Echo-Navigator Facilitated Placement of a Percutaneous Right Ventricular
Assist-Device in Treating Acute Post-Surgical Right Ventricular Failure;
case report
Abstract
Echo-Navigator (EchoNav) is a fusion imaging technology that integrates
live transesophageal echocardiogram (TEE) and overlays on real-time
fluoroscopy. We present our experience placing a right ventricular (RV)
support device, a ProtekDuo, in our patient with post-operative RV
failure using EchoNav imaging to guide the implantation and confirm the
geographical location of the device. EchoNav has shown many benefits
over standard techniques whereby echo and fluoroscopic images are
typically viewed and interpreted separately. For instance, it may reduce
overall radiation used during the procedure and may improve efficiency
by allowing for more accurate device placement, avoiding the need for
prolonged fluoroscopic imaging. Furthermore, the integration of fusion
imaging can also improve the education of trainees, helping facilitate
skill development in advanced imaging techniques and improving
procedural understanding over time.