A bailout approach: Transaxillary Impella implantation in toxic cardiomyopathy. (July 2014)

• Record Type: Journal Article
• Authors: Khaliel, Feras; Moss, Emmanuel; Demers, Philippe; Bouchard, Denis
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 22:Number 6(2014)
• Page Start: 722
• Page End: 724
• Publication Date: 2014-07
• Subjects: Axillary artery -- cardiomyopathies -- cocaine-related disorders -- heart-assist devices -- shock -- cardiogenic; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492313481032
• Languages: English
• ISSNs: 0218-4923

Abstract

The femoral artery has been the traditional approach for implantation of the Impella left ventricular assist device. We describe the case of a young man with toxic (cocaine-related) cardiomyopathy, severe left ventricular dysfunction, and moderate mitral insufficiency who received a transfemoral Impella left ventricular assist device that was relocated to the right axillary artery due to uncontrolled femoral access bleeding. The patient immediately stabilized post-implantation and was successfully bridged to a full recovery 6 days later.