Tricuspid TEER — Advanced Procedural Strategies-ICE Imaging for Procedural Guidance: When and How to Use, Dr. Gagan D. Singh

ICE Imaging for Procedural Guidance: When and How to Use, Dr. Gagan D. Singh

Video Transcription

Video Summary

The discussion highlights the use of various imaging tools for guiding tricuspid valve repair, emphasizing the importance of high-quality imaging windows. Transesophageal echocardiography (TE) and transgastric views are standard, but challenges arise when windows are suboptimal. Three-dimensional intracardiac echocardiography (3D ICE) serves as a valuable adjunct or routine tool, improving visualization, grasp confidence, and procedural efficiency, despite added costs. The 3D ICE catheter aids precise clip positioning by enabling detailed 3D navigation, especially in difficult cases. Adoption requires training due to a learning curve, and many experts now routinely use ICE for enhanced outcomes.

Keywords

tricuspid valve repair

3D intracardiac echocardiography

transesophageal echocardiography

imaging guidance

clip positioning