Buy Invasive Echo for the Boards Discussion
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Buy Invasive Echo for the Boards Discussion
1. Which of the following statements is false of intracardiac
echocardiography (ICE) compared to transesophageal
echocardiography (TEE) for echocardiographic guidance of
interventional cardiac procedures?
A. ICE requires general anesthesia similar to TEE.
B. ICE provides similar or superior image quality for near-
eld structures as TEE.
C. ICE can provide direct visualization of the endocardium
and the ablation catheter, which can be identied by the
highly specic fan-shaped echocardiographic artifact of
the large tip of the ablation electrode.
D. Risks of ICE are low (<1% to 2%) but include vascular
trauma, hematoma, retroperitoneal bleed, cardiac
perforation, and arrhythmia.
2. In Figure 52.1 and Video 52.1 of an echocardiographyguided pericardiocentesis procedure, the location of the
pericardiocentesis needle is
A. In the right ventricle
B. In the right atrium
C. In the pericardial space
D. In the pleural space
3. An 89-year-old male with severe aortic stenosis undergoes
a transcatheter aortic valve implantation with an Edwards
SAPIEN transcatheter heart valve. Figure 52.2 and Video 52.2
are obtained by transesophageal echocardiography
immediately after deployment of a transcatheter aortic valve.
Which of the following statements is true?
A. The transcatheter aortic valve is deployed and
functioning well.
B. Supplementary balloon dilation is necessary for the
paravalvular aortic regurgitation.
C. The patient needs an emergent surgical aortic valve
replacement.
D. The prosthesis is oversized.
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