Both transesophageal echocardiography (TEE) and intracardiac echocardiography have been used to assist transvenous lead extractions. The clinical utility of continuous echocardiographic monitoring during the procedure is still debated, with different reports supporting opposite findings. In cases where the procedure is expected to be difficult, we propose adding a continuous TEE monitoring using a static 3D/ multiplane probe in mid-esophageal position, with digital remote manipulation of the field of view. This approach may improve the chances of a successful extraction, increase safety, or even guide the entire intervention. We present here a short case series where continuous monitoring by TEE played an important role.

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doi.org/10.1111/echo.14318, hdl.handle.net/1765/116911
Echocardiography: a journal of cardiovascular ultrasound and allied techniques
Department of Cardiology

Strachinaru, M., Kievit, C.M., Yap, S.-C., Hirsch, A., Geleijnse, M., & Szili-Török, T. (2019). Multiplane/3D transesophageal echocardiography monitoring to improve the safety and outcome of complex transvenous lead extractions. Echocardiography: a journal of cardiovascular ultrasound and allied techniques, 36(5), 980–986. doi:10.1111/echo.14318