Clinical Conversation in Interventional Cardiology: Intracardiac Echocardiography to Guide Structural Heart Disease Interventions-Clinical Conversation in Interventional Cardiology: Intracardiac Echocardiography to Guide Structural Heart Disease Interventions

Clinical Conversation in Interventional Cardiology: Intracardiac Echocardiography to Guide Structural Heart Disease Interventions

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Video Transcription

Video Summary

This discussion centers on the recent SCI Position Statement on using Intracardiac Echocardiography (ICE) to guide structural heart disease interventions. The panel, including Drs. Elieid, Goldzweig, and Khaliq, emphasizes the rapid growth of minimally invasive cardiac procedures enabled by technological advances in imaging and devices. ICE, especially with emerging 3D capabilities, offers an alternative or complement to transesophageal echocardiography (TEE), with advantages in specific scenarios such as patients unable to tolerate TEE. The statement highlights the need for standardized imaging views, training levels, and workflow protocols to ensure safe, effective ICE use. Early adoption strategies include combining ICE with TEE during procedures and starting with simpler cases. Challenges include training requirements, reimbursement issues, and ensuring collaboration between echocardiographers and interventionalists. The experts predict a gradual increase in ICE use in place of or alongside TEE in the next decade, balancing efficacy, patient safety, and resource availability to improve structural heart interventions.

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Keywords

Intracardiac Echocardiography

Structural Heart Disease

Minimally Invasive Cardiac Procedures

3D Imaging

Transesophageal Echocardiography

Cardiac Intervention Training