The impact of 3D ICE in combined AF ablation and LAA closure

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August 27 2025
Duration 59:1

View an informative discussion and live case featuring Philips VeriSight Pro 3D ICE Catheter from HRS Heart Rhythm Theater 2025. Explore the role of 3D intracardiac echocardiography (ICE) for procedural efficiency in concomitant atrial fibrillation (AFib) and left atrial appendage closure (LAAC) procedures.

HRT HRS 2025 Live Case and Panel Discussion Video

At-a-glance:

2:15 Live case of aFib procedure featuring VeriSight Pro for image-guidance
21:27 Dr. Makati discusses the workflow of using 3D ICE without mapping for aFib procedures and its role in device placement and real-time visualization of anatomy including the left atrium and vein orientation
29.50 Dr. Amin discuss optimizing concomitant aFibv and LAAC procedures with 3D ICE to enhance workflow and cost efficiencies
39:44 Live case of LAAC procedure with VeriSight Pro and using digital steering to avoid multiple catheter manipulations

At the Heart Rhythm Society Meeting 2025, a Philips Rhythm Theater streamed a live case and had a panel discussion around concomitant AFib and LAAC procedures and how advanced imaging technology, like the Philips VeriSight Pro 3D ICE Catheter, is transforming electrophysiology.

VeriSight Pro 3D ICE Catheter offers a single imaging solution to efficiently complete both the atrial fibrillation (Afib) ablation and left atrial appendage closure (LAAC) procedures. With 3D high-resolution visualization of the LAA and surrounding structures, allowing for precise guidance during occlusion procedures and cardiac ablation. VeriSight Pro 3D ICE Catheter can streamline workflow during these concomitant procedures, leading to more efficient and effective interventions while also reducing the need for additional imaging modalities and minimizing patient discomfort. [1-5]

It's another world I mean, the visualization is unparalleled.

Dr. Kevin Makati

Director of Electrophysiology

BayCare Health System

Volumetric ICE facilitates the ability to do less catheter manipulation and see the whole appendage from one location

Dr. Shephal Doshi

Chair in Cardiac Electrophysiology

Pacific Heart Institute

Featuring

Dr. Shephal Doshi

Chair in Cardiac Electrophysiology

Dr. Anish Amin

Chair in Heart Health & Cardiac Arrhythmias

Dr. Kevin Makati

Director of Electrophysiology

Dr. Ricardo Lugo

Cardiac Electrophysiology

Dr. Sasan R. Raissi

Imaging Cardiology

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Footnotes

Alkhouli M, et al. Outcomes of Routine Intracardiac Echocardiography to Guide Left Atrial Appendage Occlusion. JACC: Clin Electrophys. 2020; 6(4):393-400. DOI: 10.1016/j.jacep.2019.11.014
Hemam ME, et al. Left atrial appendage closure with the Watchman device using intracardiac vs transesophageal echocardiography: Procedural and cost considerations. Heart Rhythm. 2019; 16:334-342. DOI: 10.1016/j. hrthm.2018.12.013
Pommier T, et al. Safety and efficacy of left atrial appendage occlusion with the ACP or Watchman device guided by intracardiac echocardiography from the left atrium. Clin Cardiol. 2021; 44:1402-1408. DOI: 10.1002/clc.23696
Diaz JC, et al. Impact of intracardiac echocardiography versus transesophageal echocardiography guidance on left atrial appendage occlusion procedures: A meta‐analysis. J Cardiovasc Electrophysiol 05 Nov 2023. DOI: 10.1111/jce.16118
Hussain K, et al. Impact of moderate sedation on electrophysiology lab time for left atrial appendage occlusion using 4D‐intracardiac echocardiography. J Cardiovasc Electrophysiol. 2024: Nov. DOI: 10.1111/jce.16445

Disclaimer

Results are specific to the institution where they were obtained and may not reflect the results achievable at other institutions. Results in other cases may vary.