Optimizing Left Atrial Appendage Occlusion: Limitations of TEE and the Emerging Role of Multimodality Imaging

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Noninvasive Electrocardiology Pub Date : 2025-09-18 DOI:10.1111/anec.70113

Muhammet Cihat Çelik, Mehmet Murat Şahİn, Macit Kalçık

引用次数: 0

Abstract

This letter critically appraises the recent study by Long et al. investigating the role of transesophageal echocardiography (TEE) in guiding and evaluating left atrial appendage occlusion (LAAO) among patients with non-organic heart disease. While the authors demonstrate the procedural utility of TEE, its limitations, including invasiveness, patient tolerance, and lack of long-term data, remain notable. Current literature highlights the growing role of intracardiac echocardiography (ICE) and computed tomography (CT) as alternative or complementary modalities. Larger multicenter studies integrating these approaches are warranted to optimize procedural outcomes and patient safety in atrial fibrillation–related stroke prevention.

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优化左心耳闭塞：TEE的局限性和多模态成像的新作用。

这封信批判性地评价了Long等人最近的一项研究，该研究调查了经食管超声心动图（TEE）在指导和评估非器质性心脏病患者左心耳闭塞（LAAO）中的作用。虽然作者展示了TEE的程序效用，但其局限性，包括侵入性，患者耐受性和缺乏长期数据，仍然值得注意。目前的文献强调了心内超声心动图（ICE）和计算机断层扫描（CT）作为替代或补充方式的作用越来越大。整合这些方法的大型多中心研究有必要优化心房纤颤相关卒中预防的手术结果和患者安全性。

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

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.