Intracardiac echocardiography. New applications
DOI:
https://doi.org/10.37615/retic.n4a2Keywords:
intracardiac echocardiography, flap fenestration of aortic dissection, transjugular intrahepatic portosystemic shunt (TIPPS), pacemaker endocarditis, three-dimensional.Abstract
The intracardiac echo transducer was first described in 1960(1), approved by the FDA in 1997 for the guidance of interventional procedures in the cath lab and electrophysiology. It is an imaging technique that is an alternative to transoesophageal echocardiography, with the following advantages:
- No need for general anesthesia.
- It provides short scan time.
- It has a high quality picture.
Its usefulness noted for the high-resolution images and flexibility of movement of the catheter with capacity to move in four directions. The system consists of a probe with a transducer monoplanar 64-element 110 cm long and 8 to 10 Fr with two moving rings allowing mobilization. It is important to handle the probe and the organization’s cath lab for use. Indications are innovative, usually comprising using intracardiac intravascular probe as a guide for fenestration in aortic dissection type A in malperfusion syndrome, transcatheter aortic valve implantation, endocarditis assessment electrode electrical stimulation systems, biopsy right intracardiac masses and performing portosystemic shunts in patients with liver cirrhosis refractory to treatment.
The intracardiac echo, like the other cardiac imaging techniques, continues to evolve, and have recently been able to image in three dimensional (3D). The emergences of 3D probe will in the near future, an extension of its indications to guide invasive procedures. This imaging technique has a promising future so it must be the knowledge of clinical cardiologists, echocardiography, interventional cardiologists and interventional radiologists
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