ICE Systems

Intra-cardiac Echocardiography (ICE) uses catheter-based cardiac ultrasound array to image anatomy and devices inside the heart to help guide procedures. ICE is primarily used in electrophysiology (EP) lab ablation procedures and transcatheter structural heart interventions.  Both transthoracic (TTE) and transesophageal echocardiography (TEE) are used for guiding transcatheter interventions, but they have limitations. ICE provides the advantage of imaging from within the heart, providing shorter image distances and higher resolution. ICE may be performed without sedation and avoids esophageal intubation as with TEE. But, limitations of ICE include the need for additional venous access with possibility of vascular complications, potentially higher costs and a learning curve for new operators. ICE can be helpful in guiding transseptal punctures for both EP lab and structural heart device transseptal punctures (including left atrial appendage occlusions). It also can be used to guide transcatheter structural heart procedures.

Last updated on March 17, 2021
CompanyProduct
Boston ScientificiLab Polaris Multi-modality Guidance System
GE HealthcareVivid S70N v204
GE HealthcareVivid iq 4D v204
GE HealthcareVivid iq Premium v204
Siemens HealthineersAcuson SC2000 Prime 6.0 Release
Siemens HealthineersAcuson P500 ICE Edition

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An example of intra-cardiac echo (ICE) imaging from Siemens Healthineers showing color flow Doppler with severe valve regurgitation. ICE has seen wider use in transcatheter structural heart  procedures because, unlike TEE, it can be used without deeper sedation of anesthesia.

An example of intra-cardiac echo (ICE) imaging from Siemens Healthineers showing color flow Doppler with severe valve regurgitation. ICE has seen wider use in transcatheter structural heart procedures because, unlike TEE, it can be used without deeper sedation of anesthesia.

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