image of the left atrium (LA), left atrial appendage (LAA) and fossa ovalis (FO). ...... editors: Practical intracardiac echocardiography in electrophysi- ology ...


Cautionary Pulmonary Insufficiency in Ablation of€Ventricular

May 31, 2016 ... symptoms or death (2,4). In fact, recent guidelines would support deferring anticoagulant therapy in several of these cases (5). The contributions from both of these bodies of research highlight the most recent evidence of PE trends in 2 large populations and indicate a signif- icant proportion of the global PE ...


Imaging for cardiac electrophysiology

Nov 11, 2016 ... ultrasound. Of these, CT, MRI and ultrasound are most closely integrated into clinical systems used in cardiac electrophysiology. These imaging modalities are not only able to assess anatomy and function .... special sensors at the tip of the intracardiac catheter, enabling ..... (90 min6), which is not practical.


A Simplified Quantitative Evaluation of Right Ventricular Anatomy

Intracardiac Echocardiography. We read with interest the report by Ujeyl et al. (1), which concluded that despite low left ventricular (LV) ejection fraction, patients with recurrent ventricular tachycardia (VT) who had good right ventricular (RV) function without elevated pulmonary artery systolic pressure (PASP) had a good  ...


Intracardiac echocardiography in complex cardiac catheter ablation

May 18, 2010 ... procedures performed in the electrophysiology laborato- ry. We review the use of intracardiac ultrasound (ICE) as the modality that allows real-time monitoring and reconstruction of cardiac anatomy. Practical technical information related to the use of ICE in ablation procedures in general and particular ...


How Can We Improve Inpatient Management of Heart Failure?

RVAs (35.8 + 6.7 cm2 vs. 24.2 + 7.1 cm2), Ld (8.1 + 1.2 cm vs. 6.1. + 0.9 cm), Ls ( 7.0 + 1.0 cm vs. 5.2 + 0.8 cm), and RV outflow tract diameter (3.3 + 0.3 cm vs. 2.7 + 0.3 cm) (p < 0.05–0.01), with those parameters indicating RV systolic dysfunction (vs. Group 1). These results show that ICE imaging using an RV inflow view ...


Intracardiac echocardiography: gross anatomy and magnetic

Key words: catheter ablation, catheterization, echocardiography, heart septal defects, magnetic resonance imaging. Abstract. Purpose: The feasibility and safety of intracardiac echocardiography (ICE) in humans, using low frequency ..... The common practice in cardiac MR imaging (c) is to show that this anatomy is similar to.


How to perform a transseptal puncture

This article looks at the practical aspects of this important procedure ... access for a 6 French electrophysiology catheter. Before AF ablation a ..... 14. Daoud EG, Kalbfleisch SJ, Hummel JD. Intracardiac echocardiography to guide transseptal left heart catheterization for radiofrequency catheter ablation. J Cardiovasc ...

140814-Education, How to perform a transeptal puncture.pdf

Multimodality Imaging for Guiding EP€Ablation Procedures

ICE = intracardiac echocardiography. MIBG = metaiodobenzylguanidine. SPECT = single-photon emission computed tomography. TEE = transesophageal echocardiography. VT = ventricular tachycardia. Njeim et al. JACC: CARDIOVASCULAR IMAGING, VOL. 9, NO. 7, 2016. Imaging for EP Ablation Procedures.


Ultrasound guided vascular access in the electrophysiology lab

Mar 22, 2017 ... Ultrasound guided vascular access in the electrophysiology lab: should it be a standard of care? Christine C ... provides excellent practical description of ultrasound guided femoral venous access in the EP lab. ... in EP labs that already possess a high- quality echocardiography console for intracardiac echo.


Mobile Thrombus on Device Leads in Patients Undergoing Ablation

Aug 16, 2011 ... Background—Mobile thrombi, not routinely recognized on transthoracic echocardiography, are frequently identified on cardiovascular implantable electronic device leads with intracardiac echocardiography (ICE) during ablation procedures. Their incidence, characteristics, and consequences have not yet ...


Cardiology/Cardiac Electrophysiology Clinical Cardiac

Cardiology/Cardiac Electrophysiology. Office: ... 2- Abi-Saleh B, Omar B. Practical Approach to Recognize Electrocardiographic Lead Misplacement. ... Catheter ablation of complex right and left sided supraventricular arrhythmias (SVT), atrial fibrillation and flutter ablation, intra-cardiac echocardiography (ICE)and use of rem.



EP reading list. Atrial arrhythmias. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. Haissaguerre M, Jais P, Shaw DC, Takahashi A, Hocini M, Quiniou G, ... Gerstenfeld EP, Marchlinski FE. .... Intracardiac echocardiography in complex cardiac catheter ablation procedures.

EP-suggested-reading-list_January 2016.pdf

Transseptal puncture

Introduction . Technique . Fluoroscopic and intra-cardiac echocardiography guidance . tndications, contraindications, and .... or longer electrophysiology procedures require activated clotting times > 300 seconds. The left femoral ... transseptal needle is not a uniform practice. In our opinion, it is essential for the safest method.


Interventional Cardiology

Nov 12, 2015 ... Since intracardiac echocardiography (ICE) was introduced into clinical practice about. 20 years ago, the application of ICE in cardiac procedure has gradually expanded. Currently, ICE is most prevalent in electrophysiologic procedures, percutaneous device closures and the emerging transcatheter aortic ...


Non-invasive Assessment of Tissue Heating During Cardiac

Jul 24, 2010 ... anatomic mapping is the most common method of catheter guidance during EP procedures but is ..... Intra-cardiac echocardiography (ICE) has also been investigated for monitoring ablation lesion formation. .... clinically relevant ablation protocols are needed to assess the practical utility and accuracy of ...