Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses

ABSTRACT Introduction Ultrasonographic guidance of catheter‐based interventions in horses is based primarily on transthoracic echocardiography (TTE). Intracardiac echocardiography (ICE) has the potential to provide detailed imaging of specific cardiac regions. Insight and training in echocardiograph...

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Main Authors: Ingrid Vernemmen, Marie Demeyere, Glenn Van Steenkiste, Eva Buschmann, Annelies Decloedt, Gunther van Loon
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Journal of Veterinary Internal Medicine
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Online Access:https://doi.org/10.1111/jvim.70087
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author Ingrid Vernemmen
Marie Demeyere
Glenn Van Steenkiste
Eva Buschmann
Annelies Decloedt
Gunther van Loon
author_facet Ingrid Vernemmen
Marie Demeyere
Glenn Van Steenkiste
Eva Buschmann
Annelies Decloedt
Gunther van Loon
author_sort Ingrid Vernemmen
collection DOAJ
description ABSTRACT Introduction Ultrasonographic guidance of catheter‐based interventions in horses is based primarily on transthoracic echocardiography (TTE). Intracardiac echocardiography (ICE) has the potential to provide detailed imaging of specific cardiac regions. Insight and training in echocardiographic guidance can be acquired using an echocardiography simulator. Hypothesis/Objectives Use an echocardiography simulator for horses to determine specific ICE views for catheter‐based interventions and validate these in live horses. Animals Six adult healthy experimental horses. Methods Observational study. An echocardiographic phantom based on a three‐dimensional computer model of the equine heart was used. This phantom was positioned in a water tank, allowing simultaneous TTE and ICE catheter introduction. Novel ICE images from within the thoracic inlet and right atrium were determined on the ultrasound simulator, with TTE as back‐up modality to determine ICE catheter position in the simulator if necessary. Images were validated in six horses, with adaptations to catheter manipulations where needed. Results Novel ICE images developed on the ultrasound simulator could be replicated in live horses, with no changes in catheter manipulations. These views allowed visualization of the tributaries of the cranial vena cava, both atria, pulmonary veins, aorta, and pulmonary artery. Conclusions and Clinical Importance The ultrasound simulator was useful in developing additional ICE images in order to understand echocardiographic anatomy. This simulator creates possibilities for ICE diagnosis of specific cardiac conditions and further development of ICE‐guided catheter‐based interventions in horses. The ultrasound simulator can be helpful for providing echocardiographic training and reduction of experimental animal use.
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spelling doaj-art-6052a5a4f86a49e5a3254fb71a25d2ab2025-08-20T03:09:11ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762025-05-01393n/an/a10.1111/jvim.70087Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live HorsesIngrid Vernemmen0Marie Demeyere1Glenn Van Steenkiste2Eva Buschmann3Annelies Decloedt4Gunther van Loon5Equine Cardioteam Ghent, Department of Internal Medicine, Reproduction and Population Medicine Faculty of Veterinary Medicine, Ghent University Merelbeke BelgiumEquine Cardioteam Ghent, Department of Internal Medicine, Reproduction and Population Medicine Faculty of Veterinary Medicine, Ghent University Merelbeke BelgiumEquine Cardioteam Ghent, Department of Internal Medicine, Reproduction and Population Medicine Faculty of Veterinary Medicine, Ghent University Merelbeke BelgiumEquine Cardioteam Ghent, Department of Internal Medicine, Reproduction and Population Medicine Faculty of Veterinary Medicine, Ghent University Merelbeke BelgiumEquine Cardioteam Ghent, Department of Internal Medicine, Reproduction and Population Medicine Faculty of Veterinary Medicine, Ghent University Merelbeke BelgiumEquine Cardioteam Ghent, Department of Internal Medicine, Reproduction and Population Medicine Faculty of Veterinary Medicine, Ghent University Merelbeke BelgiumABSTRACT Introduction Ultrasonographic guidance of catheter‐based interventions in horses is based primarily on transthoracic echocardiography (TTE). Intracardiac echocardiography (ICE) has the potential to provide detailed imaging of specific cardiac regions. Insight and training in echocardiographic guidance can be acquired using an echocardiography simulator. Hypothesis/Objectives Use an echocardiography simulator for horses to determine specific ICE views for catheter‐based interventions and validate these in live horses. Animals Six adult healthy experimental horses. Methods Observational study. An echocardiographic phantom based on a three‐dimensional computer model of the equine heart was used. This phantom was positioned in a water tank, allowing simultaneous TTE and ICE catheter introduction. Novel ICE images from within the thoracic inlet and right atrium were determined on the ultrasound simulator, with TTE as back‐up modality to determine ICE catheter position in the simulator if necessary. Images were validated in six horses, with adaptations to catheter manipulations where needed. Results Novel ICE images developed on the ultrasound simulator could be replicated in live horses, with no changes in catheter manipulations. These views allowed visualization of the tributaries of the cranial vena cava, both atria, pulmonary veins, aorta, and pulmonary artery. Conclusions and Clinical Importance The ultrasound simulator was useful in developing additional ICE images in order to understand echocardiographic anatomy. This simulator creates possibilities for ICE diagnosis of specific cardiac conditions and further development of ICE‐guided catheter‐based interventions in horses. The ultrasound simulator can be helpful for providing echocardiographic training and reduction of experimental animal use.https://doi.org/10.1111/jvim.70087catheterizationsechocardiographyequine ultrasonographic cardiac modelultrasound phantom
spellingShingle Ingrid Vernemmen
Marie Demeyere
Glenn Van Steenkiste
Eva Buschmann
Annelies Decloedt
Gunther van Loon
Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses
Journal of Veterinary Internal Medicine
catheterizations
echocardiography
equine ultrasonographic cardiac model
ultrasound phantom
title Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses
title_full Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses
title_fullStr Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses
title_full_unstemmed Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses
title_short Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses
title_sort novel intracardiac ultrasound images developed on a cardiac ultrasound simulator and validated in live horses
topic catheterizations
echocardiography
equine ultrasonographic cardiac model
ultrasound phantom
url https://doi.org/10.1111/jvim.70087
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