Successful trans-femoral retrieval of a stuck axillary Impella 5.0 device

Yusuke Hamada; Kazuo Shimamura; Keiwa Kin; Takuji Kawamura; Noriyuki Kashiyama; Koichi Toda; Yoshiki Sawa; Shigeru Miyagawa

doi:10.1007/s10047-022-01373-w

Successful trans-femoral retrieval of a stuck axillary Impella 5.0 device

J Artif Organs. 2024 Mar;27(1):65-68. doi: 10.1007/s10047-022-01373-w. Epub 2022 Nov 27.

Authors

Yusuke Hamada¹, Kazuo Shimamura², Keiwa Kin¹, Takuji Kawamura¹, Noriyuki Kashiyama¹, Koichi Toda¹, Yoshiki Sawa¹, Shigeru Miyagawa¹

Affiliations

¹ Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita-City, Osaka, 565-0087, Japan.
² Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Yamadaoka, 2-2, Suita-City, Osaka, 565-0087, Japan. shimamura@surg1.med.osaka-u.ac.jp.

PMID: 36436162
DOI: 10.1007/s10047-022-01373-w

Abstract

We describe a case in which an axillary Impella 5.0, stuck in an area of calcification in the right subclavian artery, could not be retrieved in the usual manner. However, it was successfully removed using a long 22-Fr sheath and snaring catheter by means of the trans-femoral artery. Device retrieval using the trans-femoral artery snare technique is considered a valid option for removing the Impella device in patients who exhibit this complication.

Keywords: Impella; Removal; Snare.

MeSH terms

Axillary Artery* / surgery
Catheters*
Humans