Transthoracic real time three-dimensional echocardiography in impella placement

Ghassan H. Abusaid, Masood Ahmad

Research output: Contribution to journalArticle

4 Citations (Scopus)

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) 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 infl ow catheter was distal to the aortic valve, however patient remained in shock. Real time three-dimensional transthoracic echocardiography showed the infl ow catheter imbedded into the papillary muscle causing inlet occlusion. By cropping 3D data set in multiple planes, a better spatial visualization of the infl ow catheter and its distance from the aortic valve was easily obtained and the device was adjusted.

Original languageEnglish (US)
JournalEchocardiography
Volume29
Issue number4
DOIs
StatePublished - Apr 2012

Fingerprint

Three-Dimensional Echocardiography
Catheters
Aortic Valve
Echocardiography
Heart-Assist Devices
Cardiogenic Shock
Papillary Muscles
Cardiomyopathies
Shock
losigame
Equipment and Supplies

Keywords

  • cardiomyopathy
  • color Doppler three-dimensional
  • left ventricular assist device
  • real time imaging technique
  • three-dimensional echocardiography
  • three-dimensional transthoracic echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Transthoracic real time three-dimensional echocardiography in impella placement. / Abusaid, Ghassan H.; Ahmad, Masood.

In: Echocardiography, Vol. 29, No. 4, 04.2012.

Research output: Contribution to journalArticle

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