The Impella is a left ventricular assist device which is implanted via the transcutaneous femoral route and is placed across the aortic valve into the left ventricle. We report an interesting case where cardiopulmonary resuscitation was associated with displacement of Impella device. Impella is being increasingly used these days especially in patients with cardiogenic shock. Clinicians should have high index of suspicion for displacement of Impella in appropriate clinical setting.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4348986 | PMC |
http://dx.doi.org/10.4103/1995-705X.151090 | DOI Listing |
Cardiovasc Revasc Med
October 2024
Cardiothoracic and Vascular Anesthesia and Intensive Care, AOU SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy and AOU Maggiore della Carità, Novara, Italy.
Background: Use of Intra-Aortic Balloon Pump (IABP) in combination with Impella has been described as an alternative strategy for mechanical circulatory support (MCS) in patients with cardiogenic shock (CS). We provide a systematic review aimed to explore the effectiveness of this paired MCS approach.
Methods: We conducted a comprehensive systematic search in MEDLINE, Scopus, and Cochrane databases to identify all studies that investigated dual MCS with IABP and Impella.
Ann Thorac Surg
April 2022
Division of Cardiac Surgery, Department of Emergency and Organ Transplant, Policlinico Hospital, University of Bari, Bari, Italy.
We present a new technique for percutaneous retrieval of a U-kinked displaced Impella catheter. First we used the hooker from the left femoral artery to snare the catheter tip. Both catheter and hooker were pulled down simultaneously from 2 opposite sites until the U-kinking sat astride the aortic bifurcation.
View Article and Find Full Text PDFEur Heart J Case Rep
August 2021
Department of Cardiology, Hospital Clinico Universitario, Valladolid, Spain.
Background: Due to improvement in the management of patients with congenital heart disease (CHD), the likelihood of their survival to adulthood is increasing. A relevant population suffers end-stage right ventricular failure (RVF) in their 3rd-4th decade of life. Hence, heart transplantation is still gold standard of treatment of end-stage heart failure, mechanical circulatory assistance has become a valuable tool in the bridging to heart transplant or definitive therapy.
View Article and Find Full Text PDFJ Card Surg
October 2021
Department of Cardiovascular Surgery, Baylor Scott and White Health Medical Center, Temple, Texas, USA.
We report a case of Impella 5.5-assisted off-pump coronary artery bypass grafting for acute myocardial infarction with cardiogenic shock. The Impella 5.
View Article and Find Full Text PDFCardiovasc Ultrasound
August 2020
Sydney Core Research Facility, University of Sydney, Hybrid Theatre, Charles Perkins Building, Johns Hopkins Dr, Camperdown, Sydney, NSW, 2006, Australia.
Background: Three-dimensional intracardiac echocardiography (3D ICE) with wide azimuthal elevation is a novel technique performed for assessment of cardiac anatomy and guidance of intracardiac procedures, being able to provide unique views with good spatial and temporal resolution. Complications arising from this invasive procedure and the value of 3D ICE in the detection and diagnosis of acute cardiovascular pathology are not comprehensively described. This case illustrates a previously unreported iatrogenic complication of clot displacement from the intra-vascular sheath upon insertion of a 3D ICE catheter and the value of 3D ICE in immediate diagnosis of clot in transit through the heart with pulmonary embolism.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!