Abstract

To assess the usefulness of miniature transoesophageal echocardiography using AcuNav probe (10F, TEO-AcuNav) for the monitoring of atrial fibrillation ablation in awake patients. TEO-AcuNaV was used in 30 consecutive patients (55±13 years, 67% male) referred for atrial fibrillation ablation (76% paroxysmal, 24% persistent or permanent) to guide trans-septal catheterisation and to identify the occurrence of thrombosis during the procedure. Transseptal catheterisation monitored by TEO-AcuNaV was successfully performed in all patients but one where standard TEE confirmed the presence of a left auricular thrombus. Importantly, TEO-AcuNav identified a right sided catheter related thrombus leading to retrieve the catheter. In addition, 3 pericardial effusions were documented during the procedure. Finally, TEO-AcuNAV was perfectly tolerated in all patients even though maintained awake. Transoesophageal AcuNav echography is safe and well tolerated and allows efficacious monitoring of atrial fibrillation ablation without general anesthesia.

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