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Escalation from intra-aortic balloon pump to axillary impella 5.5 support: Staged removal of the femoral access.
- Source :
-
Perfusion . Apr2024, Vol. 39 Issue 3, p469-472. 4p. - Publication Year :
- 2024
-
Abstract
- Background: With the growing population of advanced heart failure, the use of Impella 5.5 has been increasing. Here, we report an effective strategy of removing the intra-aortic balloon pump (IABP) in the setting of escalation of support to Impella 5.5. Results: From January 1, 2022 to June 30, 2022, a total of 6 patients have undergone IABP removal during Impella 5.5 insertion. The IABP was subsequently removed over the long wire with manual compression on the femoral artery to control bleeding. An 8 or 9 Fr short sheath is inserted over the wire. Staged hemostasis was successfully performed in 4 patients, and the remaining two patients required escalation of support to veno-arterial membrane oxygenation as EC-PELLA utilizing the femoral arterial sheath. Conclusion: This does not only achieve secured hemostasis but also enables a smooth transition to further escalate support such as extracorporeal membrane oxygenation support, if necessary. [ABSTRACT FROM AUTHOR]
- Subjects :
- *EXTRACORPOREAL membrane oxygenation
*INTRA-aortic balloon counterpulsation
*HEART assist devices
*CATHETERIZATION
*MEDICAL device removal
*RETROSPECTIVE studies
*HEART failure
*HEMATOMA
*TREATMENT effectiveness
*GROIN
*SURGICAL hemostasis
*COMPRESSION therapy
*DISEASE complications
*CASE studies
*FEMORAL artery
*FLUOROSCOPY
Subjects
Details
- Language :
- English
- ISSN :
- 02676591
- Volume :
- 39
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Perfusion
- Publication Type :
- Academic Journal
- Accession number :
- 176064942
- Full Text :
- https://doi.org/10.1177/02676591221147431