SCAI Position Statement on Intracardiac Echocardiography to Guide Structural Heart Disease Interventions
Author Department
Cardiology; Medicine
Document Type
Article, Peer-reviewed
Publication Date
10-2025
Abstract
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.
Keywords: intracardiac echocardiography; left atrial appendage occlusion; mitral valve; pulmonary valve; transesophageal echocardiography; transseptal puncture; tricuspid valve.
Recommended Citation
Eleid MF, Chung CJ, Daniels MJ, Dimas VV, Goldsweig AM, Golwala H, Horlick EM, Price MJ, Sanchez CE, Saxon JT, Scherer MD, Tang GHL, Wang DD, Khalique OK. SCAI Position Statement on Intracardiac Echocardiography to Guide Structural Heart Disease Interventions. J Soc Cardiovasc Angiogr Interv. 2025 Oct 7;4(12):103946. doi: 10.1016/j.jscai.2025.103946.
PMID
41497993