Perioperative Impella 5.5 Support for Surgical Aortic Valve Replacement: Pull Back/Push Through Technique, Safeguards, and Pitfalls

被引：2

作者：

Al Rameni, Dina ^{[1
]}

Akay, Mehmet ^{[1
]}

Salas de Armas, Ismael ^{[1
]}

Patel, Manish K. ^{[1
]}

Patel, Jayeshkumar ^{[1
]}

Marcano, Juan ^{[1
]}

Sarateanu, Cristian Sorin ^{[1
]}

Kar, Biswajit ^{[1
]}

Gregoric, Igor D. ^{[1
,2
]}

机构：

[1] Univ Texas Hlth Sci Ctr Houston, Ctr Adv Cardiopulm Therapies & Transplantat, Houston, TX 77030 USA

[2] Univ Texas Hlth Sci Ctr Houston, 6400 Fannin,Suite 2350, Houston, TX 77030 USA

来源：

ASAIO JOURNAL | 2023年 / 69卷 / 02期

关键词：

perioperative; Impella; support; SAVR; SURGERY;

D O I：

10.1097/MAT.0000000000001863

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

In patients undergoing aortic valve surgery, preoperative reduced left ventricular ejection fraction is not uncommon and is associated with poor outcomes. Mechanical circulatory support (MCS) may be preemptively used in patients presenting with high periprocedural risk. The Impella 5.5 is a percutaneous left ventricular assist device that has been increasingly used in various cardiac surgeries. In this article, we present a step-by-step guide, safeguards, and pitfalls on how to replace the aortic valve and preserve this transaortic MCS device for postoperative support in patients with concomitant aortic valve pathology and left ventricular dysfunction.

引用

收藏

页码：E93 / E95

页数：3

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