Intracardiac Echocardiography: An Invaluable Tool in Electrophysiological Interventions for Atrial Fibrillation and Supraventricular Tachycardia.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-05-27 eCollection Date: 2024-06-01 DOI:10.31083/j.rcm2506191

Tong Hu, Tongshuai Chen, Kellina Maduray, Wenqiang Han, Jingquan Zhong

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引用次数: 0

Abstract

Researchers have investigated ways to develop optimal imaging techniques to increase the safety and effectiveness of electrophysiological (EP) procedures. Intracardiac echocardiography (ICE) is an advanced imaging tool that can directly visualize cardiac anatomical structures in high resolution, assess tissue heterogeneity and arrhythmogenic substrates, locate intracardiac catheters, monitor catheter-tissue contact and ablation injury in real-time, excluding intracardiac thrombi, and quickly detect procedural complications. Additionally, real-time imaging via ICE can be integrated with a three-dimensional (3D) electroanatomical mapping (EAM) system to reconstruct cardiac anatomy. This technique also promotes the development of zero-radiation EP procedures. Many EP studies and procedures have implemented ICE because it has several advantages over fluoroscopy and transesophageal echocardiography (TEE). ICE-guided EP procedures can be performed under conscious sedation; esophageal intubation and additional anesthesiologists are not required. Atrial fibrillation (AF) and supraventricular tachycardias (SVT) are the most common tachyarrhythmias in clinical settings. A comprehensive understanding of critical anatomical structures, such as the atrial septum, fossa ovalis (FO), and great heart vessels, is needed for the successful catheter ablation of these arrhythmias.

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心内超声心动图：心房颤动和室上性心动过速电生理干预中的宝贵工具。

研究人员一直在研究如何开发最佳成像技术，以提高电生理（EP）手术的安全性和有效性。心内超声心动图（ICE）是一种先进的成像工具，可直接观察到高分辨率的心脏解剖结构、评估组织异质性和心律失常基质、定位心内导管、实时监测导管与组织的接触和消融损伤、排除心内血栓并快速检测手术并发症。此外，通过 ICE 进行的实时成像可与三维（3D）电解剖图（EAM）系统集成，以重建心脏解剖结构。这项技术还促进了零辐射 EP 程序的发展。与透视和经食道超声心动图（TEE）相比，ICE 具有多项优势，因此许多 EP 研究和手术都采用了 ICE。ICE 引导的 EP 程序可在有意识镇静状态下进行；无需食管插管和额外的麻醉师。心房颤动（AF）和室上性心动过速（SVT）是临床上最常见的快速性心律失常。要成功进行这些心律失常的导管消融，就必须全面了解关键的解剖结构，如房间隔、卵圆窝和心脏大血管。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.