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Cardiovasc. Transl. Res."],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>The Impella CP is a percutaneously inserted temporary left ventricular assist device used in clinical practice and in translational research into cardiogenic shock, perioperative cardiac surgery, acute cardiac failure and mechanical circulatory support. Fluoroscopic guidance is usually used for insertion of an Impella, thus limiting insertion to within catheterization laboratories. Transthoracic, transoesophageal and intracardiac echocardiography have been reported to guide Impella CP implantation with identified specific limitations stemming from the surgical, anatomical and equipment factors. We conducted translational prospective descriptive feasibility investigation as a part of two other hemodynamic Impella studies. It showed the successful application of epicardial echocardiographic scanning for implantation of Impella CP devices in ovine models, from which details of the technique and identified pitfalls are described with practical solutions for future investigators and clinicians. Many described findings are relevant to any other echocardiographic techniques when adequate imaging of the Impella and relevant anatomical structures is achievable.<\/jats:p>\n          <jats:p>\n            <jats:bold>Graphical Abstract<\/jats:bold>\n          <\/jats:p>","DOI":"10.1007\/s12265-024-10555-1","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T17:02:06Z","timestamp":1725987726000},"page":"70-78","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pearls and Pitfalls of Epicardial Echocardiography for Implantation of Impella CP Devices in Ovine Models"],"prefix":"10.1007","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6668-1545","authenticated-orcid":false,"given":"Konstantin","family":"Yastrebov","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurencie M.","family":"Brunel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona C.","family":"Schnitzler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa M.","family":"Partel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugh S.","family":"Paterson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul G.","family":"Bannon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,10]]},"reference":[{"issue":"4","key":"10555_CR1","doi-asserted-by":"publisher","first-page":"S187","DOI":"10.1016\/j.healun.2022.01.1603","volume":"41","author":"C Zeschky","year":"2022","unstructured":"Zeschky C, Ahmed H, AlAyyar M, et al. Long-term Use of Impella \u2013 Safe to Do? J Heart Lung Transplant. 2022;41(4):S187. https:\/\/doi.org\/10.1016\/j.healun.2022.01.1603.","journal-title":"J Heart Lung Transplant"},{"issue":"2","key":"10555_CR2","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1055\/s-0038-1676369","volume":"28","author":"The Impella Device","year":"2019","unstructured":"The Impella Device. Historical background, Clinical Application and Future Directions. Int J Angiol. 2019;28(2):118\u201323. https:\/\/doi.org\/10.1055\/s-0038-1676369.","journal-title":"Int J Angiol"},{"key":"10555_CR3","doi-asserted-by":"publisher","first-page":"1569","DOI":"10.1111\/JOCS.14295","volume":"34","author":"NK Ranganath","year":"2019","unstructured":"Ranganath NK, Nafday HB, Zias E, et al. Concominant temporary mechanical support in high-risk coronary artery bypass surgery. 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All institutional and national guidelines for the care and use of laboratory animals were followed and approved by the appropriate institutional Ethics committees (see Methods).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Standards"}},{"value":"The authors declare that they have no Competing Interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}}]}}