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Optimization of Impella 5.0 Implantation Using Mini‐Sternotomy Approach in Postmyocardial Infarction Cardiogenic Shock
Author(s) -
Oses Pierre,
Casassus Frederic,
Leroux Lionel,
Calderon Joachim,
Barandon Laurent
Publication year - 2012
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2012.01507.x
Subject(s) - impella , medicine , cardiogenic shock , cardiology , ventricle , myocardial infarction
A bstract The Impella Recover LP 5.0® (Abiomed, Inc. Danvers, MA, USA) is an aortic transvalvular microaxial pump designed to unload the left ventricle and to ensure a systemic flow in severe left ventricular dysfunction. Surgical implantation using femoral or right subclavian approach may be difficult in certain circumstances, such as encountered in peripheral vascular disease, patients with small vessels or during substantial use of vasoactive drugs responsible for vasospasm. We propose a simple and effective technique for implantation of the Impella 5.0 LVAD by means of a mini‐sternotomy in patients with postinfarction refractory cardiogenic shock. (J Card Surg 2012;27:605‐606)