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Induction of Microstreaming by Nonspherical Bubble Oscillations in an Acoustic Levitation System

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Evanescent Microbubbles After Cardiac Mechanical Support.

Ahmed Abuzaid¹, Theodore Abraham¹

¹Department of Cardiology, University of California-San Francisco, San Francisco, California.

JACC. Case Reports

|July 28, 2021

Summary

This summary is machine-generated.

This study details a case of intracardiac microbubbles detected via echocardiography in a patient with an Impella CP device. It emphasizes a proper evaluation method for these findings in critical care settings.

Keywords:

bubble echocardiography echocardiography systolic heart failure

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Published on: January 10, 2017

Area of Science:

Cardiology
Critical Care Medicine
Medical Imaging

Background:

The Impella CP is a temporary mechanical circulatory support device used in high-risk cardiac procedures.
Intracardiac microbubbles can be observed during echocardiography, particularly in patients with cardiac devices or shunts.
Accurate interpretation of echocardiographic findings is crucial for patient management in critical care.

Purpose of the Study:

To describe a case of intracardiac microbubbles in a patient with an Impella CP.
To outline an appropriate approach for evaluating intracardiac microbubbles in critical care.
To emphasize the importance of distinguishing artifact from clinically significant findings.

Main Methods:

Case report of a 70-year-old male patient.
Successful resuscitation and Impella CP implantation.
Transthoracic echocardiography to assess device position and identify microbubbles.

Main Results:

The Impella CP was in acceptable position.
Noticeable microbubbles were observed in the left ventricle.
No device alarms were triggered despite the presence of microbubbles.

Conclusions:

Intracardiac microbubbles can be present with an Impella CP without necessarily indicating a device malfunction.
A systematic approach to echocardiographic evaluation is vital for accurate diagnosis.
This case highlights the importance of clinical context in interpreting echocardiographic findings in critical care.