Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella

Axillary Impella devices are increasingly employed for long-term support of patients with systolic heart failure and shock. Axillary access allows for awake support and ambulation, which carries an inherent risk of disconnection or malposition. We report a series of two cases where device replacemen...

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Autores principales: Haddad, Osama, Jacob, Samuel, Ung, Ryan L, Goswami, Rohan M, Patel, Parag C, Pham, Si M, Sareyyupoglu, Basar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278451/
https://www.ncbi.nlm.nih.gov/pubmed/34290874
http://dx.doi.org/10.1177/2050313X211032401
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author Haddad, Osama
Jacob, Samuel
Ung, Ryan L
Goswami, Rohan M
Patel, Parag C
Pham, Si M
Sareyyupoglu, Basar
author_facet Haddad, Osama
Jacob, Samuel
Ung, Ryan L
Goswami, Rohan M
Patel, Parag C
Pham, Si M
Sareyyupoglu, Basar
author_sort Haddad, Osama
collection PubMed
description Axillary Impella devices are increasingly employed for long-term support of patients with systolic heart failure and shock. Axillary access allows for awake support and ambulation, which carries an inherent risk of disconnection or malposition. We report a series of two cases where device replacement due to dysfunction and malposition can be completed safely through the original axillary graft using axillary graft thrombectomy, given that the clot burden could be a major source of morbidity to the patient.
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spelling pubmed-82784512021-07-20 Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella Haddad, Osama Jacob, Samuel Ung, Ryan L Goswami, Rohan M Patel, Parag C Pham, Si M Sareyyupoglu, Basar SAGE Open Med Case Rep Case Report Axillary Impella devices are increasingly employed for long-term support of patients with systolic heart failure and shock. Axillary access allows for awake support and ambulation, which carries an inherent risk of disconnection or malposition. We report a series of two cases where device replacement due to dysfunction and malposition can be completed safely through the original axillary graft using axillary graft thrombectomy, given that the clot burden could be a major source of morbidity to the patient. SAGE Publications 2021-07-12 /pmc/articles/PMC8278451/ /pubmed/34290874 http://dx.doi.org/10.1177/2050313X211032401 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Haddad, Osama
Jacob, Samuel
Ung, Ryan L
Goswami, Rohan M
Patel, Parag C
Pham, Si M
Sareyyupoglu, Basar
Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_full Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_fullStr Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_full_unstemmed Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_short Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_sort impella flow pump reinsertion after axillary graft thrombectomy: technical points in replacing axillary impella
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278451/
https://www.ncbi.nlm.nih.gov/pubmed/34290874
http://dx.doi.org/10.1177/2050313X211032401
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