A novel technique for microaxial left ventricular assist device insertion via transcervical transcarotid approach

Akbar, Armaan; Tompkins, Bryon; Kilic, Ahmet

doi:10.1016/j.xjtc.2023.10.007

JTCVS Techniques

2023

DOI: 10.1016/j.xjtc.2023.10.007

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A novel technique for microaxial left ventricular assist device insertion via transcervical transcarotid approach

Armaan Akbar,

Bryon Tompkins,

Ahmet Kilic

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2024

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Successful implantation and removal of Impella 5.5 device via a 4-mm subclavian artery in an adult patient

Tsiouris,

Coleman,

Jeyakumar

2024

Indian J Thorac Cardiovasc Surg

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Recently, the utilization of Impella 5.5, especially in the axillary position, has increased exponentially. The device provides excellent hemodynamic support for patients in cardiogenic shock, as a bridge to recover, transplant, or durable left ventricular device. However, small size arteries remain its main limitation. With a maximum diameter of 19 Fr (6.33 mm), the recommended artery size needed for implantation is 7 mm. In this case, we discuss the successful implantation and removal of the Impella 5.5 device into a patient, with a subclavian artery diameter of 4 mm, whose other short- and mid-term options for mechanical circulatory support were limited.

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Successful implantation and removal of Impella 5.5 device via a 4-mm subclavian artery in an adult patient

Tsiouris,

Coleman,

Jeyakumar

2024

Indian J Thorac Cardiovasc Surg

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A novel technique for microaxial left ventricular assist device insertion via transcervical transcarotid approach

Cited by 1 publication

References 5 publications

Successful implantation and removal of Impella 5.5 device via a 4-mm subclavian artery in an adult patient

Successful implantation and removal of Impella 5.5 device via a 4-mm subclavian artery in an adult patient

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