{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:25:15Z","timestamp":1790735115587,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intracardiac echocardiography (ICE) technology has been increasingly accepted as an integral part of atrial fibrillation (AF) ablation procedures. It is still unknown whether ICE can routinely replace transesophageal echocardiography (TEE) for routine thrombus screening in non\u2010selective AF patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess whether ICE can routinely replace TEE in screening for left atrial (LA)\/left atrial appendage (LAA) thrombus in general patients undergoing catheter ablation for AF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 2003 consecutive patients undergoing AF ablation were included. 1155 patients (ICE group) received intra\u2010procedural ICE examination for LA\/LAA thrombus screening, while 848 patients (TEE group) received pre\u2010procedure TEE examination. The incidence of thrombus, peri\u2010procedure complications, and hospital efficiency were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The LA and LAA were adequately visualized in all patients. Five patients in the ICE group and 15 patients in the TEE group were found to have LAA thrombus. The incidence of major periprocedural thrombo\u2010embolic events was comparable between two groups (0.2%\u00a0vs. 0.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.76), none were due to undetected LA\/LAA thrombus. Other major periprocedural complications occurred at similar rates in both groups, while post\u2010procedure fever was less common in the ICE group (12.7%\u00a0vs. 17.4%,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). Procedure times and hospital length of stay were both shorter in the ICE group (142\u00a0min [87\u2013197\u00a0min] vs. 150\u00a0min [95\u2013205\u00a0min], and 3[2\u20134] day vs. 4[3\u20135] day, respectively, both\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ICE can replace TEE for atrial thrombus screening in AF patients undergoing ablation without increased complications. An \u201cICE replacing TEE\u201d workflow can also reduce the incidence of postoperative fever and improve hospital efficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.14601","type":"journal-article","created":{"date-parts":[[2022,10,27]],"date-time":"2022-10-27T10:23:24Z","timestamp":1666866204000},"page":"3-10","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Intracardiac echocardiography is a safe and effective alternative to transesophageal echocardiography for left atrial appendage thrombus evaluation at the time of atrial fibrillation ablation: The ICE\u2010TEE study"],"prefix":"10.1111","volume":"46","author":[{"given":"Yuxing","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"},{"name":"Key Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang Province  China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"},{"name":"Key Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang Province  China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuangshi","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"},{"name":"Key Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang Province  China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul C.","family":"Zei","sequence":"additional","affiliation":[{"name":"Department of Medicine, Brigham and Women's Hospital Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunhe","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiquan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhang","family":"Tao","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yankai","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Ultrasound &amp; Echocardiography, Sir Run Run Shaw Hospital, School of Medicine Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Basit","family":"Bangash","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Sheng","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaxun","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianwei","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sir Run Run Shaw Hospital School of Medicine, Zhejiang University  Hangzhou 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