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Updated: Jun 16, 2026

Point-of-Care Ultrasound for Peripheral Veno-Arterial Extracorporeal Membrane Oxygenation Without Left Ventricular Venting
Published on: January 17, 2025
Clinical applications of left ventricular opacification
1Department of Cardiology, Northwick Park Hospital, Harrow, United Kingdom.
Ultrasound microbubble technology enables reliable left ventricular opacification. Contrast echocardiography is effective, cost-saving, and avoids hazardous tests, yet its use remains limited, especially for difficult-to-image patients.
Area of Science:
- Cardiology
- Medical Imaging
- Ultrasound Technology
Background:
- Ultrasound microbubble technology has advanced significantly, enabling reliable left ventricular opacification.
- Contrast echocardiography has demonstrated clinical effectiveness and cost-saving benefits.
- Despite evidence, there is global ambivalence towards using contrast agents in echocardiography.
Purpose of the Study:
- To review the evidence supporting contrast echocardiography.
- To address the suboptimal uptake of contrast agents in echocardiography.
- To encourage wider adoption of contrast agents for difficult-to-image patients.
Main Methods:
- Review of existing evidence on contrast echocardiography.
- Analysis of factors contributing to the limited use of contrast agents.
- Discussion of strategies to improve the adoption of contrast echocardiography.
Main Results:
- Contrast echocardiography is clinically effective.
- It reduces downstream healthcare costs.
- It spares patients from further, potentially hazardous investigations.
Conclusions:
- Contrast echocardiography, utilizing ultrasound microbubbles, offers significant clinical and economic advantages.
- Barriers to its widespread adoption, particularly for challenging imaging scenarios, need to be overcome.
- A shift in approach by clinicians and accrediting bodies is encouraged to improve patient care.
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