Percutaneous Impella CP exchange with preservation of transfemoral access

Cardiovasc Revasc Med. 2019 Nov;20(11S):63-66. doi: 10.1016/j.carrev.2019.06.009. Epub 2019 Jun 23.

Abstract

In patients with cardiogenic shock, the global use of percutaneous mechanical circulatory support using the Impella CP device has increased with early data suggesting potential benefits over conservative management. In the current case report we describe a simple technique facilitating percutaneous Impella CP or RP exchange with preservation of transfemoral access, which does not require the use of a 0.035' wire. This technique allows for percutaneous sealing of the 14F arteriotomy using new closure devices avoiding the traditional cut-down.

Keywords: Access; Cardiogenic shock; Impella; Percutaneous left ventricular assist device.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Anterior Wall Myocardial Infarction / complications*
  • Anterior Wall Myocardial Infarction / diagnosis
  • Anterior Wall Myocardial Infarction / physiopathology
  • Catheterization, Peripheral*
  • Device Removal*
  • Femoral Artery*
  • Heart-Assist Devices*
  • Hemostatic Techniques / instrumentation
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Implantation / instrumentation*
  • Punctures
  • Recovery of Function
  • ST Elevation Myocardial Infarction / complications*
  • ST Elevation Myocardial Infarction / diagnosis
  • ST Elevation Myocardial Infarction / physiopathology
  • Shock, Cardiogenic / diagnosis
  • Shock, Cardiogenic / etiology
  • Shock, Cardiogenic / physiopathology
  • Shock, Cardiogenic / therapy*
  • Treatment Outcome
  • Vascular Closure Devices
  • Ventricular Function, Left*