Implantation of Impella CP left ventricular assist device under the guidance of three-dimensional intracardiac echocardiography
| Autor: | Innes K. Wise, Konstantin Yastrebov, Paul G. Bannon, Laurencie Brunel, Zoe A. Williams, Hugh S. Paterson, Christopher S Burrows |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Intracardiac echocardiography Percutaneous medicine.medical_treatment lcsh:Medicine 030204 cardiovascular system & hematology Intracardiac injection Article 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Fluoroscopy 030212 general & internal medicine lcsh:Science Impella Cardiac device therapy Multidisciplinary medicine.diagnostic_test business.industry Cardiogenic shock lcsh:R COVID-19 Translational research medicine.disease Coronavirus Ventricular assist device Heart failure Cardiology lcsh:Q business |
| Zdroj: | Scientific Reports Scientific Reports, Vol 10, Iss 1, Pp 1-15 (2020) |
| ISSN: | 2045-2322 |
| Popis: | Impella CP is a percutaneously inserted left ventricular assist device indicated for temporary mechanical cardiac support during high risk percutaneous coronary interventions and for cardiogenic shock. The potential application of Impella has become particularly relevant during the current COVID-19 pandemic, for patients with acute severe heart failure complicating viral illness. Standard implantation of the Impella CP is performed under fluoroscopic guidance. Positioning of the Impella CP can be confirmed with transthoracic or transoesophageal echocardiography. We describe an alternative approach to guide intracardiac implantation of the Impella CP using two-dimensional and three-dimensional intracardiac echocardiography. This new technique can be useful in selected groups of patients when fluoroscopy, transthoracic and transoesophageal echocardiography is deemed inapplicable or limited for epidemiological or clinical reasons. Intracardiac three-dimensional echocardiography is a feasible alternative to the traditional techniques for implantation of an Impella CP device but careful consideration must be given to the potential limitations and complications of this technique. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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