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 journalArticlepeer-review

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 languageEnglish
Pages (from-to)1690.e13-1690.e15
JournalCanadian Journal of Cardiology
Volume36
Issue number10
DOIs
Publication statusPublished - 10-2020
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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