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- Title
Transthoracic Real Time Three-Dimensional Echocardiography in Impella Placement.
- Authors
Abusaid, Ghassan H.; Ahmad, Masood
- Abstract
A 33-year-old patient with nonischemic cardiomyopathy presented with cardiogenic shock requiring percutaneous left ventricular assist device placement despite inotropic support. Under transthoracic two-dimensional echocardiographic guidance, an Impella 2.5 L heart pump was placed. The inflow catheter was distal to the aortic valve, however patient remained in shock. Real time three-dimensional transthoracic echocardiography showed the inflow catheter imbedded into the papillary muscle causing inlet occlusion. By cropping 3D data set in multiple planes, a better spatial visualization of the inflow catheter and its distance from the aortic valve was easily obtained and the device was adjusted. (Echocardiography 2012;29:E105-E106)
- Subjects
CARDIOTONIC agents; CARDIOGENIC shock; DOPPLER echocardiography; ECHOCARDIOGRAPHY; CARDIAC hypertrophy; HEART failure; HEART assist devices; THERAPEUTICS
- Publication
Echocardiography, 2012, Vol 29, Issue 4, pE105
- ISSN
0742-2822
- Publication type
Article
- DOI
10.1111/j.1540-8175.2011.01663.x