Impella 5.0/5.5 Implantation via Innominate Artery: Further Expanding the Opportunities for Temporary Mechanical Circulatory Support

被引：6
作者：
Bertolin, Stephanie [1 ]
Maj, Giulia [1 ]
Cavozza, Corrado [2 ]
Cardinale, Astrid [1 ]
Pullara, Alberto [3 ]
Audo, Andrea [2 ]
Pappalardo, Federico [1 ]
机构：
[1] AO SS Antonio & Biagio & Cesare Arrigo, Dept Cardiothorac & Vasc Anesthesia & Intens Care, Via Venezia 16, I-15121 Alessandria, Italy
[2] AO SS Antonio & Biagio & Cesare Arrigo, Dept Cardiac Surg, Via Venezia 16, I-15121 Alessandria, Italy
[3] AO SS Antonio & Biagio & Cesare Arrigo, Dept Cardiol, Via Venezia 16, I-15121 Alessandria, Italy
来源：
JOURNAL OF CLINICAL MEDICINE | 2022年 / 11卷 / 19期
关键词：
Impella; 5.0/5.5; innominate artery; mechanical circulatory support;
D O I：
10.3390/jcm11195917
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
When axillary/subclavian arteries are not suitable because of size or anatomy, alternative access for the Impella pump 5.0/5.5 via the innominate artery allows circulatory support and eventually de-escalation from VA-ECMO to isolated left-side support. Moreover, less invasive surgery without the need to open the pericardium reduces the risk of RV dysfunction and bleeding. Finally, upper body strategies allow early rehabilitation during support, which is associated with improved survival in cardiogenic shock.
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页数：6
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