Real-time three-dimensional transesophageal echocardiography-guided atrial fibrillation ablation procedure

Valentina Kutyifa, B. Merkely, V. Nagy, A. Apor, E. Zima, L. Gellér

Research output: Contribution to journalArticle

Abstract

Background: Real-time three-dimensional transesophageal echocardiography (RT 3D TEE) is a novel method providing high spatial and temporal resolution imaging of the heart. During pulmonary vein isolation procedures visualization of the atria, interatrial septum and the ablation catheter is of high importance to increase safety. RT 3D TEE might be a useful tool to guide left atrial ablations. Case report: A 53-year-old man was referred to our hospital to undergo pulmonary vein isolation procedure for the treatment of symptomatic drug-refractory paroxysmal atrial fibrillation. The transseptal puncture was performed under RT 3D TEE-guidance with direct visualization of the interatrial septum and fossa ovalis. RT 3D TEE provided a three-dimensional view of the puncture with "tenting"-sign and the transseptal needle-fossa ovalis angle enhancing the manipulation of the ablation catheter within the left atrium. The ablation catheter was visualized and tracked during the procedure. No adverse events occurred during the procedure. Conclusion: Our case report demonstrates the feasibility of RT 3D TEE-guided atrial fibrillation ablation procedures. Safety profile might be improved by the real-time direct view of fossa ovalis. Decrease in fluoroscopy time can be achieved by visualizing the ablation catheter during the procedure.

Original languageEnglish
Pages (from-to)97-99
Number of pages3
JournalInterventional Medicine and Applied Science
Volume3
Issue number3
DOIs
Publication statusPublished - Sep 1 2011

Fingerprint

Three-Dimensional Echocardiography
Transesophageal Echocardiography
Atrial Fibrillation
Catheter Ablation
Pulmonary Veins
Punctures
Safety
Fluoroscopy
Heart Atria
Needles
Pharmaceutical Preparations

Keywords

  • ablation
  • atrial fibrillation
  • three-dimensional echocardiography
  • transoesophageal echocardiography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Real-time three-dimensional transesophageal echocardiography-guided atrial fibrillation ablation procedure. / Kutyifa, Valentina; Merkely, B.; Nagy, V.; Apor, A.; Zima, E.; Gellér, L.

In: Interventional Medicine and Applied Science, Vol. 3, No. 3, 01.09.2011, p. 97-99.

Research output: Contribution to journalArticle

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