Structural Heart Imaging Using 3-Dimensional Intracardiac Echocardiography

IF 12.8 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

JACC. Cardiovascular imaging Pub Date : 2025-01-01 DOI:10.1016/j.jcmg.2024.05.012

Gilbert H.L. Tang MD, MSc, MBA , Syed Zaid MD , Rebecca T. Hahn MD , Vratika Aggarwal MD , Mohamad Alkhouli MD , Edris Aman MD , Sergio Berti MD , Y.S. Chandrashekhar MD, DM , Scott M. Chadderdon MD , Andreina D’Agostino MD , Neil P. Fam MD , Edwin C. Ho MD , Chad Kliger MD , Susheel K. Kodali MD , Parasuram Krishnamoorthy MD , Azeem Latib MD , Stamatios Lerakis MD, PhD , D. Scott Lim MD , Vaikom S. Mahadevan MD , Devi G. Nair MD , Ralph Stephan von Bardeleben MD

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Abstract

3-dimensional (3D) intracardiac echocardiography (ICE) is emerging as a promising complement and potential alternative to transesophageal echocardiography for imaging guidance in structural heart interventions. To establish standardized practices, our multidisciplinary expert position statement serves as a comprehensive guide for the appropriate indications and utilization of 3D-ICE in various structural heart procedures. The paper covers essential aspects such as the fundamentals of 3D-ICE imaging, basic views, and workflow recommendations specifically tailored for ICE-guided structural heart procedures, such as transeptal puncture, device closure of intracardiac structures, and transcatheter mitral and tricuspid valve interventions. Current challenges, future directions, and training requirements to ensure operator proficiency are also discussed, thereby promoting the safety and efficacy of this innovative imaging modality to support expanding its future clinical applications.

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使用三维心内超声心动图进行心脏结构成像：JACC 影像学立场声明

三维（3D）心腔内超声心动图（ICE）正在成为经食道超声心动图在结构性心脏介入成像指导方面的一种有前途的补充和潜在替代方法。为了建立标准化的操作规范，我们的多学科专家立场声明为各种结构性心脏手术中 3D-ICE 的适当适应症和使用提供了全面指导。本文涵盖了一些重要方面，如三维成像的基本原理、基本视图，以及专门针对 ICE 引导的结构性心脏手术（如经瓣膜穿刺、心内结构的装置闭合、经导管二尖瓣和三尖瓣介入）的工作流程建议。此外，还讨论了当前的挑战、未来的方向和培训要求，以确保操作人员的熟练程度，从而提高这种创新成像模式的安全性和有效性，支持扩大其未来的临床应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JACC. Cardiovascular imaging CARDIAC & CARDIOVASCULAR SYSTEMS-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

24.90

自引率

5.70%

发文量

330

审稿时长

4-8 weeks

期刊介绍： JACC: Cardiovascular Imaging, part of the prestigious Journal of the American College of Cardiology (JACC) family, offers readers a comprehensive perspective on all aspects of cardiovascular imaging. This specialist journal covers original clinical research on both non-invasive and invasive imaging techniques, including echocardiography, CT, CMR, nuclear, optical imaging, and cine-angiography. JACC. Cardiovascular imaging highlights advances in basic science and molecular imaging that are expected to significantly impact clinical practice in the next decade. This influence encompasses improvements in diagnostic performance, enhanced understanding of the pathogenetic basis of diseases, and advancements in therapy. In addition to cutting-edge research,the content of JACC: Cardiovascular Imaging emphasizes practical aspects for the practicing cardiologist, including advocacy and practice management.The journal also features state-of-the-art reviews, ensuring a well-rounded and insightful resource for professionals in the field of cardiovascular imaging.