Echocardiography in Cardiac Assist Devices

Anand, S.; Barry, Terence P.; Arsanjani, Reza; LeMond, Lisa

doi:10.31083/j.rcm2307253

Cited by 3 publications

(5 citation statements)

References 59 publications

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“…This real-time imaging modality enhances diagnostic accuracy, aiding timely decision-making in the intense setting of cardiac arrest, ultimately contributing to improved patient outcomes. In peri-arrest situations, TEE also informs the need for MCS, guides the selection of the appropriate type of support, assists in their placement, prevents complications, evaluates therapy response post-placement and can also provide hemodynamic information needed during weaning of MCS [26,31,32].…”

Section: Mechanical Circulatory Supportmentioning

confidence: 99%

“…6). TEE enables the practitioner to evaluate the necessity for IABP, identify contraindications to placement, confirm proper position, and assess complications and hemodynamic response by examining LV and RV function (Refer to Table 3) [13,31,32]. Subsequent TEE monitoring gauges the therapeutic response, identifies complications and helps with weaning.…”

Section: Intra-aortic Balloon Pumpmentioning

confidence: 99%

“…This view helps visualize the mitral valve, LV, LVOT, aortic valve and ascending aorta. The teardrop-shaped inlet should ideally be 3.5-4 cm from the aortic valve [13,31,32], outlet about 3 cm above the aortic valve (Refer to Table 3) The temporary LVAD should be free in the LV and not against the mitral valve apparatus; it is important to check for mitral regurgitation in the same view. The position of the septum should be midline and is evaluated in the ME four-chamber and LAX views.…”

Section: Temporary Left Ventricular Assist Devicementioning

confidence: 99%

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Transesophageal Echocardiography in Critical Care

Bora,

Pulijal

2024

Curr Pulmonol Rep

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Purpose of Review In this article we describe the utility, indications, contraindications, limitations, and clinical situations in which transesophageal echocardiography (TEE) examination can be instrumental in managing patients in the intensive care unit (ICU). Recent Findings TEE is a safe and semi-invasive diagnostic modality that can be used to differentiate pathologies, determine hemodynamic status, guide management, and determine response to therapy. Its presence has expanded beyond the operating rooms into the critical care world. Despite limited randomized trials, evidence indicates its significant benefits and potential for early diagnosis to reduce morbidity and mortality. Summary Patients in the ICU present with multifactorial form of shock, hypoxemia needing monitoring and mechanical circulatory support. TEE is a low-risk diagnostic and monitoring tool which is invaluable in the ICU. Its advantages include superior visualization of cardiac structures and accurate assessment of abnormalities. Judicious utilization of TEE holds the potential to significantly influence clinical decision-making in a favorable manner.

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Section: Mechanical Circulatory Supportmentioning

confidence: 99%

Section: Intra-aortic Balloon Pumpmentioning

confidence: 99%

Section: Temporary Left Ventricular Assist Devicementioning

confidence: 99%

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Transesophageal Echocardiography in Critical Care

Bora,

Pulijal

2024

Curr Pulmonol Rep

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“…Furthermore, it is essential to report the presence of conditions such as patent foramen ovale and atrial or interventricular defects, as the placement of the Impella device could potentially exacerbate a pre-existing right-to-left shunt. [61].…”

Section: The Impellamentioning

confidence: 99%

Multimodality Imaging in Advanced Heart Failure for Diagnosis, Management and Follow-Up: A Comprehensive Review

Pergola,

Cameli,

Mattesi

et al. 2023

JCM

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Advanced heart failure (AHF) presents a complex landscape with challenges spanning diagnosis, management, and patient outcomes. In response, the integration of multimodality imaging techniques has emerged as a pivotal approach. This comprehensive review delves into the profound significance of these imaging strategies within AHF scenarios. Multimodality imaging, encompassing echocardiography, cardiac magnetic resonance imaging (CMR), nuclear imaging and cardiac computed tomography (CCT), stands as a cornerstone in the care of patients with both short- and long-term mechanical support devices. These techniques facilitate precise device selection, placement, and vigilant monitoring, ensuring patient safety and optimal device functionality. In the context of orthotopic cardiac transplant (OTC), the role of multimodality imaging remains indispensable. Echocardiography offers invaluable insights into allograft function and potential complications. Advanced methods, like speckle tracking echocardiography (STE), empower the detection of acute cell rejection. Nuclear imaging, CMR and CCT further enhance diagnostic precision, especially concerning allograft rejection and cardiac allograft vasculopathy. This comprehensive imaging approach goes beyond diagnosis, shaping treatment strategies and risk assessment. By harmonizing diverse imaging modalities, clinicians gain a panoramic understanding of each patient’s unique condition, facilitating well-informed decisions. The aim is to highlight the novelty and unique aspects of recently published papers in the field. Thus, this review underscores the irreplaceable role of multimodality imaging in elevating patient outcomes, refining treatment precision, and propelling advancements in the evolving landscape of advanced heart failure management.

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“…When the catheter is positioned too high, the left subclavian or even the left carotid artery could become blocked [5]. TEE can be used to aid with its position in the intubated patient during intraoperative procedures, even though it is generally done in the cardiac catheterization lab via fluoroscopic guidance [44].…”

mentioning

confidence: 99%

Analysis of Intra-Aortic Balloon Performance in Open-Heart Surgery

Wajeeh,

Hamandi,

Alobaidi

et al. 2023

NJES

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A failing heart can be supported in several ways, including cardiopulmonary bypass pumps (CPB), extracorporeal membrane oxygenators (ECMOs), and other types of auxiliary heart pumps. The intra-aortic-balloon-pump (IABP) is one technique of internal counter-pulsation that supports maintaining the circulatory system It continues to be used as a vascular support device to critically unwell cardiac patients. Many recent studies have focused on the problems of the (IABP) in open-heart surgery, while other researchers concentrated on the positioning and size of the balloon, some of them studied the timing of the balloon's inflation and deflation. this paper has reviewed a brief Introduction, the basic principles of the balloon, how to trigger the balloon pump as well as the use of IABP in Coronary Artery Bypass Graft (CABG), balloon mistiming of inflation and deflation, balloon timing usage within open-heart surgery and finally a balloon position and sizing.

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Echocardiography in Cardiac Assist Devices

Cited by 3 publications

References 59 publications

Transesophageal Echocardiography in Critical Care

Transesophageal Echocardiography in Critical Care

Multimodality Imaging in Advanced Heart Failure for Diagnosis, Management and Follow-Up: A Comprehensive Review

Analysis of Intra-Aortic Balloon Performance in Open-Heart Surgery

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