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 journalArticlepeer-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 languageEnglish (US)
Pages (from-to)622-625
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume6
Issue number4
DOIs
StatePublished - Dec 2020

Keywords

  • Aortic devices
  • Impella complications
  • Percutaneous wire access

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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