Abstract
Left atrial appendage (LAA) occlusion by percutaneous implantation of an occlusive device was shown to have encouraging results as an alternative to OAC therapy [1–18]. The use of imaging techniques is of great importance throughout all phases of the implantation procedure for LAA occlusion, specifically for LAA anatomy evaluation and procedural guidance. Intra-procedural imaging for LAA requires the ability to rule out thrombus, measure the size of the LAA ostium, landing zone, length, shape and number of lobes. It is also helpful to guide the transseptal puncture, sheath placement, device placement, and assess device stability, post-placement leak, and procedural complications [12, 17, 19].
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References
Santoro G, Meucci F, Stolcova M et al. Percutaneous left atrial appendage occlusion in patients with non-valvular atrial fibrillation: implantation and up to four years follow-up of the AMPLATZER Cardiac Plug. EuroIntervention. 2014. doi:10.4244/EIJY14M10_13.
Sacco R, Benjamin E, Broderick J, et al. American Heart Association Prevention Conference. IV. Prevention and rehabilitation of stroke. Risk factors. Stroke. 1997;28:1507–17.
Wolf P, Abbott R, Kannel W. Atrial fibrillation as an independent risk factor for stroke: the Framingham Study. Stroke. 1991;22:983–8.
Gage B, Waterman A, Shannon W, Boechler M, Rich M, Radford M. Validation of clinical classification schemes for predicting stroke: results from The National Registry of Atrial Fibrillation. JAMA. 2001;285:2864–70.
Go A, Hylek E, Phillips K, et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA. 2001;285:2370–5.
Blackshear J, Odell J. Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation. Ann Thorac Surg. 1996;61:755–9.
Camm A, Kirchhof P, Lip G, et al. Guidelines for the management of atrial fibrillation. Eur Heart J. 2010;31:2369–429.
Camm A, Lip G, De Caterina R, et al. 2012 focused update of the ESC guidelines for the management of atrial fibrillation. Eur Heart J. 2012;33:2719–47.
Connolly S, Ezekowitz M, Yusuf S, et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med. 2009;361:1139–51.
Granger C, Alexander J, McMurray J, et al. Apixaban versus warfarin in patients with atrial fibrillation. N Engl J Med. 2011;365(11):981–92. Published online 28 Aug 2011, Accessed 2 Sept 2011.
Patel M, Mahaffey K, Garg J, et al. Rivaroxaban versus warfarin in nonvalvular atrial fibrillation. N Engl J Med. 2011;365:883–91.
Holmes D, Reddy V, Turi Z, et al. Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomised non-inferiority trial. Lancet. 2009;374:534–42.
Park J, Bethencourt A, Sievert H, et al. Left atrial appendage closure with Amplatzer cardiac plug in atrial fibrillation—initial European experience. Catheter Cardiovasc Interv. 2011;77(5):700–6.
Berti S, Santoro G, Palmieri C, Meucci F. Tools and techniques clinical: transcatheter closure of left atrial appendage using the Amplatzer™ cardiac plug. EuroIntervention. 2013;9(4):524–6.
Bianchi G, Solinas M, et al. Pulmonary artery perforation by plug anchoring system after percutaneous closure of left appendage. Ann Thorac Surg. 2013;96(1):e3–5. doi:10.1016/j.athoracsur.2012.12.057.
Reddy V, Holmes D, Doshi S, Neuzil P, Kar S. Safety of percutaneous left atrial appendage closure results from the Watchman Left Atrial Appendage System for Embolic Protection in Patients with AF (PROTECT AF) clinical trial and the Continued Access Registry. Circulation. 2011;123:417–24.
Guérios EE, Schmid M, et al. Left atrial appendage closure with the Amplatzer cardiac plug in patients with atrial fibrillation. Arq Bras Cardiol. 2012;98(6):528–36.
Meerkin D, Butnaru A, Dratva D, Tzivoni D. Initial experience with Amplatzer Cardiac Plug for left atrial appendage closure. J Am Coll Cardiol. 2011;57 [Abstract]:E1684.
