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A focus on intracardiac echocardiography (ICE), with an emphasis on practical use during electrophysiological procedures. This illustrated text, complemented by more than 50 instructional videos, presents description, rationale, and instruction in ICE utilization for the complete range of currently performed EP procedures, including mapping and ablation procedures, device implantation procedures, and all common variations on these procedures. ICE is the only continuous real-time imaging modality with widespread utilization by electrophysiologists: Reliably and accurately visualize intracardiac and extracardiac structures and placement of catheters within the heart chambers. Observe anatomic detail otherwise invisible. Potentially improve procedural safety and efficacy. This text is written and edited by experts with extensive experience and knowledge that they have imparted to the reader. The editors have previously collaborated on a related textbook from Cardiotext Publishing, Fluoroscopy Reduction Techniques for Catheter Ablation of Cardiac Arrhythmias. All it took was one visit from Mansour Razminia to UChicago during a patient collaboration to provide step-by-step guidance to not only perform fluoroless transseptal puncture, but to quickly and beautifully visualize every anatomic region with simple and reproducible clock/counter/flex/ bend commands. It changed my life. ―From the Foreword, Roderick Tung, MD Editors: Mansour Razminia, MD; Amita St. Joseph Hospital, Elgin, Illinois Paul C. Zei, MD, PhD; Brigham and Women's Hospital, Boston, Massachusetts This book includes access to a library of 53 videos. The purchase of a new copy of this print book entitles the first buyer to free personal access to a digital version of this edition. Redemption instructions are included in the book.

Background: Catheter ablation has become a widely used approach to treating various cardiac arrhythmias. Traditionally, catheter ablation procedures are guided by fluoroscopic imaging to help understand catheter position during mapping. The potentially significant exposure to radiation to the patient, physician, and staff increases risks of radiation exposure-related disease. Also, the protective lead garments worn increases risks of orthopedic injury. Current advanced electroanatomic mapping and intracardiac echocardiography technology have allowed the development of endocardial catheter ablation techniques without the use of fluoroscopy safely and effectively. A host of expert and experienced authors present a practical overview of the rationale and methodology for a low- or zero-fluoro environment in the electrophysiology lab with the critical goal of significantly reducing radiation exposure to the patient, physician, and staff. This practical guide: Covers the entire spectrum of commonly (and less commonly) performed ablation procedures via endocardial approach. Discusses general principles that are applicable across ICE and EAM platforms. Will assist the electrophysiologist and their team to safely and effectively work toward the significant reduction in fluoroscopy utilization while also likely improving procedural safety, i.e., fewer complications, after the adoption of these techniques. Includes a library of 50 videos, with 9 extended films (108 minutes) by Dr. Razminia detailing step-by-step procedures and techniques.