Axillary Impella insertion under regional nerve block: A case report.
Deepa RaghunathanNadia HernandezKeshava RajagopalMarwan JumeanPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
Percutaneous coronary interventions with the Impella (Abiomed, MA) catheter-based, micro-axial mechanical left ventricular assist device is a safe option for patients undergoing higher risk interventions. However, severe peripheral arterial disease limits vascular access for Impella insertion. Upper extremity arterial access has been traditionally obtained under general anesthesia. We present the first case, to our knowledge, of using peripheral nerve blocks for Impella 3.5 CP insertion into the axillary artery.
Keyphrases
- left ventricular assist device
- peripheral nerve
- ultrasound guided
- lymph node
- patients undergoing
- neoadjuvant chemotherapy
- sentinel lymph node
- physical activity
- extracorporeal membrane oxygenation
- coronary artery disease
- healthcare
- coronary artery
- minimally invasive
- heart failure
- radiation therapy
- atrial fibrillation
- aortic stenosis
- transcatheter aortic valve replacement
- breast cancer risk