Biventricular Impella placement via complete venous access.
Norihiko KamiokaAteet PatelMichael A BurkeAdam GreenbaumVasilis BabaliarosPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2017)
Impella (Abiomed, Danvers, MA) is an effective option for emergent treatment of critical refractory cardiogenic shock. However, in patients who have inadequate peripheral arterial access, Impella for left ventricular support sometimes requires surgical access, leading to disadvantages for emergent procedures or invasiveness for very sick patients. In addition, Impella for right ventricular support was recently reported to contribute to the management of severe biventricular dysfunction. In this report, we describe a case of refractory cardiogenic shock in a patient with inadequate vascular access who was treated with biventricular Impella via venous and caval-aortic access under conscious sedation. This technique can be used as a bridge to surgical ventricular assist device or heart transplantation. © 2017 Wiley Periodicals, Inc.
Keyphrases
- left ventricular
- end stage renal disease
- newly diagnosed
- extracorporeal membrane oxygenation
- ejection fraction
- chronic kidney disease
- heart failure
- peritoneal dialysis
- left ventricular assist device
- prognostic factors
- cardiac resynchronization therapy
- patient reported outcomes
- coronary artery disease
- hypertrophic cardiomyopathy
- patient reported
- mitral valve
- drug induced
- pulmonary hypertension
- aortic dissection