{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:23:45Z","timestamp":1731043425413,"version":"3.28.0"},"reference-count":12,"publisher":"Texas Heart Institute Journal","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:p>Aortic insufficiency with recirculation can be difficult to diagnose echocardiographically in patients who have continuous-flow left ventricular assist devices. Transthoracic and transesophageal echocardiography can underestimate its severity; moreover, transesophageal echocardiography necessitates general anesthesia. We report the case of a 58-year-old man with obesity and end-stage nonischemic cardiomyopathy who, after 3 months of support with a continuous-flow left ventricular assist device, underwent intracardiac echocardiography to evaluate complications potentially associated with the device. The findings ruled out aortic insufficiency, preventing an unnecessary valvular intervention.<\/jats:p>","DOI":"10.14503\/thij-20-7303","type":"journal-article","created":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T03:15:00Z","timestamp":1625886900000},"source":"Crossref","is-referenced-by-count":1,"title":["Use of Intracardiac Echocardiography to Evaluate Continuous-Flow Left Ventricular Assist Device Function in a Man With Obesity"],"prefix":"10.14503","volume":"48","author":[{"given":"Charlene L.","family":"Rohm","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, WellStar Kennestone Regional Medical Center, Marietta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Howard","sequence":"additional","affiliation":[{"name":"Advanced Heart Failure and Transplant Cardiology, WellStar Kennestone Regional Medical Center, Marietta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baqir","family":"Lakhani","sequence":"additional","affiliation":[{"name":"Advanced Heart Failure and Transplant Cardiology, WellStar Kennestone Regional Medical Center, Marietta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian","family":"Wilim","sequence":"additional","affiliation":[{"name":"Advanced Heart Failure and Transplant Cardiology, WellStar Kennestone Regional Medical Center, Marietta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel W.","family":"Holden","sequence":"additional","affiliation":[{"name":"Advanced Heart Failure and Transplant Cardiology, WellStar Kennestone Regional Medical Center, Marietta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Snipelisky","sequence":"additional","affiliation":[{"name":"Advanced Heart Failure and Transplant Cardiology, WellStar Kennestone Regional Medical Center, Marietta, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"11","key":"i1526-6702-48-3-e207303-b1","series-title":"JACC Heart Fail","first-page":"951","article-title":"Aortic insufficiency during contemporary left ventricular assist device support: analysis of the INTERMACS registry","volume":"6","year":"2018","unstructured":"Truby\n              LK,\n            \n            \n              Garan\n              AR,\n            \n            \n              Givens\n              RC,\n            \n            \n              Wayda\n              B,\n            \n            \n              Takeda\n              K,\n            \n            \n              Yuzefpolskaya\n              M,\n            \n          \n          .\n\t\t\t\t\tAortic insufficiency during contemporary left ventricular assist device support: analysis of the INTERMACS registry.\n\t\t\t\t\tJACC Heart Fail2018;6(11):951\u201360."},{"issue":"2","key":"i1526-6702-48-3-e207303-b2","series-title":"JACC Cardiovasc Imaging","first-page":"363","article-title":"Novel use for intracardiac echocardiography: evaluation of patients with continuous flow left ventricular assist devices","volume":"12","year":"2019","unstructured":"Kassi\n              M,\n            \n            \n              Rosenbaum\n              AN,\n            \n            \n              Wiley\n              BM,\n            \n            \n              Behfar\n              A.\n            \n          \n          Novel use for intracardiac echocardiography: evaluation of patients with continuous flow left ventricular assist devices.\n\t\t\t\t\tJACC Cardiovasc Imaging2019;12(2):363\u20136."},{"issue":"6","key":"i1526-6702-48-3-e207303-b3","series-title":"ASAIO J","first-page":"e1","article-title":"Intracardiac echocardiography for diagnosis and management of left ventricular assist device inlet obstruction","volume":"60","year":"2014","unstructured":"El Banayosy\n              A,\n            \n            \n              Koerner\n              MM,\n            \n            \n              Brehm\n              C,\n            \n            \n              Stevenson\n              ER,\n            \n            \n              Pae\n              WE\n              Jr,\n            \n            \n              Clemson\n              B,\n            \n          \n          .