By Jian-Fang Ren
Super advances in intracardiac echocardiography (ICE) have coincided with the evolution of interventional electrophysiology.This booklet is designed to supply either the electrophysiologist and echocardiographer with an in-depth view of the position and cost of ICE in the course of electrophysiologic systems. A consultant to concepts used for optimum ICE imaging in cardiac electrophysiology is supplied. furthermore, new and less-recognized makes use of of ICE in electrophysiological strategies are defined and their medical functions are provided. Illustrated with over 500 photos, a lot of that are in colour, the e-book is also used as a realistic atlas. Readers don't need to be specialists within the box of echocardiography to learn from this functional method of intracardiac imaging in electrophysiology.
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Great advances in intracardiac echocardiography (ICE) have coincided with the evolution of interventional electrophysiology. This booklet is designed to supply either the electrophysiologist and echocardiographer with an in-depth view of the position and cost of ICE in the course of electrophysiologic approaches.
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Extra info for Practical Intracardiac Echocardiography in Electrophysiology
16 ICE images with the transducer placed in the high right atrium (RA), showing: (a) the entire left atrial (LA) area and color ﬂow imaging of maximal mitral regurgitant ﬂow area during systole; (b) pulsed wave Doppler spectra of mitral regurgitation (arrow) recorded with sampling volume placed on the LA side of the mitral valvular oriﬁce during atrial ﬁbrillation. C: catheter; CS: coronary sinus; LV: left ventricle; VR: ventricular rate. 17 ICE images with the transducer placed in the right atrium (RA), showing: (a) color ﬂow imaging of maximal mitral regurgitant ﬂow area (arrow, red mosaic color) during systole; (b) pulsed wave Doppler spectra of mitral regurgitation (arrow) recorded with the sampling volume placed on the left atrial (LA) side of the mitral valvular oriﬁce; (c) with the transducer placed in the high RA an entire LA area is imaged for calculation of the ratio of the color regurgitant ﬂow area to the entire atrial area.
41 ICE image with the transducer placed in the high right atrium, showing a cross-sectional view of the ligament of Marshall (arrows) between the upper left pulmonary vein (ULPV) and left atrial (LA) appendage (LAA). CS: coronary sinus; IAS: interatrial septum. both the major mitral valvular leaﬂets. 43). Interventricular septum Most of the interventricular septum is muscular except the membranous portion. 42 ICE image with the transducer placed in the high right atrium (RA), showing a long-axis view of the ligament of Marshall (arrows) between the upper (ULPV) and lower left pulmonary vein (LLPV) ostia and distal coronary sinus, adjacent to the left front wall of the descending aorta (Desc Ao).
Morphology of the human tricuspid valve. Circulation 1971; 43: 333–348. 13 Ren JF, Schwartzman D, Callans DJ, Marchlinski FE, Zhang LP, Chaudhry FA. Intracardiac echocardiographic imaging in guiding and monitoring radiofrequency catheter ablation at the tricuspid annulus. Echocardiography 1998; 15: 661–664. 14 Sadler TW. Langman’s Medical Embryology. Lippincott Williams & Wilkins, Philadelphia, 2000: 217–220. 15 Ren JF, Lin D, Gerstenfeld EP, Lewkowiez L, Callans DJ. Ligament of Marshall tissue related to pulmonary vein ostial ablation: an intracardiac echocardiographic imaging study (abstr).