Left ventricular assist devices (LVADs)

Suggested Technique

A Novel, Atraumatic Technique of Maintaining Access Site While Removing Impella

03/31/2019

Vijay A. Doraiswamy, MD, Genaro Fernandez, MD, Robert Wilson, MD,

University of Minnesota, Minneapolis, Minnesota

Vijay A. Doraiswamy, MD, Genaro Ferna...

We describe the first atraumatic technique where the use of a micropuncture kit and supportive wire is all that is needed to exchange or upsize the support. Our technique does not damage the Impella catheter and is safer, as it does not...

We describe the first atraumatic...

03/31/2019

Cath Lab Digest

Suggested Methodology

Left Atrial Septostomy as a Stress Test for Right Ventricular Function to Determine LVAD Candidacy

03/04/2019

Roy B. Mukku¹, MD, Joseph A. Walsh¹, MD, MSc, Brett Sheridan², MD, David V. Daniels¹, MD

Roy B. Mukku1, MD, Joseph A. Walsh1, ...

In patients on VA-ECMO who develop pulmonary edema with resulting RV distension and failure, the use of balloon atrial septostomy for left heart decompression may be used as a “stress test” to assess the viability and functionality of the RV.

In patients on VA-ECMO who...

03/04/2019

Cath Lab Digest

Case Report

“PercAx Impella”: Axillary Artery as an Alternative Access for Large-Bore Devices

03/01/2018

Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida, and Heart of Florida, Davenport, Florida

Zaheed Tai, DO, FACC, FSCAI, Winter H...

Featuring an expert operator discussion with Dr. Amir Kaki, Medical Director of the Cardiac Cath Lab, Detroit Medical Center Heart Hospital, Associate Professor of Medicine, Wayne State School of Medicine, and the Director of the CHIP...

Featuring an expert operator...

03/01/2018

Cath Lab Digest

Case Files by Dr. George

Percutaneous Left Ventricular Assist Device Supported Aortic Balloon Valvuloplasty and Simultaneous Complex Percutaneous Coronary Intervention

04/29/2017

Thomas E. Waggoner, DO¹, and Jon C. George, MD²
¹Tucson Medical Center, Tucson, Arizona
²Einstein Medical Center, Philadelphia, Pennsylvania

Thomas E. Waggoner, DO1, and Jon C. G...

We report a challenging case of a high-risk patient with complex valvular and coronary anatomy, who underwent successful pLVAD-assisted BAV with modest reduction in hemodynamic gradients, as well as complex PCI with atherectomy, angioplasty,...

We report a challenging case of...

04/29/2017

Cath Lab Digest

Review

The Role of Percutaneous Mechanical Circulatory Support Devices in High-Risk Percutaneous Coronary Interventions

09/05/2016

Harsh Agrawal, MD1, Kul Aggarwal, MD^1,2

Harsh Agrawal, MD1, Kul Aggarwal, MD1...

Percutaneous coronary interventions (PCI) have increased both in number and complexity in the last two decades. Tackling complex coronary lesions in patients who have reduced coronary and central perfusion pressures, depressed cardiac output,...

Percutaneous coronary...

09/05/2016

Cath Lab Digest

Protected PCI Series

Impella 2.5 System Supports PCI of Unprotected Left Main

10/05/2015

David H. W. Wohns, MD, John J. Mulder IV, PA-C, Spectrum Health Meijer Heart Center, Grand Rapids, Michigan.

This case is part of a series of high-risk PCI cases supported by the Impella 2.5.

David H. W. Wohns, MD, John J. Mulder...

A 78-year-old male presented with rapidly progressing angina symptoms and signs of acutely decompensating left ventricular systolic heart failure.

A 78-year-old male presented...

10/05/2015

Cath Lab Digest

Protected PCI Series

Impella 2.5 Circulatory Support During Complex PCI in a Patient With Recent Acute Systolic Heart Failure and Residual Low Ejection Fraction

05/28/2015

Mark A. Grise, MD, FACC, FSCAI, Sacred Heart Hospital, Pensacola, Florida

Mark A. Grise, MD, FACC, FSCAI, Sacre...

This case is a part of a series of high-risk PCI cases supported by the Impella 2.5

This case is a part of a series...

05/28/2015

Cath Lab Digest

The Impella 5.0: A Brief Overview

09/02/2014

Hamza Zaheer Ansari¹, Azam Hadi²,¹Resident Physician, Indiana University Health, Indianapolis, Indiana; ²Assistant Professor, Division of Heart Failure, Krannert Institute of Cardiology, Indiana University Health, Indianapolis, Indiana

Hamza Zaheer Ansari1, Azam Hadi2,1Res...

Despite high-risk percutaneous coronary intervention (PCI) with early revascularization, no significant improvement in the rates of cardiogenic shock post-ST-elevation myocardial infarction (STEMI) has been seen.

Despite high-risk percutaneous...

09/02/2014

Cath Lab Digest

Transradial Unprotected Left Main PCI With Use of the Impella

09/02/2014

Orlando Marrero, RCIS, MBA, Tampa, Florida; Zaheed Tai, DO, FACC, FSCAI, Winter Haven Hospital, Winter Haven, Florida

Orlando Marrero, RCIS, MBA, Tampa, Fl...

Q: What approach do you use when the case requires mechanical support? A: We will still use the radial approach for the intervention with femoral access for the support device (Impella [Abiomed] or an intra-aortic balloon pump [IABP]),...

Q: What approach do you use when...

09/02/2014

Cath Lab Digest