Surgical Explantation of Impella 5.5 With Inflow Thrombus in Patients Undergoing Durable Left Ventricular Assist Device Implantation

被引：0
|
作者：
De Armas, Ismael A. Salas [1 ]
Marcano, Juan [1 ]
Akay, Mehmet H. [1 ]
Patel, Manish K. [1 ]
Patel, Jayeshkumar [1 ]
Al Rameni, Dina [1 ]
Kar, Biswajit [1 ]
Gregoric, Igor D. [1 ]
机构：
[1] Univ Texas Hlth Sci Ctr Houston, Dept Adv Cardiopulm Therapies & Transplantat, 6400 Fannin St,Suite 2350, Houston, TX 77030 USA
来源：
INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY | 2023年 / 18卷 / 05期
关键词：
heart failure; mechanical circulatory support; Impella; thrombus; left ventricular assist device;
D O I：
10.1177/15569845231196862
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The Impella 5.5 & REG; (Abiomed, Danvers, MA, USA) is a microaxial flow pump that promotes left ventricular unloading and improves end-organ perfusion before durable left ventricular assist device (LVAD) implantation. Thrombus formation after Impella 5.5 insertion can occur and represents a significant challenge to device explantation. Durable LVAD implantation is typically performed without aortic cross-clamping, so a dislodged thrombus can potentially embolize and lead to catastrophic events. We describe our technique to safely explant an Impella 5.5 in patients who develop a thrombus on the inflow portion of the device before surgical LVAD implantation. Visual abstract
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收藏
页码：489 / 493
页数：5
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