TY - JOUR
T1 - Impella 5.5 Direct Aortic Implant and Explant Techniques
AU - Anderson, Mark
AU - Smith, Deane
AU - Kane, Peter
AU - Lee, Raymond
AU - Khalpey, Zain
AU - Williams, Jason
N1 - Publisher Copyright:
© 2021 The Society of Thoracic Surgeons
PY - 2021/5
Y1 - 2021/5
N2 - The Impella 5.5 with SmartAssist system (Abiomed, Danvers, MA) is approved for the treatment of cardiogenic shock after acute myocardial infarction, cardiac surgery, or in the setting of cardiomyopathy. Designed for full circulatory support and left ventricular unloading the system comprises a catheter-based microaxial pump placed across the aortic valve, pulling blood from the left ventricle and into the ascending aorta. Implantation can be approached through the axillary artery or directly into the aortic root. We present several technical options for implanting, tunneling, and explanting the system using the direct aortic approach and allowing for bedside removal.
AB - The Impella 5.5 with SmartAssist system (Abiomed, Danvers, MA) is approved for the treatment of cardiogenic shock after acute myocardial infarction, cardiac surgery, or in the setting of cardiomyopathy. Designed for full circulatory support and left ventricular unloading the system comprises a catheter-based microaxial pump placed across the aortic valve, pulling blood from the left ventricle and into the ascending aorta. Implantation can be approached through the axillary artery or directly into the aortic root. We present several technical options for implanting, tunneling, and explanting the system using the direct aortic approach and allowing for bedside removal.
UR - http://www.scopus.com/inward/record.url?scp=85104462383&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85104462383&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2020.09.069
DO - 10.1016/j.athoracsur.2020.09.069
M3 - Article
C2 - 33345787
AN - SCOPUS:85104462383
VL - 111
SP - e373-e375
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 5
ER -