The “two-cut monorail” technique, for the over-the-wire removal of the Impella CP device

Dimitrios Miserlis; Maria E. Tecos; Nitin Garg; Jason N. MacTaggart; Mark G. Davies; Iraklis I. Pipinos

doi:10.1016/j.jvscit.2020.09.006

The “two-cut monorail” technique, for the over-the-wire removal of the Impella CP device

Dimitrios Miserlis, Maria E. Tecos, Nitin Garg, Jason N. MacTaggart, Mark G. Davies, Iraklis I. Pipinos

Research output: Contribution to journal › Article › peer-review

Abstract

The Impella is a percutaneously placed intra-arterial flow pump positioned across the aortic valve for circulatory support. A limitation of the Impella is that it lacks a central wire channel, to maintain intra-arterial wire access when removing the device. Open surgical arterial cutdown is needed for the removal of the Impella CP placed emergently, without the use of preclose sutures. This case review describes an alternative removal method for the aforementioned occasions.

Original language	English (US)
Pages (from-to)	622-625
Number of pages	4
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	6
Issue number	4
DOIs	https://doi.org/10.1016/j.jvscit.2020.09.006
State	Published - Dec 2020

Keywords

Aortic devices
Impella complications
Percutaneous wire access

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvscit.2020.09.006

Cite this

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title = "The “two-cut monorail” technique, for the over-the-wire removal of the Impella CP device",

abstract = "The Impella is a percutaneously placed intra-arterial flow pump positioned across the aortic valve for circulatory support. A limitation of the Impella is that it lacks a central wire channel, to maintain intra-arterial wire access when removing the device. Open surgical arterial cutdown is needed for the removal of the Impella CP placed emergently, without the use of preclose sutures. This case review describes an alternative removal method for the aforementioned occasions.",

keywords = "Aortic devices, Impella complications, Percutaneous wire access",

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AU - MacTaggart, Jason N.

AU - Davies, Mark G.

AU - Pipinos, Iraklis I.

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AB - The Impella is a percutaneously placed intra-arterial flow pump positioned across the aortic valve for circulatory support. A limitation of the Impella is that it lacks a central wire channel, to maintain intra-arterial wire access when removing the device. Open surgical arterial cutdown is needed for the removal of the Impella CP placed emergently, without the use of preclose sutures. This case review describes an alternative removal method for the aforementioned occasions.

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The “two-cut monorail” technique, for the over-the-wire removal of the Impella CP device

Abstract

Keywords

ASJC Scopus subject areas

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