Percutaneous left axillary artery approach for Impella 2.5 liter circulatory support for patients with severe aortoiliac arterial disease undergoing high-risk percutaneous coronary intervention

Journal of Interventional Cardiology
Kapildeo LotunSalman A Arain

Abstract

The use of the Impella 2.5 liter (L) device for hemodynamic support has been well described. The typical access site for the Impella 2.5 L device is the femoral artery. The use of the axillary and subclavian artery has been described via surgical cut down for the Impella 5 L device when femoral artery access is not possible. In patients with severe aortoiliac disease and difficult anatomy the femoral artery access for the Impella 2.5 L device is not feasible. We describe the successful percutaneous use of the Impella 2.5 L device for hemodynamic support via the left axillary artery in 2 patients undergoing high-risk PCI with concomitant severe aortoiliac disease.

References

Jun 20, 2006·Cardiology Clinics·Michael S Lee, Raj R Makkar
Feb 16, 2008·Interactive Cardiovascular and Thoracic Surgery·Fadi FarhatOlivier Jegaden
Mar 22, 2008·The Annals of Thoracic Surgery·Thomas SassardOlivier Jegaden
May 21, 2008·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Stefan ToggweilerPaul Erne

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Citations

Jul 28, 2016·Expert Review of Cardiovascular Therapy·John R SprattRanjit John
Jun 7, 2019·Circulation. Cardiovascular Interventions·Amy E Cheney, James M McCabe
Sep 15, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Geoffrey SouthmaydS Tanveer Rab
Sep 22, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Akram W IbrahimThomas Cuisset
Mar 23, 2021·Interventional Cardiology Clinics·Amy E Cheney, James M McCabe

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