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Echo-Navigator Facilitated Placement of a Percutaneous Right Ventricular Assist-Device in Treating Acute Post-Surgical Right Ventricular Failure; case report
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  • Mustafa Alkhawam,
  • Weihan Chen,
  • Abdullah Mahmood,
  • Ali J. Ebrahimi,
  • Navin C. Nanda,
  • Mustafa Ahmed
Mustafa Alkhawam
The University of Alabama at Birmingham Division of Cardiovascular Disease

Corresponding Author:mustafa.alkhawam@gmail.com

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Weihan Chen
The University of Alabama at Birmingham Division of Cardiovascular Disease
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Abdullah Mahmood
The University of Alabama at Birmingham Division of Cardiovascular Disease
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Ali J. Ebrahimi
The University of Alabama at Birmingham Division of Cardiovascular Disease
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Navin C. Nanda
The University of Alabama at Birmingham Division of Cardiovascular Disease
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Mustafa Ahmed
The University of Alabama at Birmingham Division of Cardiovascular Disease
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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.