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Fig. 2 | Critical Ultrasound Journal

Fig. 2

From: Management of cardiopulmonary assist devices in critically ill patients using point-of-care transthoracic echocardiography: a case series

Fig. 2

Impella positioning visualized on the parasternal long-axis view on the TTE exam. a Images acquired at the time of improper positioning. The Impella® (hyperechoic structure) is located 5.9 cm beyond the aortic valve in the left ventricle. b Acquired after repositioning. Notice that the length of the Impella® in the left ventricle is now 2.4 cm beyond the aortic valve into the LV. c Acquired after repositioning with color Doppler. Flow at the outflow area can be visualized. The outflow area is now located above the aortic valve

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