Intracardiac echocardiographic diagnosis of thrombus formation in the left atrial appendage: A complementary role to transesophageal echocardiography

Echocardiography

Volumn 30, Issue 1, 2013, Pages 72-80

  Ren, Jian Fang ^a   Marchlinski, Francis E ^a   Supple, Gregory E ^a   Hutchinson, Mathew D ^a   Garcia, Fermin C ^a   Riley, Michael P ^a   Lin, David ^a   Zado, Erica S ^a   Callans, David J ^a   Ferrari, Victor A ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

atrial fibrillation; intracardiac echocardiography; left atrial appendage thrombus; left atrium; transesophageal echocardiography; ventricular tachycardia

Indexed keywords

ADULT; AGED; ARTICLE; BLOOD FLOW VELOCITY; CONTRAST ENHANCEMENT; DIAGNOSTIC IMAGING; ECHOCARDIOGRAPH; FEMALE; HEART ATRIUM FIBRILLATION; HEART ATRIUM THROMBOSIS; HEART LEFT ATRIUM APPENDAGE THROMBOSIS; HEART RIGHT VENTRICLE OUTFLOW TRACT; HEART VENTRICLE TACHYCARDIA; HUMAN; INTRACARDIAC ECHOCARDIOGRAPHY; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PULMONARY ARTERY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ULTRASOUND TRANSDUCER;

ATRIAL APPENDAGE; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; ENDOSONOGRAPHY; FEMALE; HEART DISEASES; HUMANS; MALE; MIDDLE AGED; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; THROMBOSIS;

EID: 84872105152     PISSN: 07422822     EISSN: 15408175     Source Type: Journal    
DOI: 10.1111/j.1540-8175.2012.01819.x     Document Type: Article

References (19)

1. Ren JF, Schwartzman D, Callans DJ, et al. Intracardiac echocardiography (9 MHz) in humans: Methods, imaging views and clinical utility. Ultrasound Med Biol 1999; 25: 1077-1086.
2. Packer DL, Stevens CL, Curley MG, et al. Intracardiac phased-array imaging: Methods and initial clinical experience with high resolution, under blood visualization-Initial experience with intracardiac phased-array ultrasound. J Am Coll Cardiol 2002; 39: 509-516.
3. Ren JF, Marchlinski FE, Callans DJ, et al. Clinical use of AcuNav diagnostic ultrasound catheter imaging during left heart radiofrequency ablation and transcatheter closure procedures. J Am Soc Echocardiogr 2002; 15: 1301-1308.
4. Marrouche NF, Martin DO, Wazni O, et al. Phased-array intracardiac echocardiography monitoring during pulmonary vein isolation in patients with atrial fibrillation: Impact on outcome and complications. Circulation 2003; 107: 2710-2716.
5. Ren JF, Marchlinski FE,: Utility of intracardiac echocardiography in left heart ablation for tachyarrhythmias. Echocardiography 2007; 24: 533-540.
6. Ali S, George LK, Das P, et al. Intracardiac echocardiography: Clinical utility and application. Echocardiography 2011; 28: 582-590.
7. Ren JF, Callans DJ, Schwartzman D, et al. Significant incidence of right atrial thrombus associated with long catheter sheath during ablation procedures (abstr). PACE 2001; 24: 603.
8. Supple G, Ren JF, Zado ES, et al. Mobile thrombus on device leads in patients undergoing ablation: Identification, incidence, location, and association with increased pulmonary artery systolic pressure. Circulation 2011; 124: 772-778.
9. Ren JF, Marchlinski FE, Callans DJ,: Left atrial thrombus associated with ablation for atrial fibrillation: Identification with intracardiac echocardiography. J Am Coll Cardiol 2004; 43: 1861-1867.
10. Reddy VY, Neuzil P, Ruskin JN,: Intracardiac echocardiographic imaging of the left atrial appendage. Heart Rhythm 2005; 2: 1272-1273.
11. Ren JF, Callans DJ,: Intracardiac echocardiography with different approaches for imaging of left atrial appendage (letter). Heart Rhythm 2006; 3: 623.
12. Hutchinson MD, Callans DJ,: Imaging the left atrial appendage with intracardiac echocardiography: Leveling the playing field. Circ Arrhythm Electrophysiol 2010; 3: 564-565.
13. Ren JF, Marchlinski FE, Callans DJ, et al. Practical Intracardiac Echocardiography in Electrophysiology. Oxford: Blackwell Publishing, 2006, pp. 45-53.
14. Ren JF, Schwartzman D, Callans DJ, et al. Intracardiac echocardiographic imaging of right atrial appendage: Mass vs. pectinate muscle. J Interv Cardiac Electrophysiol 1998; 2: 247-248.
15. Shanewise JS, Cheung AT, Aronson S, et al. ASE/SCA guidelines for performing a comprehensive intraoperative multiplanetransesophageal echocardiography examination: Recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. J Am Soc Echocardiogr 1999; 12: 884-900.
16. Saksena S, Sra J, Jordaens L, et al. A prospective comparison of cardiac imaging using intracardiac echocardiography with transesophageal echocardiography in patients with atrial fibrillation: The intracardiac echocardiography guided cardioversion helps interventional procedures study. Circ Arrhythm Electrophysiol 2010; 3: 571-577.
17. Kim SS, Hijazi ZM, Lang RM, et al. The use of intracardiac echocardiography and other intracardiac imaging tools to guide noncoronary cardiac interventions. J Am Coll Cardiol 2009; 53: 2117-2128.
18. Ren JF,: Accurate echocardiographic assessment of left atrial appendage ostium and peri-device flow in device closure (letter). J Am Coll Cardiol 2012, In press.
19. Veinot JP, Harrity PJ, Gentile F, et al. Anatomy of the normal left atrial appendage-A quantitative study of age-related changes in 500 autopsy heart: Implications for echocardiographic examination. Circulation 1997; 96: 3112-3115.