Berti S, Paradossi U, Meucci F, et al. Periprocedural intracardiac echocardiography for left atrial appendage closure. J Am Coll Cardiol Intv. 2014;7(9):1036–44.
MacDonald ST, Newton JD, Ormerod OJ. Intracardiac echocardiography off piste? Closure of left atrial appendage using ICE and local anesthesia. Catheter Cardiovasc Interv. 2011;77:124–7.
Fassini G, Dello Russo A, Conti S, Tondo C. An alternative transseptal intracardiac echocardiography strategy to guide left atrial appendage closure: the first described case. J Cardiovasc Electrophysiol. 2014;24:1269–71.
Biermann J, Bode C, Asbach S. Intracardiac echocardiography during catheter-based ablation of atrial fibrillation. Cardiol Res Pract. 2012. doi:10.1155/2012/921746. Article ID 921746.
Cunnington C, Hampshaw SA, Mahadevan VS. Utility of real-time three-dimensional intracardiac echocardiography for patent foramen ovale closure. Heart. 2013;99:1789–90.
Fontes-Carvalho R, Sampaio F, Ribeiro J, et al. Three-dimensional intracardiac echocardiography: a new promising imaging modality to potentially guide cardiovascular interventions. Eur Heart J Cardiovasc Imaging. 2013;14(10):1028.
Ruisi CP, Brysiewicz N, Asnes JD, et al. Use of intracardiac echocardiography during atrial fibrillation ablation. Pacing Clin Electrophysiol. 2013;36(6):781–8.
Brysiewicz N, Mitiku T, Haleem K, et al. 3D real-time intracardiac echocardiographic visualization of atrial structures relevant to atrial fibrillation ablation. JACC Cardiovasc Imaging. 2014;7(1):97–100.
Ronco F, Pascotto A, Barbierato M, et al. Percutaneous left atrial appendage closure in awake non intubated patient: multimodality intraprocedural imaging. Cardiovasc Revasc Med. 2012;13(6):360–1.
Bartel T, Muller S, Biviano A, Hahn R. Why is intracardiac echocardiography helpful? Benefits, costs, and how to learn. Eur Heart J. 2013;35(2):69–76.
Alborilas RT, Hijazi ZM. Comparison of costs of intracardiac echocardiography and transesophageal echocardiography in monitoring percutaneous device closure of atrial septal defect in children and adults. Am J Cardiol. 2004;94:690–2.
Bartel T, Bonaros N, Edlinger M, Velik-Salchner C, Feuchtner G, Rudnicki M, Muller S. Lower risk of severe acute kidney injury in transcatheter aortic valve replacement: intracardiac echocardiography yields reduction of radio-contrast medium requirements. JACC Cardiovasc Imaging. 2014;7:319–20. doi:10.1016/j.jcmg.2013.07.010.
Hijazi Z, Shivkumar K, Sahn D. Intracardiac echocardiography (ICE) during interventional and electrophysiological cardiac catheterization. Circulation. 2009;119:587–96.
Ho I, Neuzil P, Mraz T, et al. Use of intracardiac echocardiography to guide implantation of a left atrial appendage occlusion device (PLAATO). Heart Rhythm. 2007;4:567–71.
Bartel T, Konorza T, Neudorf U, et al. Intracardiac echocardiography: an ideal guiding tool for device closure of interatrial communications. Eur J Echocardiogr. 2005;6:92–6.
Budts W, Troost E, Voigt J, Gewillig M. Intra-cardiac echocardiography in atrial septal interventions: impact on hospitalization costs. Acta Cardiol. 2010;65:147–52.
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Berti, S., Paradossi, U., Santoro, G. (2016). The Use of Intracardiac Echocardiography (ICE) to Guide LAA Closure. In: Saw, J., Kar, S., Price, M. (eds) Left Atrial Appendage Closure. Contemporary Cardiology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-16280-5_7
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DOI: https://doi.org/10.1007/978-3-319-16280-5_7
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