Use of Transcarotid IMPELLA 2.5 Axial-Flow Pump Device for Left Ventricle Unloading During VA-ECMO Support in Pediatric Acute Heart Failure. Issue 4 (July 2021)

• Record Type: Journal Article
• Authors: Perri, Gianluigi; Trezzi, Matteo; Formigari, Roberto; Adorisio, Rachele; Filippelli, Sergio; Brancaccio, Gianluca; Galletti, Lorenzo; Amodeo, Antonio
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 12:Issue 4(2021)
• Page Start: 542
• Page End: 546
• Publication Date: 2021-07
• Subjects: Impella device -- VA-ECMO -- pediatric heart failure -- MCS; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/21501351211017866
• Languages: English
• ISSNs: 2150-1351

Abstract

An alternative strategy for left ventricular (LV) venting during short-term mechanical circulatory support is use of Impella axial-flow pump. We present our transcarotid Impella 2.5 implantation technique using a polytetrafluoroethylene graft, in two children with acute heart failure treated primarily with venoarterial ECMO. The venoarterial extracorporeal membrane oxygenator and Impella support were maintained for 5 and 17 days, respectively. Transcarotid Impella implantation might be an alternative and feasible option in pediatrics patients affected by severe LV failure, as a bridge to decision or bridge to candidacy. Potentially, the Impella 2.5 device provides less invasive support for children with heart failure.