Impella 5.5 Direct Aortic Implant and Explant Techniques.
Ann Thorac Surg
; 111(5): e373-e375, 2021 05.
Article
in En
| MEDLINE
| ID: mdl-33345787
ABSTRACT
The Impella 5.5 with SmartAssist system (Abiomed, Danvers, MA) is approved for the treatment of cardiogenic shock after acute myocardial infarction, cardiac surgery, or in the setting of cardiomyopathy. Designed for full circulatory support and left ventricular unloading the system comprises a catheter-based microaxial pump placed across the aortic valve, pulling blood from the left ventricle and into the ascending aorta. Implantation can be approached through the axillary artery or directly into the aortic root. We present several technical options for implanting, tunneling, and explanting the system using the direct aortic approach and allowing for bedside removal.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aorta
/
Shock, Cardiogenic
/
Heart-Assist Devices
/
Cardiac Surgical Procedures
/
Intra-Aortic Balloon Pumping
/
Myocardial Infarction
Type of study:
Etiology_studies
Limits:
Humans
Language:
En
Journal:
Ann Thorac Surg
Year:
2021
Document type:
Article