Percutaneous Impella Mechanical Circulatory Support Delivery Using Intravascular Lithotripsy

Robert F Riley; Brian Kolski; Chandanreddy M Devireddy; Amir Kaki; Antonious Attallah; Mitul B Kadakia; Carlo Di Mario; Dean Kereiakes

doi:10.1016/j.jaccas.2019.11.085

Percutaneous Impella Mechanical Circulatory Support Delivery Using Intravascular Lithotripsy

JACC Case Rep. 2020 Feb 19;2(2):250-254. doi: 10.1016/j.jaccas.2019.11.085. eCollection 2020 Feb.

Authors

Robert F Riley¹, Brian Kolski², Chandanreddy M Devireddy³, Amir Kaki⁴, Antonious Attallah⁴, Mitul B Kadakia⁵, Carlo Di Mario⁶, Dean Kereiakes¹

Affiliations

¹ Ohio Heart and Vascular, Christ Hospital Health System, Cincinnati, Ohio.
² Division of Cardiology, Orange County Heart Institute, Orange, California.
³ Division of Cardiology, Emory University Hospital, Atlanta, Georgia.
⁴ Division of Cardiology, St. John's Hospital, Detroit, Michigan.
⁵ Alta Bates Summit Medical Center, Oakland, California.
⁶ Division of Cardiology, Careggi University Hospital, Florence, Italy.

Abstract

Intravascular lithotripsy (IVL) may be useful to deliver Impella devices in patients with peripheral arterial disease. Twelve patients were treated with peripheral IVL prior to Impella insertion. A total of 100% of patients underwent successful device implantation with no IVL complications. IVL can facilitate transfemoral access for Impella insertion. (Level of Difficulty: Advanced.).

Keywords: AKI, acute kidney injury; IVL, intravascular lithotripsy; MACCE, major cardiac and cerebrovascular events; MI, myocardial infarction; PAD, peripheral arterial disease; cardiac assist devices; p-MCS, percutaneous mechanical circulatory support; percutaneous coronary intervention; peripheral vascular disease.

Publication types

Case Reports