A combined surgical and percutaneous approach through the axillary artery to introduce the Impella LP5.0 for short-term circulatory support

• Published in: International journal of cardiology Vol. 134; no. 2; pp. 277 - 279
• Main Authors: Lam, Kayan, Sjauw, Krischan D, van der Meulen, Jan, Symersky, Petr, Biervliet, Jules D, Henriques, José P.S, de Mol, Bas A.J.M
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 15.05.2009; Elsevier
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Axillary Artery; Biological and medical sciences; Cardiology. Vascular system; Cardiovascular; Coronary heart disease; Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care; Heart; Heart failure; Heart Failure - surgery; Heart failure, cardiogenic pulmonary edema, cardiac enlargement; Heart-Assist Devices; Humans; Intensive care medicine; Left ventricular assist device; Medical sciences; Myocardial infarction; Myocardial Infarction - surgery; Myocarditis. Cardiomyopathies; Prosthesis Implantation - methods; Temporary circulatory assistance; Left ventricular assist device; Heart failure; Myocardial infarction; Temporary circulatory assistance; Artificial heart; Short term; Intensive cardiocirculatory care; Support; Artificial ventricle; Cardiocirculatory support; Cardiovascular disease; Coronary heart disease; Myocardial disease; Axillary artery; Percutaneous route; Temporary; Treatment; Surgery; Auxiliary ventricule; Surgical approach; Cardiology
• ISSN: 0167-5273; 1874-1754
• DOI: 10.1016/j.ijcard.2007.12.112

Abstract We describe a novel axillary approach for insertion and usage of the Impella LP5.0, a low cost micro-axial flow pump, in five patients requiring circulatory support after acute ST-segment elevation myocardial infarction (STEMI). This alternative approach for implantation of the Impella LP5.0 has been proven simple, safe and feasible, and less invasive in severely compromised patients. Our hybrid, percutaneous and surgical, approach offered acute short-term circulatory support in STEMI patients with acute heart failure, allowing myocardial recovery or selection for long-term mechanical support.