Implantation of Impella CP LV Assist Device Under the Guidance of 3D Intracardiac Echocardiography

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This translational study in ovine model confirms that three-dimensional intracardiac echocardiography is a feasible option to guide implantation of the Impella CP® for left ventricular mechanical support and should be considered in cases where other imaging modalities are unsuitable.

Clinicians must be aware about imaging limitations of this approach to avoid serious iatrogenic complications.

The Impella CP® provides a minimally invasive option for temporary left ventricular support. This potentially includes sufferers from COVID-19 cardiac injury with severe left ventricular failure, unresponsive to pharmacological therapy.

Early mechanical cardiac support should be considered in patients with good probability of recovery in an attempt to avoid multiple organ dysfunction resulting from a low cardiac output state.

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