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Chapter-20 Intracardiac Echocardiography Imaging in Percutaneous Balloon Mitral Valvuloplasty

BOOK TITLE: Percutaneous Mitral Valvotomy

Author
1. Koshy Santhosh KG
2. Robinson Antwon
ISBN
9789352701926
DOI
10.5005/jp/books/14152_21
Edition
2/e
Publishing Year
2018
Pages
11
Author Affiliations
1. University of Tennessee Health, Sciences Center Memphis, Tennessee, USA, University of Tennessee, Health Sciences Center, Regional One Health, Memphis, Tennessee, USA, University of Tennessee Health Sciences Center, USA, Texas Tech University Health Sciences Center, Lubbock, TX, USA
2. University of Tennessee Health, Sciences Center, Memphis, Tennessee, USA, The Jackson Clinic, Tennessee, USA
Chapter keywords
Intracardiac echocardiography, percutaneous balloon mitral valvuloplasty, PBMV, ICE, transesophageal echocardiogram, TEE, transthoracic echocardiography, TTE

Abstract

Intracardiac echo has become a very useful tool in the cardiovascular laboratory. Although it has played a unique role in the electrophysiology laboratory, Intracardiac echocardiography (ICE) has made some significant strides in other cardiovascular procedures especially percutaneous mitral valvuloplasty (PMV) as previously mentioned. Rapid technological advancements in ultrasound imaging have been particularly useful for guiding these invasive procedures. ICE associated with better patient comfort, has emerged as a promising imaging modality to serve as an alternative for the transesophageal echocardiogram (TEE), which is semi-invasive and requires anesthesia for patient comfort during interventional procedures. ICE is a safe procedure and provides both anatomic and physiologic information in real time. Furthermore, ICE has also improved the ability to overcome anatomic obstacles including left atrial enlargement and kyphoscoliosis. Advantages and limitations, percutaneous balloon mitral valvuloplasty, fluoroscopy and echocardiography, clinical applicability, specific application of ICE in guiding percutaneous balloon mitral valvuloplasty (PBMV), and preprocedural evaluation of the intracardiac structures are covered in this chapter.

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