PMC:6019327 / 253119-254570
Annnotations
2_test
{"project":"2_test","denotations":[{"id":"28506916-18955398-29308344","span":{"begin":165,"end":168},"obj":"18955398"},{"id":"28506916-18955398-29308344","span":{"begin":165,"end":168},"obj":"18955398"},{"id":"28506916-20009075-29308345","span":{"begin":169,"end":172},"obj":"20009075"},{"id":"28506916-20009075-29308345","span":{"begin":169,"end":172},"obj":"20009075"},{"id":"28506916-19497437-29308346","span":{"begin":173,"end":176},"obj":"19497437"},{"id":"28506916-19497437-29308346","span":{"begin":173,"end":176},"obj":"19497437"},{"id":"28506916-20487119-29308347","span":{"begin":177,"end":180},"obj":"20487119"},{"id":"28506916-20487119-29308347","span":{"begin":177,"end":180},"obj":"20487119"},{"id":"28506916-18955397-29308348","span":{"begin":181,"end":184},"obj":"18955397"},{"id":"28506916-18955397-29308348","span":{"begin":181,"end":184},"obj":"18955397"},{"id":"28506916-18510963-29308349","span":{"begin":185,"end":188},"obj":"18510963"},{"id":"28506916-18510963-29308349","span":{"begin":185,"end":188},"obj":"18510963"},{"id":"28506916-18510963-29308350","span":{"begin":826,"end":829},"obj":"18510963"},{"id":"28506916-18510963-29308350","span":{"begin":826,"end":829},"obj":"18510963"},{"id":"28506916-15145112-29308351","span":{"begin":830,"end":833},"obj":"15145112"},{"id":"28506916-15145112-29308351","span":{"begin":830,"end":833},"obj":"15145112"},{"id":"T85779","span":{"begin":165,"end":168},"obj":"18955398"},{"id":"T59334","span":{"begin":165,"end":168},"obj":"18955398"},{"id":"T17173","span":{"begin":169,"end":172},"obj":"20009075"},{"id":"T49182","span":{"begin":169,"end":172},"obj":"20009075"},{"id":"T85960","span":{"begin":173,"end":176},"obj":"19497437"},{"id":"T8329","span":{"begin":173,"end":176},"obj":"19497437"},{"id":"T38533","span":{"begin":177,"end":180},"obj":"20487119"},{"id":"T81515","span":{"begin":177,"end":180},"obj":"20487119"},{"id":"T25402","span":{"begin":181,"end":184},"obj":"18955397"},{"id":"T24405","span":{"begin":181,"end":184},"obj":"18955397"},{"id":"T7604","span":{"begin":185,"end":188},"obj":"18510963"},{"id":"T74465","span":{"begin":185,"end":188},"obj":"18510963"},{"id":"T6356","span":{"begin":826,"end":829},"obj":"18510963"},{"id":"T4808","span":{"begin":826,"end":829},"obj":"18510963"},{"id":"T11186","span":{"begin":830,"end":833},"obj":"15145112"},{"id":"T84541","span":{"begin":830,"end":833},"obj":"15145112"},{"id":"T58379","span":{"begin":165,"end":168},"obj":"18955398"},{"id":"T17956","span":{"begin":165,"end":168},"obj":"18955398"},{"id":"T51477","span":{"begin":169,"end":172},"obj":"20009075"},{"id":"T85327","span":{"begin":169,"end":172},"obj":"20009075"},{"id":"T53602","span":{"begin":173,"end":176},"obj":"19497437"},{"id":"T8026","span":{"begin":173,"end":176},"obj":"19497437"},{"id":"T94976","span":{"begin":177,"end":180},"obj":"20487119"},{"id":"T80583","span":{"begin":177,"end":180},"obj":"20487119"},{"id":"T28106","span":{"begin":181,"end":184},"obj":"18955397"},{"id":"T29719","span":{"begin":181,"end":184},"obj":"18955397"},{"id":"T77633","span":{"begin":185,"end":188},"obj":"18510963"},{"id":"T51804","span":{"begin":185,"end":188},"obj":"18510963"},{"id":"T16605","span":{"begin":826,"end":829},"obj":"18510963"},{"id":"T64416","span":{"begin":826,"end":829},"obj":"18510963"},{"id":"T38743","span":{"begin":830,"end":833},"obj":"15145112"},{"id":"T37613","span":{"begin":830,"end":833},"obj":"15145112"}],"text":"ICE, which allows for real-time imaging of cardiac anatomy, is used in many electrophysiology laboratories throughout the world to facilitate AF ablation procedures.762,763,764,765,766,767 Advocates of the use of ICE find it to be of value because it can (1) help identify anatomical structures relevant to ablation, including the PVs and esophagus; (2) facilitate transseptal access and allow selective puncture in various regions of the fossa; (3) guide accurate placement of the multielectrode circular ablation catheter and/or balloon-based ablation system; (4) allow titration of the delivered energy; (5) provide feedback about catheter contact; (6) allow for recognition of thrombus formation on sheaths and catheters; and (7) allow early recognition of cardiac perforation and/or development of a pericardial effusion.767,768 Some centers also use ICE to screen for the presence of LAA thrombus, because it has been shown to be comparable to transesophageal echocardiogram (TEE) when performed by experienced operators. A survey of the writing group members shows that 53% of the members routinely employ ICE imaging during AF ablation. Our survey revealed that ICE was being used routinely by 87% of the writing group members in the United States and Canada compared with 13% of the writing group members from other countries. Among those who employ ICE imaging, 37% use ICE to screen for LA thrombi prior to performing the transseptal stick."}