Single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella

Use of the Impella CP left ventricular assist device (LVAD) (Abiomed, Danvers, Massachusetts) requires a 14 French arterial introducer for its insertion, often performed via femoral access. An additional vascular access site is commonly used for coronary angiography or percutaneous coronary interven...

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Autores principales:	Flávio Lyra, Breno O. Almeida, José Mariani Jr, Pedro A. Lemos, Adriano Caixeta
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/6eadd2738df1438b82b52dc98361ba3d
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spelling	oai:doaj.org-article:6eadd2738df1438b82b52dc98361ba3d2021-12-02T18:55:08ZSingle vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella1734-93381897-429510.5114/aic.2021.107504https://doaj.org/article/6eadd2738df1438b82b52dc98361ba3d2021-07-01T00:00:00Zhttps://www.termedia.pl/Single-vascular-access-for-concomitant-percutaneous-coronary-intervention-and-left-ventricular-assistance-r-nwith-Impella,35,44597,1,1.htmlhttps://doaj.org/toc/1734-9338https://doaj.org/toc/1897-4295Use of the Impella CP left ventricular assist device (LVAD) (Abiomed, Danvers, Massachusetts) requires a 14 French arterial introducer for its insertion, often performed via femoral access. An additional vascular access site is commonly used for coronary angiography or percutaneous coronary intervention (PCI) – in general the contralateral femoral access. The need for multiple vascular access sites requires a longer procedure time and results in an increased risk of vascular complications. Additionally, many patients have associated peripheral vascular disease and therefore limited vascular access. Due to the large diameter of the Impella CP device sheath and its frequent use in high-risk PCI (e.g., complex unprotected left main coronary disease, multivessel disease, cardiogenic shock, advanced left ventricular dysfunction), reducing vascular complications by avoiding a second access is of paramount importance. The shaft diameter of the Impella CP catheter is 9 French, lower than the 14 French of its sheath. As previously reported, there is a novel safe alternative for the placement of an additional sheath up to 7F (1–4) using this available space between the inner diameter of the sheath and the Impella shaft, thereby avoiding the risks of an additional vascular access.Flávio LyraBreno O. AlmeidaJosé Mariani JrPedro A. LemosAdriano CaixetaTermedia Publishing HousearticleMedicineRENAdvances in Interventional Cardiology, Vol 17, Iss 2, Pp 218-222 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Flávio Lyra Breno O. Almeida José Mariani Jr Pedro A. Lemos Adriano Caixeta Single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella
description	Use of the Impella CP left ventricular assist device (LVAD) (Abiomed, Danvers, Massachusetts) requires a 14 French arterial introducer for its insertion, often performed via femoral access. An additional vascular access site is commonly used for coronary angiography or percutaneous coronary intervention (PCI) – in general the contralateral femoral access. The need for multiple vascular access sites requires a longer procedure time and results in an increased risk of vascular complications. Additionally, many patients have associated peripheral vascular disease and therefore limited vascular access. Due to the large diameter of the Impella CP device sheath and its frequent use in high-risk PCI (e.g., complex unprotected left main coronary disease, multivessel disease, cardiogenic shock, advanced left ventricular dysfunction), reducing vascular complications by avoiding a second access is of paramount importance. The shaft diameter of the Impella CP catheter is 9 French, lower than the 14 French of its sheath. As previously reported, there is a novel safe alternative for the placement of an additional sheath up to 7F (1–4) using this available space between the inner diameter of the sheath and the Impella shaft, thereby avoiding the risks of an additional vascular access.
format	article
author	Flávio Lyra Breno O. Almeida José Mariani Jr Pedro A. Lemos Adriano Caixeta
author_facet	Flávio Lyra Breno O. Almeida José Mariani Jr Pedro A. Lemos Adriano Caixeta
author_sort	Flávio Lyra
title	Single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella
title_short	Single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella
title_full	Single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella
title_fullStr	Single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella
title_full_unstemmed	Single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella
title_sort	single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with impella
publisher	Termedia Publishing House
publishDate	2021
url	https://doaj.org/article/6eadd2738df1438b82b52dc98361ba3d
work_keys_str_mv	AT flaviolyra singlevascularaccessforconcomitantpercutaneouscoronaryinterventionandleftventricularassistancewithimpella AT brenooalmeida singlevascularaccessforconcomitantpercutaneouscoronaryinterventionandleftventricularassistancewithimpella AT josemarianijr singlevascularaccessforconcomitantpercutaneouscoronaryinterventionandleftventricularassistancewithimpella AT pedroalemos singlevascularaccessforconcomitantpercutaneouscoronaryinterventionandleftventricularassistancewithimpella AT adrianocaixeta singlevascularaccessforconcomitantpercutaneouscoronaryinterventionandleftventricularassistancewithimpella
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Single vascular access for concomitant percutaneous coronary intervention and left ventricular assistance with Impella

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