Echocardiographic-Fluoroscopic Fusion Imaging in Transseptal Puncture: A New Technology for an Old Procedure

Francesco F. Faletra; Luigi Biasco; Giovanni Pedrazzini; Marco Moccetti; Elena Pasotti; Laura Anna Leo; Giorgio Cautilli; Tiziano Moccetti; Mark J. Monaghan

doi:10.1016/j.echo.2017.05.001

Echocardiographic-Fluoroscopic Fusion Imaging in Transseptal Puncture: A New Technology for an Old Procedure

Francesco F. Faletra, Luigi Biasco, Giovanni Pedrazzini, Marco Moccetti, Elena Pasotti, Laura Anna Leo, Giorgio Cautilli, Tiziano Moccetti, Mark J. Monaghan

Research output: Contribution to journal › Article › peer-review

32 Citations (Scopus)

Abstract

In an era of catheter-based structural heart disease and left-side electrophysiologic interventions, transseptal puncture (TSP) is probably the most common transcatheter procedure. Experienced interventional cardiologists and electrophysiologists may safely perform TSP using fluoroscopic guidance alone. However, at present TSP is usually the first step in complex percutaneous catheter-based structural heart disease procedures and necessitate a precise site-specific TSP. Thus, in these procedures most interventional cardiologists perform TSP under fluoroscopic and two- or three-dimensional transesophageal echocardiographic guidance. The EchoNavigator system may provide a solution by fusing fluoroscopic and transesophageal echocardiographic images. In this review, the authors describe advantages and limitations of this new imaging system in guiding TSP and suggest specific echocardiographic-fluoroscopic fusion imaging perspectives that may facilitate TSP, making it potentially easier and safer.

Original language	English
Journal	Journal of The American Society of Echocardiography
DOIs	https://doi.org/10.1016/j.echo.2017.05.001
Publication status	E-pub ahead of print - 7 Jun 2017

Keywords

Catheter-based structural heart disease interventions
Transseptal puncture
Fluoroscopy
Transesophageal echocardiography
Echocardiographic-fluoroscopic fusion imaging

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.echo.2017.05.001

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Faletra, F. F., Biasco, L., Pedrazzini, G., Moccetti, M., Pasotti, E., Leo, L. A., Cautilli, G., Moccetti, T., & Monaghan, M. J. (2017). Echocardiographic-Fluoroscopic Fusion Imaging in Transseptal Puncture: A New Technology for an Old Procedure. Journal of The American Society of Echocardiography. Advance online publication. https://doi.org/10.1016/j.echo.2017.05.001

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title = "Echocardiographic-Fluoroscopic Fusion Imaging in Transseptal Puncture: A New Technology for an Old Procedure",

abstract = "In an era of catheter-based structural heart disease and left-side electrophysiologic interventions, transseptal puncture (TSP) is probably the most common transcatheter procedure. Experienced interventional cardiologists and electrophysiologists may safely perform TSP using fluoroscopic guidance alone. However, at present TSP is usually the first step in complex percutaneous catheter-based structural heart disease procedures and necessitate a precise site-specific TSP. Thus, in these procedures most interventional cardiologists perform TSP under fluoroscopic and two- or three-dimensional transesophageal echocardiographic guidance. The EchoNavigator system may provide a solution by fusing fluoroscopic and transesophageal echocardiographic images. In this review, the authors describe advantages and limitations of this new imaging system in guiding TSP and suggest specific echocardiographic-fluoroscopic fusion imaging perspectives that may facilitate TSP, making it potentially easier and safer.",

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author = "Faletra, {Francesco F.} and Luigi Biasco and Giovanni Pedrazzini and Marco Moccetti and Elena Pasotti and Leo, {Laura Anna} and Giorgio Cautilli and Tiziano Moccetti and Monaghan, {Mark J.}",

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T1 - Echocardiographic-Fluoroscopic Fusion Imaging in Transseptal Puncture: A New Technology for an Old Procedure

AU - Faletra, Francesco F.

AU - Biasco, Luigi

AU - Pedrazzini, Giovanni

AU - Moccetti, Marco

AU - Pasotti, Elena

AU - Leo, Laura Anna

AU - Cautilli, Giorgio

AU - Moccetti, Tiziano

AU - Monaghan, Mark J.

PY - 2017/6/7

Y1 - 2017/6/7

N2 - In an era of catheter-based structural heart disease and left-side electrophysiologic interventions, transseptal puncture (TSP) is probably the most common transcatheter procedure. Experienced interventional cardiologists and electrophysiologists may safely perform TSP using fluoroscopic guidance alone. However, at present TSP is usually the first step in complex percutaneous catheter-based structural heart disease procedures and necessitate a precise site-specific TSP. Thus, in these procedures most interventional cardiologists perform TSP under fluoroscopic and two- or three-dimensional transesophageal echocardiographic guidance. The EchoNavigator system may provide a solution by fusing fluoroscopic and transesophageal echocardiographic images. In this review, the authors describe advantages and limitations of this new imaging system in guiding TSP and suggest specific echocardiographic-fluoroscopic fusion imaging perspectives that may facilitate TSP, making it potentially easier and safer.

AB - In an era of catheter-based structural heart disease and left-side electrophysiologic interventions, transseptal puncture (TSP) is probably the most common transcatheter procedure. Experienced interventional cardiologists and electrophysiologists may safely perform TSP using fluoroscopic guidance alone. However, at present TSP is usually the first step in complex percutaneous catheter-based structural heart disease procedures and necessitate a precise site-specific TSP. Thus, in these procedures most interventional cardiologists perform TSP under fluoroscopic and two- or three-dimensional transesophageal echocardiographic guidance. The EchoNavigator system may provide a solution by fusing fluoroscopic and transesophageal echocardiographic images. In this review, the authors describe advantages and limitations of this new imaging system in guiding TSP and suggest specific echocardiographic-fluoroscopic fusion imaging perspectives that may facilitate TSP, making it potentially easier and safer.

KW - Catheter-based structural heart disease interventions

KW - Transseptal puncture

KW - Fluoroscopy

KW - Transesophageal echocardiography

KW - Echocardiographic-fluoroscopic fusion imaging

U2 - 10.1016/j.echo.2017.05.001

DO - 10.1016/j.echo.2017.05.001

M3 - Article

SN - 0894-7317

JO - Journal of The American Society of Echocardiography

JF - Journal of The American Society of Echocardiography

ER -

Echocardiographic-Fluoroscopic Fusion Imaging in Transseptal Puncture: A New Technology for an Old Procedure

Abstract

Keywords

UN SDGs

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