Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella

Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella

Axillary Impella devices are increasingly employed for long-term support of patients with systolic heart failure and shock. Axillary access allows for awake support and ambulation, which carries an inherent risk of disconnection or malposition. We report a series of two cases where device replacemen...

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Main Authors: Osama Haddad, Samuel Jacob, Ryan L Ung, Rohan M Goswami, Parag C Patel, Si M Pham, Basar Sareyyupoglu
Format: Article
Language:English
Published: SAGE Publishing 2021-07-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X211032401
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spelling doaj-9140263338cb413ebe7b9bc704c17c312021-07-12T22:03:21ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2021-07-01910.1177/2050313X211032401Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary ImpellaOsama Haddad0Samuel Jacob1Ryan L Ung2Rohan M Goswami3Parag C Patel4Si M Pham5Basar Sareyyupoglu6Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USADepartment of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USADepartments of Transplantation, Advanced Heart Failure and Transplant Cardiology, Mayo Clinic, Jacksonville, FL, USADepartments of Transplantation, Advanced Heart Failure and Transplant Cardiology, Mayo Clinic, Jacksonville, FL, USADepartments of Transplantation, Advanced Heart Failure and Transplant Cardiology, Mayo Clinic, Jacksonville, FL, USADepartment of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USADepartment of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, USAAxillary Impella devices are increasingly employed for long-term support of patients with systolic heart failure and shock. Axillary access allows for awake support and ambulation, which carries an inherent risk of disconnection or malposition. We report a series of two cases where device replacement due to dysfunction and malposition can be completed safely through the original axillary graft using axillary graft thrombectomy, given that the clot burden could be a major source of morbidity to the patient.https://doi.org/10.1177/2050313X211032401
collection DOAJ
language English
format Article
sources DOAJ
author Osama Haddad
Samuel Jacob
Ryan L Ung
Rohan M Goswami
Parag C Patel
Si M Pham
Basar Sareyyupoglu
spellingShingle Osama Haddad
Samuel Jacob
Ryan L Ung
Rohan M Goswami
Parag C Patel
Si M Pham
Basar Sareyyupoglu
Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
SAGE Open Medical Case Reports
author_facet Osama Haddad
Samuel Jacob
Ryan L Ung
Rohan M Goswami
Parag C Patel
Si M Pham
Basar Sareyyupoglu
author_sort Osama Haddad
title Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_short Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_full Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_fullStr Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_full_unstemmed Impella flow pump reinsertion after axillary graft thrombectomy: Technical points in replacing axillary Impella
title_sort impella flow pump reinsertion after axillary graft thrombectomy: technical points in replacing axillary impella
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2021-07-01
description Axillary Impella devices are increasingly employed for long-term support of patients with systolic heart failure and shock. Axillary access allows for awake support and ambulation, which carries an inherent risk of disconnection or malposition. We report a series of two cases where device replacement due to dysfunction and malposition can be completed safely through the original axillary graft using axillary graft thrombectomy, given that the clot burden could be a major source of morbidity to the patient.
url https://doi.org/10.1177/2050313X211032401
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AT ryanlung impellaflowpumpreinsertionafteraxillarygraftthrombectomytechnicalpointsinreplacingaxillaryimpella
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