[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-detail-434252-en":59,"doc-seo-434252-105":81},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":5,"data":60},{"doc_id":61,"user_id":62,"nickname":63,"user_avatar":64,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":66,"doc_content":67,"file_id":68,"file_url":69,"file_type":70,"file_size":71,"view_count":72,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":56,"language":73,"language_code":74,"site_id":75,"html_lang":74,"table_of_contents":76,"faqs":77,"seo_title":78,"seo_description":66,"update_tm":79,"read_time":80,"preview_page_count":4},434252,687207022233,"Connor ","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","SCAI Position Statement on Intracardiac Echocardiography to Guide Structural Heart Disease Interventions","As structural heart disease interventions rapidly evolve, demand for minimally invasive intraprocedural imaging techniques has increased. Intracardiac echocardiography (ICE) has emerged as a valuable imaging modality, offering real-time, high-resolution visualization of cardiac structures without general anesthesia. This SCAI position statement outlines clinical applications, advantages, limitations, and implementation strategies for ICE guidance in transcatheter procedures, including standardized ICE imaging protocols, operator training, workflows, and institutional readiness.","Journal of the Society for Cardiovascular Angiography & Interventions 4 (2025) 103946  \nStandards and Guidelines  \nSCAI Position Statement on Intracardiac Echocardiography to Guide Structural Heart Disease Interventions  \nMackram F. Eleid, MD, FSCAI a, *, Christine J. Chung, MD b,  \nMatthew J. Daniels, MD, PhD, FSCAI c, V. Vivian Dimas, MD, FSCAId, Andrew M. Goldsweig, MD, MSc, FSCAI e, Harsh Golwala, MD, FSCAIf, Eric M. Horlick, MDCM, FRCPC, MSCAI g, Matthew J. Price, MD, FSCAI h, Carlos E. Sanchez, MD, FSCAI i, John T. Saxon, MD, FSCAIj,  \nMarkus D. Scherer, MD, FSCAI k, Gilbert H. L. Tang, MD, MBA, FSCAI l, Dee Dee Wang, MD, FSCAI m, Omar K. Khalique, MD, FSCAI n  \na Mayo Clinic, Rochester, Minnesota; b University of Washington, Seattle, Washington; c Manchester University Foundation NHS Trust, Manchester, United Kingdom; d Medical City Children’s Hospital, Dallas, Texas; e Baystate Medical Center and University of Massachusetts-Baystate, Springfield, Massachusetts; f Oregon Health & Science University, Portland, Oregon; g Toronto General Hospital, Toronto, Ontario, Canada; h Scripps Clinic, La Jolla, California; i OhioHealth Riverside Methodist Hospital, Columbus, Ohio; j University of Virginia Medical Center, Charlottesville, Virginia; k Sanger Heart & Vascular Institute – Atrium Health, Charlotte, North Carolina; l Mount Sinai Health System, New York, New York; m NCH Rooney Heart Institute, Naples, Florida; n St. Francis Hospital & Heart Center, Roslyn, New York  \n\n| A B S T R A C T |\n| --- |\n| As structural heart disease interventions rapidly evolve, demand for minimally invasive intraprocedural imaging techniques has increased. Intracardiac echocardiography (ICE) has emerged as a valuable imaging modality, offering real-time, high-resolution visualization of cardiac structures without the need for general anesthesia. This position statement from the Society for Cardiovascular Angiography & Interventions outlines the clinical applications, advantages, limitations, and implementation strategies for ICE in guiding transcatheter structural heart disease procedures. The document details standardized ICE imaging protocols and views for interventions involving the mitral, tricuspid, and pulmonary valves, as well as left atrial appendage occlusion atrial septal defect, and patent foramen ovale closure. It emphasizes the importance of operator training, physician workflows, and institutional readiness for successful ICE integration. The statement also advocates for updated reimbursement models that reflect the complexity and value of ICE-guided procedures and calls for further research comparing ICE and transesophageal echocardiography outcomes. |\n\nIntroduction  \nThe field of structural heart disease (SHD) interventions continues to expand rapidly, driven by innovations in device technology, advancements in imaging techniques, and the growing expertise of specialized structural heart teams. In parallel, the demand for minimally invasive procedural imaging continues to increase with the introduction of newer transcatheter therapies fortricuspid regurgitation and the accelerating adoption of left atrial appendage occlusion (LAAO) for stroke prevention. Intracardiac echocardiography (ICE) technology has been employed by physicians for decades to guide catheter-based procedures, but until  \nrecently, its use was limited for complex valvular interventions in large part due to hardware and software limitations. Although transesophageal