{"id":"b713bd31cb3f","type":"article","url":"https://hartvaat.nl/2026/04/13/intracardiale-echocardiografie-in-de-elektrofysiologie-gezamenlijk-ehra-eapci-st/","title":"Intracardiale echocardiografie in de elektrofysiologie: gezamenlijk EHRA/EAPCI-statement","title_en":"Intracardiac echocardiography during invasive electrophysiological procedures. A scientific statement of the European Heart Rhythm Association of the ESC, and the European Association of Percutaneous Cardiovascular Interventions of the ESC.","category":"atriumfibrilleren","category_label":"Atriumfibrilleren","professions":["cardioloog"],"tags":["acuut-hartfalen","echocardiografie","ventrikelfibrilleren"],"journal":"Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology","doi":"10.1093/europace/euag059","source_url":"https://doi.org/10.1093/europace/euag059","authors":["Petr Peichl","Stylianos Tzeis","Marta Skowronska","Dimitrios Asvestas","Jakub Baran","Michela Casella","Ruben Casado-Arroyo","Matevž Jan","Josef Kautzner","Jens Erik Nielsen-Kudsk","Peter Kupo","Andrej Pernat","Nandor Szegedi","Vedran Velagić"],"significance":7,"published":"2026-05-23","source_date":"2026-04-13","image":"","kennis":["https://hartvaat.nl/kennis/antistolling/doacs-overzicht/","https://hartvaat.nl/kennis/atriumfibrilleren/elektrisch-remodellering-atrium/"],"congress":"","summary_en":"Joint scientific statement from EHRA and EAPCI on the role of intracardiac echocardiography (ICE) during invasive electrophysiological procedures. ICE provides real-time visualization of intracardiac structures and has evolved beyond transseptal puncture into an adjunct for ablation of supraventricular and ventricular arrhythmias, fluoroscopy reduction, early detection and management of periprocedural complications, identification of infective endocarditis, endomyocardial biopsy and left atrial appendage occlusion. The document serves as a practical roadmap with standardized views and considerations for optimal clinical use.","created":"2026-07-03T10:32:57Z","updated":"2026-07-03T13:31:52Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Gezamenlijke wetenschappelijke verklaring van EHRA en EAPCI over de rol van intracardiale echocardiografie (ICE) bij invasieve elektrofysiologische ingrepen. ICE biedt real-time visualisatie van intracardiale structuren en is uitgegroeid van hulpmiddel bij transseptale punctie tot ondersteunend instrument bij ablatie van supraventriculaire en ventriculaire aritmieën, reductie van fluoroscopiestraling, vroegtijdige detectie en behandeling van peri-procedurele complicaties, identificatie van endocarditis, endomyocardiale biopsie en links-atrium-appendage-occlusie. Het document fungeert als een praktische routekaart met gestandaardiseerde aanzichten en aandachtspunten voor optimaal klinisch gebruik.","abstract_original":"Intracardiac echocardiography (ICE) is an imaging technique that provides real-time, detailed visualisation of intracardiac structures during various interventional procedures performed in the electrophysiology laboratory. Over the past decades, ICE has evolved beyond simply assisting with transseptal puncture, becoming an auxiliary tool in numerous aspects of cardiac interventions. This scientific statement offers a comprehensive, systematic overview of current applications of ICE across different clinical scenarios. The existing evidence regarding the benefits of ICE is primarily derived from observational studies, which complicates the formulation of definitive advice for its clinical use. Thus, this document aims to serve as a practical roadmap, emphasising the key benefits of the technique. The document covers fundamental principles of ICE imaging, standardised views, its role in transseptal puncture, ablation of supraventricular and ventricular arrhythmias, reduction of procedural radiation, early detection and management of periprocedural complications, identification of infective endocarditis, and the role of ICE for endomyocardial biopsy and left atrial appendage occlusion procedures."}