Figure 1.
Hemodynamic and imaging data during Impella-supported bridge-to-TAVR. (A) Pre-Impella invasive pressure tracings showing severe peak-to-peak gradient of 125 mm Hg. (B) Post-Impella pressure tracings demonstrating immediate gradient reduction to 6 mm Hg. (C) Axial and (D) maximum intensity projection cardiac computed tomography with Impella CP correctly positioned across aortic valve into left ventricle. (E) Pre-TAVR transthoracic echocardiography showing a low-flow high-gradient aortic stenosis. (F) Post-TAVR transthoracic echocardiography showing complete recovery, with ejection fraction of 65%-70% and normal prosthetic valve function. TAVR, transcatheter aortic valve replacement.
