Distal Embolic Protection in Impella 5.0 Explantation: Loop and Snare Technique
| Autor: | Frederick Y. Chen, Masashi Kawabori, Gregory S. Couper, Kenneth G. Warner, Y. Zhan, Priyanka Shindgikar, Hassan Rastegar, Navin K. Kapur, Varsha Pramil |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.medical_treatment Embolism Shock Cardiogenic 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine Humans Cardiac Surgical Procedures Device Removal Impella Embolic protection business.industry Cardiogenic shock medicine.disease Clot formation Surgery 030228 respiratory system Shock (circulatory) Ventricular assist device Circulatory system Heart-Assist Devices medicine.symptom Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | The Annals of Thoracic Surgery. 109:e145-e146 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2019.08.038 |
| Popis: | The left ventricular assist device Impella 5.0 (Abiomed Inc, Danvers, MA) has become widely accepted as a temporary mechanical circulatory support for patients in cardiogenic shock. The Impella 5.0 is placed through an anastomosed graft. When removing the device, blood clot formation has been noted in the anastomosed graft. The blood clot has been reported to dislodge and embolize distally, causing acute limb ischemia. Here, we present our simple, inexpensive, and effective "loop and snare" technique for safer device removal, preventing distal embolic complications. In our experience of 6 patients who had Impella 5.0 removal with this technique, the distal embolic complication was 0%. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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