Publications by authors named "Claudia Artale"
Article Synopsis
- * Left atrial appendage closure (LAAC) is a viable option for these patients, and transesophageal echocardiography (TEE) is the traditional imaging method to assist in this procedure, although it typically requires general anesthesia, which poses additional risks for older adults.
- * Intracardiac echocardiography (ICE) offers a "minimalist approach" that avoids anesthesia but has issues with image quality; recently, using ICE in conjunction with TEE (ICE-TEE) has
Background: Left atrial appendage closure (LAAC) can be an alternative to oral anticoagulant therapy in patients with non-valvular atrial fibrillation, characterized by high risk of stroke (CHA2D2VASC ≥ two for men and CHA2D2VA2SC ≥ three for women) and high risk of bleeding (HASBLED = 3).
Case Summary: We describe three case reports in which an intracardiac echocardiography probe was used via the oesophageal route as an alternative to traditional transoesophageal echocardiography (TEE) or ICE methods to guide LAAC. Guiding the procedure via conventional TEE, even if feasible, could be difficult in these patients due to different causes: one patient was affected by Brugada syndrome while the other two patients reported oropharyngeal abnormalities.
Atrial fibrillation (AF) is the most common cardiac arrhythmia in adults. The left atrial appendage (LAA) is the most likely source of thrombus formation in patients with non-valvular atrial fibrillation (NVAF). Left atrial appendage closure (LAAC) represents an effective alternative to NOAC in patients with NVAF.
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