Brankovic Milos, Tsangaris Adamantios, Petrovic Luka, Sharma Abhishek
Cardiovascular Division, Department of Medicine, University of Minnesota, Minneapolis, MN 55455, USA.
Department of Cardiology, Icahn School of Medicine, Mount Sinai Fuster Heart Hospital, Mount Sinai Morningside Hospital, New York, NY 10025, USA.
Rev Cardiovasc Med. 2025 Apr 7;26(4):28189. doi: 10.31083/RCM28189. eCollection 2025 Apr.
The left atrial appendage occlusion (LAAO) procedure is an important intervention for stroke prevention in patients with non-valvular atrial fibrillation who cannot tolerate anticoagulation. Accurate imaging is essential to guide and ensure optimal device deployment. Transesophageal echocardiography (TEE) has traditionally been the gold standard for procedural guidance, but intracardiac echocardiography (ICE) is emerging as an alternative owing to its unique advantages. This review examines the comparative effectiveness, procedural advantages, limitations, and clinical outcomes of ICE and TEE in LAAO closure, highlighting emerging trends and implications for future clinical practice.
左心耳封堵术（LAAO）是无法耐受抗凝治疗的非瓣膜性心房颤动患者预防中风的重要干预措施。准确成像对于指导和确保最佳器械植入至关重要。传统上，经食管超声心动图（TEE）一直是手术指导的金标准，但心腔内超声心动图（ICE）因其独特优势正逐渐成为一种替代方法。本综述探讨了ICE和TEE在LAAO封堵中的比较有效性、手术优势、局限性及临床结果，突出了新出现的趋势及其对未来临床实践的意义。
