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Biventricular Impella placement via complete venous access
Author(s) -
Kamioka Norihiko,
Patel Ateet,
Burke Michael A.,
Greenbaum Adam,
Babaliaros Vasilis
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27103
Subject(s) - impella , medicine , cardiogenic shock , cardiology , refractory (planetary science) , heart transplantation , ventricular assist device , vascular access , surgery , heart failure , hemodialysis , myocardial infarction , physics , astrobiology
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.