Utility of Intracardiac Echocardiography for Catheter Ablation of Complex Cardiac Arrhythmias in a Medium‐Volume Training Center

• DOI: 10.1111/echo.12714
• Publication Date: 2015-01-30T00:19:04Z
• Authors: David Filgueiras‐...; Fernando de Torre...; Sergio Castrejón‐...; Alejandro Estrada; Jorge Figueroa; Óscar Salvador‐Mo...; Teresa López; Mar Moreno‐Yanguela; José L. López Sendón; José L. Merino
• Keywords: Femoral vein

Aims and Objectives New electrophysiology tools like intracardiac echocardiography (ICE) might help to minimize early detect complications during cardiac ablation procedures. The aim of the study was assess utility vascular safety ICE catheter complex arrhythmias in a medium‐volume training center. Methods Prospective, observational consisted consecutive patients who underwent catheter‐based arrhythmias. All procedures were performed using three‐dimensional electro‐anatomical mapping routine cannulation right left femoral veins. probe initially positioned at mid‐level atrium properly moved monitor different steps procedure identify complications. procedure‐related registered. Results One hundred two (age 61.4 ± 13.1 years, 69 male) 110 Pulmonary vein isolation most common substrate (55.4%). Ventricular tachycardia (17.2%) atrial flutter (16.4%) also common. use enabled us initiate anticoagulation optimize transseptal puncture. It provided capability life‐threatening such as tamponade (3.6%), along with important information exact location, lesion formation, stability radiofrequency delivery. Such benefits not associated higher number Conclusion substrates provides technical features that may decrease increase accuracy while applying radiofrequency, especially centers where fellows start perform