Considerations for the Use of Intracardiac Echocardiography in Cardiac Arrest

Nathaniel Bonfanti; Emily Gundert; Anisha Malhotra; Jessica Saleh; Erik Kulstad

doi:10.1016/j.resuscitation.2020.02.003

Considerations for the Use of Intracardiac Echocardiography in Cardiac Arrest

Nathaniel Bonfanti, Emily Gundert, Anisha Malhotra, Jessica Saleh, Erik Kulstad

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

Abstract

The use of transthoracic echocardiography (TTE) is common during cardiopulmonary resuscitation (CPR) from cardiac arrest, but logistic and practical challenges of obtaining satisfactory images without sacrificing the quality of CPR have resulted in some centers utilizing transesophageal echocardiography (TEE) during CPR. Although TEE avoids many of the downsides of TTE, several challenges exist in routine deployment. An alternative approach, intracardiac echocardiography (ICE), is routinely used by electrophysiologists during regular cardiac electrophysiologic procedures, such as atrial ablation for the treatment of atrial fibrillation. In this review, we evaluate various considerations in the potential for use of ICE as a novel means of enhancing resuscitation during CPR.

Original language	English (US)
Pages (from-to)	158-161
Number of pages	4
Journal	Resuscitation
Volume	149
DOIs	https://doi.org/10.1016/j.resuscitation.2020.02.003
State	Published - Apr 2020

Keywords

Cardiopulmonary resuscitation
Emergency Department
advanced cardiac life support
aortic valve
cardiac tamponade
intracardiac echocardiography
left ventricle
left ventricular function
left ventricular outflow tract
mitral valve
pericardial effusion
point-of-care ultrasound
return of spontaneous circulation
right atrium
right ventricle
right ventricular function
transesophageal echocardiography
transthoracic echocardiography
tricuspid valve
ventricular fibrillation

ASJC Scopus subject areas

Emergency Medicine
Emergency
Cardiology and Cardiovascular Medicine

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10.1016/j.resuscitation.2020.02.003

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title = "Considerations for the Use of Intracardiac Echocardiography in Cardiac Arrest",

abstract = "The use of transthoracic echocardiography (TTE) is common during cardiopulmonary resuscitation (CPR) from cardiac arrest, but logistic and practical challenges of obtaining satisfactory images without sacrificing the quality of CPR have resulted in some centers utilizing transesophageal echocardiography (TEE) during CPR. Although TEE avoids many of the downsides of TTE, several challenges exist in routine deployment. An alternative approach, intracardiac echocardiography (ICE), is routinely used by electrophysiologists during regular cardiac electrophysiologic procedures, such as atrial ablation for the treatment of atrial fibrillation. In this review, we evaluate various considerations in the potential for use of ICE as a novel means of enhancing resuscitation during CPR.",

keywords = "Cardiopulmonary resuscitation, Emergency Department, advanced cardiac life support, aortic valve, cardiac tamponade, intracardiac echocardiography, left ventricle, left ventricular function, left ventricular outflow tract, mitral valve, pericardial effusion, point-of-care ultrasound, return of spontaneous circulation, right atrium, right ventricle, right ventricular function, transesophageal echocardiography, transthoracic echocardiography, tricuspid valve, ventricular fibrillation",

author = "Nathaniel Bonfanti and Emily Gundert and Anisha Malhotra and Jessica Saleh and Erik Kulstad",

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AU - Saleh, Jessica

AU - Kulstad, Erik

PY - 2020/4

Y1 - 2020/4

N2 - The use of transthoracic echocardiography (TTE) is common during cardiopulmonary resuscitation (CPR) from cardiac arrest, but logistic and practical challenges of obtaining satisfactory images without sacrificing the quality of CPR have resulted in some centers utilizing transesophageal echocardiography (TEE) during CPR. Although TEE avoids many of the downsides of TTE, several challenges exist in routine deployment. An alternative approach, intracardiac echocardiography (ICE), is routinely used by electrophysiologists during regular cardiac electrophysiologic procedures, such as atrial ablation for the treatment of atrial fibrillation. In this review, we evaluate various considerations in the potential for use of ICE as a novel means of enhancing resuscitation during CPR.

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KW - Cardiopulmonary resuscitation

KW - Emergency Department

KW - advanced cardiac life support

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KW - cardiac tamponade

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KW - mitral valve

KW - pericardial effusion

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KW - return of spontaneous circulation

KW - right atrium

KW - right ventricle

KW - right ventricular function

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KW - transthoracic echocardiography

KW - tricuspid valve

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Considerations for the Use of Intracardiac Echocardiography in Cardiac Arrest

Abstract

Keywords

ASJC Scopus subject areas

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