Small Vessels, Big Solutions; Use of Graft Conduit to Facilitate Transfemoral Impella CP Implantation

Monteagudo Vela M, Garcia Saez D, Zych B and Simon A

Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Harefield Hospital, Royal Brompton and Harefield NHS Foundation Trust, London, UK

^*Correspondance to: Maria Monteagudo Vela 

 PDF  Full Text DOI: 10.25107/2474-1647.2009

Abstract

Mechanical circulatory support appeared to provide us with time; time for recovery, for decision or for assessment. However they are known to be associated with different rates of mortality and morbidity. Impella device is a less invasive mechanical circulatory support but provides similar hemodynamic support compared with LVAD. Advantages include respiratory wean and early mobilization, lower anticoagulation requirements and less invasive surgical technique. Implanting options are limited and depend on the calibre of the vessel. A Transaxillary approach need a minimum diameter of 6mm. Remaining options includes transfemoral percutaneous insertion or a cut down femoral approach.

Keywords

Impella; Transfemoral approach; Cardiogenic shock

Cite the article

Monteagudo Vela M, Garcia Saez D, Zych B, Simon A. Small Vessels, Big Solutions; Use of Graft Conduit to Facilitate Transfemoral Impella CP Implantation. Clin Surg. 2018; 3: 2009.