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Left Ventricular Endocardial Definition Enhancement Using Perflutren Microsphere Contrast Echocardiography during Peripheral Venoarterial Extracorporeal Membranous Oxygenation
Author(s) -
Platts David,
Fraser John F.,
Mullany Daniel,
Burstow Darryl
Publication year - 2010
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2010.01184.x
Subject(s) - medicine , extracorporeal membrane oxygenation , oxygenation , cardiology , shock (circulatory) , peripheral , contrast (vision) , cardiogenic shock , radiology , artificial intelligence , myocardial infarction , computer science
Contrast echocardiography provides incremental benefit in patients with nondiagnostic imaging, particularly in the intensive care setting. There are minimal data regarding its use in patients on mechanical cardiac support devices. This case highlights the additional diagnostic information provided with contrast‐enhanced imaging in a patient with shock, supported by a peripherally cannulated extra‐corporeal membranous oxygenation (ECMO) device. The signal persistence was reduced compared to the conventional setting, as anticipated but the concentration of perflutren microspheres remained sufficient to provide satisfactory endocardial definition, despite passage through a centrifugal pump. There was no adverse affect on the patient's cardiorespiratory status or ECMO function. (Echocardiography 2010;27:E112‐E114)