A method for maintaining vascular access when Impella exchange is required

B. Scott Cook, Cleve Wilson, Brooke Kaiser, Raj Baljepally

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 45-year old male with no prior cardiac history, presented with cardiogenic shock in the setting of an anterolateral ST elevation myocardial infarction. We first placed a 2.5 Impella for hemodynamic support, and proceeded with emergent percutaneous coronary intervention to the proximal LAD. Several hours following percutaneous coronary intervention (PCI), the patient became acutely hypotensive and an echocardiogram revealed the Impella catheter was kinked within the left ventricle. The patient was taken back to the cath lab for Impella adjustment; however, damage to the distal catheter required the Impella be exchanged. As the patient was therapeutically anticoagulated and on dual antiplatelet therapy, we modified the Impella catheter in order to maintain existing vascular access during Impella exchange. This case demonstrates our method for maintaining vascular access during Impella exchange, thereby eliminating the need for a second arterial puncture.

Original languageEnglish (US)
Pages (from-to)945-947
Number of pages3
JournalCatheterization and Cardiovascular Interventions
Volume90
Issue number6
DOIs
StatePublished - Nov 15 2017
Externally publishedYes

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Blood Vessels
Catheters
Percutaneous Coronary Intervention
Anterior Wall Myocardial Infarction
Cardiogenic Shock
Punctures
Heart Ventricles
Hemodynamics
History
Therapeutics
ST Elevation Myocardial Infarction

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

A method for maintaining vascular access when Impella exchange is required. / Cook, B. Scott; Wilson, Cleve; Kaiser, Brooke; Baljepally, Raj.

In: Catheterization and Cardiovascular Interventions, Vol. 90, No. 6, 15.11.2017, p. 945-947.

Research output: Contribution to journalArticle

Cook, B. Scott ; Wilson, Cleve ; Kaiser, Brooke ; Baljepally, Raj. / A method for maintaining vascular access when Impella exchange is required. In: Catheterization and Cardiovascular Interventions. 2017 ; Vol. 90, No. 6. pp. 945-947.
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