Aortofemoral Bypass Graft Access for Impella Placement

Sabeeda Kadavath; Aisha Siraj; Negar Salehi; Mohammed Moursi; Barry F Uretsky

doi:10.1016/j.jaccas.2019.10.019

Aortofemoral Bypass Graft Access for Impella Placement

JACC Case Rep. 2019 Dec 18;1(5):751-754. doi: 10.1016/j.jaccas.2019.10.019.

Authors

Sabeeda Kadavath¹, Aisha Siraj¹, Negar Salehi¹, Mohammed Moursi¹, Barry F Uretsky¹

Affiliation

¹ Central Arkansas Veterans Healthcare System, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Abstract

Left ventricular support with Impella requires a large-bore sheath. Alternate access sites have often been required in patients with severe peripheral artery disease. This paper reports the first case in which an aortofemoral bypass graft for Impella access was used in a patient without other alternatives and the method of access closure. (Level of Difficulty: Advanced.).

Keywords: Impella; LM, left main; PCI, percutaneous coronary intervention; PTFE, polytetrafluoroethylene; RCA, right coronary artery; aortofemoral bypass; coronary artery disease; percutaneous coronary intervention.

Publication types

Case Reports