Intracardiac echocardiographic imaging with a cartosound module for guidance of left atrial appendage closure: a comparative study with transesophageal echocardiographic imaging

doi:10.1007/s10554-023-02880-4

科研成果详情

题名	Intracardiac echocardiographic imaging with a cartosound module for guidance of left atrial appendage closure: a comparative study with transesophageal echocardiographic imaging
作者	Chen, Yanyan 1; Chen, Yihe2; Lam, Yat-Yin 3; Wang, Liangguo 2; Fang, Ying2; Huang, Weijian2; Xiao, Fangyi2,4
发表日期	2023-09
发表期刊	INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING 影响因子和分区
语种	英语
原始文献类型	Article ; Early Access
关键词	Intracardiac echocardiography Left atrial appendage closure Transesophageal echocardiography Atrial fibrillation
其他关键词	OCCLUSION
摘要	PurposeIn most clinical trials, intracardiac echocardiography (ICE) has provided fewer views than the four standard views provided by transesophageal echocardiography (TEE) when assessing left atrial appendage closure (LAAC) devices. This study aimed to determine if ICE guided by the CartoSound system achieve adequate high-quality views and similar clinical outcomes as TEE during LAAC.MethodsThis study prospectively enrolled 202 patients who underwent LAAC using either ICE (n = 69), TEE (n = 121), or a combination of ICE and TEE (n = 12) as the procedural imaging under local anesthesia. A novel multi-angled FLAVOR approach was used for assessment in the ICE group.ResultsICE allowed visualization of the implanted devices in all patients at all proposed angles with long-axis views while two-dimensional (2D) TEE showed short-axis views in 1 or 2 angles in 24.2% of cases, which was more prevalent when the pulmonary ridge was covered by the occluder. In the combined ICE-TEE cohort, 2D-TEE failed to detect peri-device leak in 1 patient. The complication rates were similar between the ICE and TEE groups. Shorter fluoroscopy time, lower radiation dose and contrast usage were founded in the ICE group. At first TEE follow-up, the rate and degree of peri-device leak were similar between the ICE and TEE groups.ConclusionA systematic ICE protocol using a CartoSound module to guide LAAC was reliable for comprehensive long-axis imaging assessment compared with 2D/3D TEE under local anesthesia with a shorter fluoroscopy time, lower radiation dose, and less use of contrast.
资助项目	The Medical and Health Science and Technology Project of Zhejiang Province[2023KY897];The Project of the Science and Technology of Wenzhou[Y20220080]
出版者	SPRINGER
ISSN	1569-5794
EISSN	1875-8312
卷号	39 期号:9 页码:1667-1675
DOI	10.1007/s10554-023-02880-4
页数	9
WOS类目	Cardiac & Cardiovascular Systems ; Radiology, Nuclear Medicine & Medical Imaging
WOS研究方向	Cardiovascular System & Cardiology ; Radiology, Nuclear Medicine & Medical Imaging
WOS记录号	WOS:000993906200001
收录类别	SCIE ; PUBMED ; SCOPUS
在线发表日期	2023-05
URL	查看原文
PubMed ID	37233916
SCOPUSEID	2-s2.0-85160270197
通讯作者地址	[Xiao, Fangyi]Department of Cardiology,the Key Lab of Cardiovascular Disease of Wenzhou,the First Affiliated Hospital of Wenzhou Medical University,Nanbaixiang,Wenzhou,325000,China
Scopus学科分类	Radiology, Nuclear Medicine and Imaging;Cardiology and Cardiovascular Medicine
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/180165
专题	第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科附属第一医院
通讯作者	Xiao, Fangyi
作者单位	1.Department of Neurology,the First Affiliated Hospital of Wenzhou Medical University,Nanbaixiang,Wenzhou,325000,China; 2.Department of Cardiology,the First Affiliated Hospital of Wenzhou Medical University,Nanbaixiang,Wenzhou,325000,China; 3.Hong Kong Asia Heart Center,Canossa Hospital,1 Old Peak Road,Canossa,Hong Kong; 4.Department of Cardiology,the Key Lab of Cardiovascular Disease of Wenzhou,the First Affiliated Hospital of Wenzhou Medical University,Nanbaixiang,Wenzhou,325000,China
第一作者单位	第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科
通讯作者单位	附属第一医院
第一作者的第一单位	第一临床医学院（信息与工程学院）、附属第一医院_内科学_神经内科
推荐引用方式 GB/T 7714	Chen, Yanyan,Chen, Yihe,Lam, Yat-Yin,et al. Intracardiac echocardiographic imaging with a cartosound module for guidance of left atrial appendage closure: a comparative study with transesophageal echocardiographic imaging[J]. INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING,2023,39(9):1667-1675.
APA	Chen, Yanyan., Chen, Yihe., Lam, Yat-Yin., Wang, Liangguo., Fang, Ying., ... & Xiao, Fangyi. (2023). Intracardiac echocardiographic imaging with a cartosound module for guidance of left atrial appendage closure: a comparative study with transesophageal echocardiographic imaging. INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 39(9), 1667-1675.
MLA	Chen, Yanyan,et al."Intracardiac echocardiographic imaging with a cartosound module for guidance of left atrial appendage closure: a comparative study with transesophageal echocardiographic imaging".INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING 39.9(2023):1667-1675.