Transcaval access for the emergency delivery of 5.0 liters per minute mechanical circulatory support in cardiogenic shock.
Majed AfanaMahmoud AltawilMir Babar BasirMohammad AlqarqazKhaldoon AlaswadMarvin H K EngWilliam W O'NeillRobert J LedermanAdam B GreenbaumPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
Transcaval access is feasible for emergency nonsurgical implantation of the Impella 5.0 device in cardiogenic shock with small or diseased iliofemoral arteries. This allows early institution of higher-flow MCS than conventional femoral artery implantation of the 3.5 L Impella CP device, and enables a bridge-to-recovery or bridge-to-destination strategy.