\n\t\t\t\t\tIntracardiac echocardiography for diagnosis and management of left ventricular assist device inlet obstruction.\n\t\t\t\t\tASAIO J2014;60(6):e1\u20132."},{"issue":"3","key":"i1526-6702-48-3-e207303-b4","series-title":"J Artif Organs","first-page":"194","article-title":"The influence of pump rotation speed on hemodynamics and myocardial oxygen metabolism in left ventricular assist device support with aortic valve regurgitation","volume":"20","year":"2017","unstructured":"Iizuka\n              K,\n 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Thorac Surg2011;92(3):929\u201334."},{"issue":"8","key":"i1526-6702-48-3-e207303-b8","series-title":"J Am Soc Echocardiogr","first-page":"853","article-title":"Echocardiography in the management of patients with left ventricular assist devices: recommendations from the American Society of Echocardiography","volume":"28","year":"2015","unstructured":"Stainback\n              RF,\n            \n            \n              Estep\n              JD,\n            \n            \n              Agler\n              DA,\n            \n            \n              Birks\n              EJ,\n            \n            \n              Bremer\n              M,\n            \n            \n              Hung\n              J,\n            \n          \n          .\n\t\t\t\t\tEchocardiography in the management of patients with left ventricular assist devices: recommendations from the American Society of Echocardiography.\n\t\t\t\t\tJ Am Soc Echocardiogr2015;28(8):853\u2013909."},{"issue":"8","key":"i1526-6702-48-3-e207303-b9","series-title":"J Heart Lung Transplant","first-page":"976","article-title":"Novel echocardiographic parameters of aortic insufficiency in continuous-flow left ventricular assist devices and clinical outcome","volume":"35","year":"2016","unstructured":"Grinstein\n              J,\n            \n            \n              Kruse\n              E,\n            \n            \n              Sayer\n              G,\n            \n            \n              Fedson\n              S,\n            \n            \n              Kim\n              GH,\n            \n            \n              Sarswat\n              N,\n            \n          \n          .\n\t\t\t\t\tNovel echocardiographic parameters of aortic insufficiency in continuous-flow left ventricular assist devices and clinical outcome.\n\t\t\t\t\tJ Heart Lung Transplant2016;35(8):976\u201385."},{"issue":"6","key":"i1526-6702-48-3-e207303-b10","series-title":"JACC Cardiovasc Imaging","first-page":"641","article-title":"Accurate quantification methods for aortic insufficiency severity in patients with LVAD: role of diastolic flow acceleration and systolic-to-diastolic peak velocity ratio of outflow cannula","volume":"9","year":"2016","unstructured":"Grinstein\n              J,\n            \n            \n              Kruse\n              E,\n            \n            \n              Sayer\n              G,\n            \n            \n              Fedson\n              S,\n            \n            \n              Kim\n              GH,\n            \n            \n              Jorde\n              UP,\n            \n          \n          .\n\t\t\t\t\tAccurate quantification methods for aortic insufficiency severity in patients with LVAD: role of diastolic flow acceleration and systolic-to-diastolic peak velocity ratio of outflow cannula.\n\t\t\t\t\tJACC Cardiovasc Imaging2016;9(6):641\u201351."},{"issue":"7","key":"i1526-6702-48-3-e207303-b11","series-title":"Am J Cardiol","first-page":"1082","article-title":"Characteristics and impact of obesity on the outpatient echocardiography laboratory","volume":"97","year":"2006","unstructured":"Finkelhor\n              RS,\n            \n            \n              Moallem\n              M,\n            \n            \n              Bahler\n              RC.\n            \n          \n          Characteristics and impact of obesity on the outpatient echocardiography laboratory.\n\t\t\t\t\tAm J Cardiol2006;97(7):1082\u20134."},{"issue":"12","key":"i1526-6702-48-3-e207303-b12","series-title":"J Thorac Dis","first-page":"2139","article-title":"Echocardiographic assessment for ventricular assist device placement","volume":"7","year":"2015","unstructured":"Flores\n              AS,\n            \n            \n              Essandoh\n              M,\n            \n         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