Department of Cardiology, Mitera Hospital, 6 Erithrou Stavrou str., Marousi, Athens, 151 23, Greece.
Curr Cardiol Rep. 2024 Sep;26(9):893-901. doi: 10.1007/s11886-024-02091-w. Epub 2024 Jul 12.
Intracardiac echocardiography (ICE) provides real-time, fluoroless imaging of cardiac structures, allowing optimal catheter positioning and energy delivery during ablation procedures. This review summarizes the use of ICE in catheter ablation of atrial fibrillation (AF).
Growing evidence suggests that the use of ICE improves procedural safety and facilitates radiofrequency and cryoballoon AF ablation. ICE-guided catheter ablation is associated with reduced procedural duration and fluoroscopy use. Recent studies have examined the role of ICE in guiding novel ablation techniques, such as pulsed field ablation. Finally, the use of ICE allows for early detection and timely management of potentially serious procedural complications. Intracardiac echocardiography offers significant advantages during AF ablation procedures and its use should be encouraged to improve procedural safety and efficacy.
心腔内超声（ICE）可实时、无射线地显示心脏结构，有助于在消融过程中优化导管定位和能量传递。本文综述了 ICE 在心房颤动（房颤）导管消融中的应用。
越来越多的证据表明，ICE 的应用可提高手术安全性，并有助于指导射频和冷冻球囊消融。ICE 引导下的导管消融与手术时间和射线曝光减少相关。近期研究探讨了 ICE 在指导新型消融技术（如脉冲场消融）中的作用。最后，ICE 可早期发现并及时处理潜在严重的手术并发症。ICE 在房颤消融术中具有显著优势，应鼓励使用以提高手术安全性和疗效。
