Ghantous Eihab, Aboulhosn Jamil A
Ahmanson/UCLA Adult Congenital Heart Disease Center, Los Angeles, CA 90095, USA.
J Clin Med. 2025 Apr 1;14(7):2414. doi: 10.3390/jcm14072414.
Advancements in congenital heart disease (CHD) care have significantly improved survival, leading to a growing population of adults with congenital heart disease (ACHDs). Many of these patients require ongoing interventions for residual defects, conduit or valve dysfunction, and arrhythmia management, often performed using transcatheter techniques. Imaging plays a critical role in ensuring procedural success and safety. Intracardiac echocardiography (ICE) has emerged as an essential imaging modality in ACHD interventions. With continuous technological advancements, ICE offers several advantages over transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE), including superior visualization, real-time guidance, and the ability to avoid general anesthesia. These benefits have made ICE the preferred imaging tool for many transcatheter procedures. This review explores the expanding role of ICE in ACHD interventions, highlighting its applications in structural and electrophysiological procedures. By enhancing procedural precision and reducing complications, ICE is transforming the management of ACHD patients, optimizing outcomes, and improving long-term care for this complex and growing population.
先天性心脏病（CHD）治疗方面的进展显著提高了生存率，导致先天性心脏病成人患者（ACHDs）群体不断壮大。这些患者中的许多人需要针对残余缺陷、管道或瓣膜功能障碍以及心律失常管理进行持续干预，这些干预通常采用经导管技术进行。成像在确保手术成功和安全方面起着关键作用。心内超声心动图（ICE）已成为ACHD干预中一种重要的成像方式。随着技术的不断进步，ICE相对于经食管超声心动图（TEE）和经胸超声心动图（TTE）具有多种优势，包括卓越的可视化、实时引导以及避免全身麻醉的能力。这些优势使ICE成为许多经导管手术首选的成像工具。本综述探讨了ICE在ACHD干预中不断扩大的作用，重点介绍了其在结构性和电生理手术中的应用。通过提高手术精度和减少并发症，ICE正在改变ACHD患者的管理方式，优化治疗效果，并改善对这一复杂且不断增长的患者群体的长期护理。
