Insertion of impella ® 5.5 via the axillary artery graft under fluoroscopic guidance

The Impella ® 5.5 (Abiomed, Danvers, MA) is a percutaneous, continuous micro-axial left ventricular assist device. The Impella 5.5 provides systemic end-organ perfusion by moving blood from the LV into the aorta, thereby unloading the ventricle. The pump has been approved by the United States Food and Drug Adm inistration for short-term, left ventricular (LV) support. The insertion of an Impella 5.0 or 5.5 device requires surgical and endovascular skillsets to properly expose the axillary artery and suture of a graft in a chimney fashion, and endovascular delivery of the device over a wire across the aort ic valve into the LV under fluoroscopic guidance.
Source: Operative Techniques in Cardiac and Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research