Current advanced technology allows
the accurate three-dimensional reconstruction of cardiac structures using
multiple images from two-dimensional intracardiac echocardiography (ICE). This
technology is applicable to atrial fibrillation (AF) ablation and provides real-time
anatomical information on relevant atrial structures and myocardial thickness
as well as suitable sites for transseptal puncture. ICE allows radiofrequency to
be delivered away from structures resistant to ablation and the monitoring of
possible complications during AF ablation. Visualization of the inside of both
atria during the procedure may contribute to safe and effective AF ablation.
The purpose of this review was to elucidate the utility of ICE in AF ablation.
Credits: Dr. Taishi Kuwahara