An alternative transseptal intracardiac echocardiography strategy to guide left atrial appendage closure: the first described case. 2014

Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
Cardiac Arrhythmia Research Centre, Centro Cardiologico Monzino, Electrophysiology, Milan, Italy.

Transesophageal echocardiography (TEE) is the standard imaging technique to guide device implantation for left atrial appendage (LAA) closure. Unfortunately, TEE was contraindicated in this patient due to the high risk of variceal hemorrhage. Critical information about the exact anatomic characteristics of the LAA can be obtained using intracardiac echocardiography (ICE). However, standard right-side views do not allow a complete visualization of the LAA: in particular, a reliable left circumflex coronary artery short axis view, relevant for device positioning, is not always achievable. Transseptal views of the LAA with ICE might be used in planning an appropriate intervention strategy for patients who are not suitable for TEE imaging.

UI MeSH Term Description Entries
D008297 Male Males
D006325 Heart Atria The chambers of the heart, to which the BLOOD returns from the circulation. Heart Atrium,Left Atrium,Right Atrium,Atria, Heart,Atrium, Heart,Atrium, Left,Atrium, Right
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001282 Atrial Flutter Rapid, irregular atrial contractions caused by a block of electrical impulse conduction in the right atrium and a reentrant wave front traveling up the inter-atrial septum and down the right atrial free wall or vice versa. Unlike ATRIAL FIBRILLATION which is caused by abnormal impulse generation, typical atrial flutter is caused by abnormal impulse conduction. As in atrial fibrillation, patients with atrial flutter cannot effectively pump blood into the lower chambers of the heart (HEART VENTRICLES). Auricular Flutter,Atrial Flutters,Auricular Flutters,Flutter, Atrial,Flutter, Auricular,Flutters, Atrial,Flutters, Auricular
D017115 Catheter Ablation Removal of tissue with electrical current delivered via electrodes positioned at the distal end of a catheter. Energy sources are commonly direct current (DC-shock) or alternating current at radiofrequencies (usually 750 kHz). The technique is used most often to ablate the AV junction and/or accessory pathways in order to interrupt AV conduction and produce AV block in the treatment of various tachyarrhythmias. Ablation, Transvenous Electric,Catheter Ablation, Electric,Catheter Ablation, Percutaneous,Catheter Ablation, Radiofrequency,Catheter Ablation, Transvenous,Ablation, Catheter,Ablation, Transvenous Electrical,Catheter Ablation, Electrical,Electric Catheter Ablation,Electrical Catheter Ablation,Percutaneous Catheter Ablation,Radiofrequency Catheter Ablation,Transvenous Catheter Ablation,Ablation, Electric Catheter,Ablation, Electrical Catheter,Ablation, Percutaneous Catheter,Ablation, Radiofrequency Catheter,Ablation, Transvenous Catheter,Electric Ablation, Transvenous,Electrical Ablation, Transvenous,Transvenous Electric Ablation,Transvenous Electrical Ablation
D017548 Echocardiography, Transesophageal Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus. Transesophageal Echocardiography
D018084 Ultrasonography, Interventional The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions. Ultrasonography, Intravascular,Ultrasound, Interventional,Interventional Ultrasonography,Intravascular Ultrasonography,Interventional Ultrasound
D020517 Atrial Appendage Ear-shaped appendage of either atrium of the heart. (Dorland, 28th ed) Auricular Appendage,Heart Atrium Appendage,Atrium Appendage,Appendage, Atrial,Appendage, Atrium,Appendage, Auricular,Appendage, Heart Atrium,Appendages, Atrial,Appendages, Atrium,Appendages, Auricular,Appendages, Heart Atrium,Atrial Appendages,Atrium Appendage, Heart,Atrium Appendages,Auricular Appendages,Heart Atrium Appendages

Related Publications

Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
June 2023, Cardiac electrophysiology clinics,
Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
April 2022, Interventional cardiology clinics,
Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
February 2018, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
June 2023, European heart journal. Case reports,
Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
January 2019, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
December 2023, Health science reports,
Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
October 2019, JACC. Cardiovascular interventions,
Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
April 2020, JACC. Clinical electrophysiology,
Gaetano Fassini, and Antonio Dello Russo, and Sergio Conti, and Claudio Tondo
June 2024, Heart rhythm,
Copied contents to your clipboard!