echocardiography (TEE) remains a mainstay to guide transcatheter SHD interventions, several factors prompt a larger role for physician-led intraprocedural ICE imaging. Distorted cardiac anatomy, intracardiac shadowing, and the location of the esophagus relative to cardiac structures can limit TEE imaging windows, thereby requiring the adjunctive use of ICE to optimize visualization. Additionally, in an era of minimally invasive transcatheter procedures, medical teams and patients are gravitating away f","cbCaiaqjB5p4QWI5","https://ap.wps.com/l/cbCaiaqjB5p4QWI5","pdf",22022762,12,"English","en",105,"# Introduction\n# Abbreviations and Keywords\n# Advantages and Disadvantages of ICE vs TEE","[{\"question\":\"Why is intracardiac echocardiography (ICE) increasingly used in structural heart disease interventions?\",\"answer\":\"ICE is used because minimally invasive procedures require real-time visualization, and ICE can overcome TEE limitations caused by distorted anatomy, intracardiac shadowing, and esophageal positioning. It also reduces reliance on general anesthesia and intubation required for TEE.\"},{\"question\":\"What are the main clinical domains covered for ICE guidance?\",\"answer\":\"The statement covers ICE-guided interventions involving the mitral, tricuspid, and pulmonary valves, as well as left atrial appendage occlusion, atrial septal defect, and patent foramen ovale closure.\"},{\"question\":\"How does the document address implementation for safe and effective ICE use?\",\"answer\":\"It emphasizes standardized ICE imaging protocols and views, operator training, physician workflows, and institutional readiness to support successful integration of ICE into structural heart procedures.\"}]","SCAI Position Statement on Intracardiac Echocardiography to Guide Structural Heart Disease Interventions | PDF",1790668170,48,{"code":4,"msg":82,"data":83},"ok",{"site_id":75,"language":74,"slug":84,"title":65,"keywords":85,"description":66,"schema_data":86,"social_meta":140,"head_meta":142,"extra_data":144,"updated_unix":145},"scai-position-statement-on-intracardiac-echocardiography-to-guide-structural-heart-disease-interventions","",{"@graph":87,"@context":139},[88,102,122],{"@type":89,"itemListElement":90},"BreadcrumbList",[91,95,97,100],{"item":92,"name":93,"@type":94,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":96,"name":9,"@type":94,"position":14},"https://docshare.wps.com/document/",{"item":98,"name":35,"@type":94,"position":99},"https://docshare.wps.com/document/healthcare/",3,{"item":101,"name":65,"@type":94,"position":19},"https://docshare.wps.com/document/scai-position-statement-on-intracardiac-echocardiography-to-guide-structural-heart-disease-interventions/434252/",{"url":101,"name":65,"@type":103,"image":104,"author":109,"headline":65,"publisher":111,"fileFormat":114,"inLanguage":74,"description":66,"dateModified":115,"datePublished":116,"encodingFormat":114,"isAccessibleForFree":117,"interactionStatistic":118},"DigitalDocument",{"url":105,"@type":106,"width":107,"height":108},"https://docshare.wps.com/thumbnails/scai-position-statement-on-intracardiac-echocardiography-to-guide-structural-heart-disease-interventions/434252.png","ImageObject",300,407,{"name":63,"@type":110},"Person",{"url":92,"name":112,"@type":113},"DocShare","Organization","application/pdf","2026-11-02","2026-09-29",true,{"@type":119,"interactionType":120,"userInteractionCount":72},"InteractionCounter",{"@type":121},"ViewAction",{"@type":123,"mainEntity":124},"FAQPage",[125,131,135],{"name":126,"@type":127,"acceptedAnswer":128},"Why is intracardiac echocardiography (ICE) increasingly used in structural heart disease interventions?","Question",{"text":129,"@type":130},"ICE is used because minimally invasive procedures require real-time visualization, and ICE can overcome TEE limitations caused by distorted anatomy, intracardiac shadowing, and esophageal positioning. It also reduces reliance on general anesthesia and intubation required for TEE.","Answer",{"name":132,"@type":127,"acceptedAnswer":133},"What are the main clinical domains covered for ICE guidance?",{"text":134,"@type":130},"The statement covers ICE-guided interventions involving the mitral, tricuspid, and pulmonary valves, as well as left atrial appendage occlusion, atrial septal defect, and patent foramen ovale closure.",{"name":136,"@type":127,"acceptedAnswer":137},"How does the document address implementation for safe and effective ICE use?",{"text":138,"@type":130},"It emphasizes standardized ICE imaging protocols and views, operator training, physician workflows, and institutional readiness to support successful integration of ICE into structural heart procedures.","https://schema.org",{"og:url":101,"og:type":141,"og:title":65,"og:site_name":112,"og:description":66},"article",{"robots":143,"canonical":101},"index,follow",{"doc_id":61,"site_id":75},1790791890]