Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis

Yuki Kimura; Toru Kondo; Masato Mutsuga; Ryota Morimoto; Shingo Kazama; Naoki Shibata; Hideo Oishi; Yoshihito Arao; Tasuku Kuwayama; Hiroo Kato; Shogo Yamaguchi; Hiroaki Hiraiwa; Takahiro Okumura; Kazuro Fujimoto; Akihiko Usui; Toyoaki Murohara

doi:10.1016/j.cjca.2020.04.005

Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis

Yuki Kimura, Toru Kondo, Masato Mutsuga, Ryota Morimoto, Shingo Kazama, Naoki Shibata, Hideo Oishi, Yoshihito Arao, Tasuku Kuwayama, Hiroo Kato, Shogo Yamaguchi, Hiroaki Hiraiwa, Takahiro Okumura, Kazuro Fujimoto, Akihiko Usui, Toyoaki Murohara

Research output: Contribution to journal › Article › peer-review

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Abstract

A 43-year-old man was admitted to a referring hospital for cardiogenic shock caused by dilated cardiomyopathy. Intra-aortic balloon pump and percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) were started initially; however, a thrombus was detected in the left ventricle. After transfer to our institution, we performed thrombectomy through minithoracotomy. Subsequently, an Impella 5.0 device was inserted via the left subclavian artery. His cardiac function gradually improved, and both VA-ECMO and the Impella 5.0 could be weaned off. He was discharged without any thromboembolic event. Impella insertion with thrombectomy was possible, minimally invasive, and effective for a patient with intraventricular thrombosis associated with VA-ECMO.

Original language	English
Pages (from-to)	1690.e13-1690.e15
Journal	Canadian Journal of Cardiology
Volume	36
Issue number	10
DOIs	https://doi.org/10.1016/j.cjca.2020.04.005
Publication status	Published - 10-2020
Externally published	Yes

All Science Journal Classification (ASJC) codes

Cardiology and Cardiovascular Medicine

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10.1016/j.cjca.2020.04.005

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Kimura, Y., Kondo, T., Mutsuga, M., Morimoto, R., Kazama, S., Shibata, N., Oishi, H., Arao, Y., Kuwayama, T., Kato, H., Yamaguchi, S., Hiraiwa, H., Okumura, T., Fujimoto, K., Usui, A., & Murohara, T. (2020). Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis. Canadian Journal of Cardiology, 36(10), 1690.e13-1690.e15. https://doi.org/10.1016/j.cjca.2020.04.005

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title = "Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis",

abstract = "A 43-year-old man was admitted to a referring hospital for cardiogenic shock caused by dilated cardiomyopathy. Intra-aortic balloon pump and percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) were started initially; however, a thrombus was detected in the left ventricle. After transfer to our institution, we performed thrombectomy through minithoracotomy. Subsequently, an Impella 5.0 device was inserted via the left subclavian artery. His cardiac function gradually improved, and both VA-ECMO and the Impella 5.0 could be weaned off. He was discharged without any thromboembolic event. Impella insertion with thrombectomy was possible, minimally invasive, and effective for a patient with intraventricular thrombosis associated with VA-ECMO.",

author = "Yuki Kimura and Toru Kondo and Masato Mutsuga and Ryota Morimoto and Shingo Kazama and Naoki Shibata and Hideo Oishi and Yoshihito Arao and Tasuku Kuwayama and Hiroo Kato and Shogo Yamaguchi and Hiroaki Hiraiwa and Takahiro Okumura and Kazuro Fujimoto and Akihiko Usui and Toyoaki Murohara",

note = "Publisher Copyright: {\textcopyright} 2020 Canadian Cardiovascular Society",

year = "2020",

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doi = "10.1016/j.cjca.2020.04.005",

language = "English",

volume = "36",

pages = "1690.e13--1690.e15",

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Kimura, Y, Kondo, T, Mutsuga, M, Morimoto, R, Kazama, S, Shibata, N, Oishi, H, Arao, Y, Kuwayama, T, Kato, H, Yamaguchi, S, Hiraiwa, H, Okumura, T, Fujimoto, K, Usui, A & Murohara, T 2020, 'Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis', Canadian Journal of Cardiology, vol. 36, no. 10, pp. 1690.e13-1690.e15. https://doi.org/10.1016/j.cjca.2020.04.005

TY - JOUR

T1 - Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis

AU - Kimura, Yuki

AU - Kondo, Toru

AU - Mutsuga, Masato

AU - Morimoto, Ryota

AU - Kazama, Shingo

AU - Shibata, Naoki

AU - Oishi, Hideo

AU - Arao, Yoshihito

AU - Kuwayama, Tasuku

AU - Kato, Hiroo

AU - Yamaguchi, Shogo

AU - Hiraiwa, Hiroaki

AU - Okumura, Takahiro

AU - Fujimoto, Kazuro

AU - Usui, Akihiko

AU - Murohara, Toyoaki

PY - 2020/10

Y1 - 2020/10

N2 - A 43-year-old man was admitted to a referring hospital for cardiogenic shock caused by dilated cardiomyopathy. Intra-aortic balloon pump and percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) were started initially; however, a thrombus was detected in the left ventricle. After transfer to our institution, we performed thrombectomy through minithoracotomy. Subsequently, an Impella 5.0 device was inserted via the left subclavian artery. His cardiac function gradually improved, and both VA-ECMO and the Impella 5.0 could be weaned off. He was discharged without any thromboembolic event. Impella insertion with thrombectomy was possible, minimally invasive, and effective for a patient with intraventricular thrombosis associated with VA-ECMO.

AB - A 43-year-old man was admitted to a referring hospital for cardiogenic shock caused by dilated cardiomyopathy. Intra-aortic balloon pump and percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) were started initially; however, a thrombus was detected in the left ventricle. After transfer to our institution, we performed thrombectomy through minithoracotomy. Subsequently, an Impella 5.0 device was inserted via the left subclavian artery. His cardiac function gradually improved, and both VA-ECMO and the Impella 5.0 could be weaned off. He was discharged without any thromboembolic event. Impella insertion with thrombectomy was possible, minimally invasive, and effective for a patient with intraventricular thrombosis associated with VA-ECMO.

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JF - Canadian Journal of Cardiology

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ER -

Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis

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