Impella5.0 “ILIPELLA” Approach for a Fulminant Myocarditis Patient With a Small Peripheral Artery

Masato Mutsuga; Hiroshi Banno; Takahiro Okumura; Ryota Morimoto; Toru Kondo; Yuki Kimura; Hiroaki Hiraiwa; Toyoaki Murohara; Akihiko Usui

doi:10.1016/j.hlc.2021.12.007

Impella5.0 “ILIPELLA” Approach for a Fulminant Myocarditis Patient With a Small Peripheral Artery

Masato Mutsuga
, Hiroshi Banno
, Takahiro Okumura
, Ryota Morimoto
, Toru Kondo
, Yuki Kimura
, Hiroaki Hiraiwa
, Toyoaki Murohara
, Akihiko Usui

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

Abstract

Cardiogenic shock with fulminant myocarditis is a life-threatening diagnosis. Extracorporeal membrane oxygenation (ECMO) with an Impella for left ventricle unloading is often required to maintain the haemodynamics. However, the small peripheral vascularity in small-bodied patients interrupts the upgrade from ECMO to Impella5.0, which usually requires grafting to a femoral artery or subclavian artery of at least 7 mm in size. This report outlines the external iliac artery approach, named the “ILIPELLA” technique, which uses a reconstructed external iliac artery to introduce Impella5.0 in patients with small peripheral vascularity.

Original language	English
Pages (from-to)	e72-e74
Journal	Heart Lung and Circulation
Volume	31
Issue number	5
DOIs	https://doi.org/10.1016/j.hlc.2021.12.007
Publication status	Published - 05-2022
Externally published	Yes

All Science Journal Classification (ASJC) codes

Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.hlc.2021.12.007

Cite this

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title = "Impella5.0 “ILIPELLA” Approach for a Fulminant Myocarditis Patient With a Small Peripheral Artery",

abstract = "Cardiogenic shock with fulminant myocarditis is a life-threatening diagnosis. Extracorporeal membrane oxygenation (ECMO) with an Impella for left ventricle unloading is often required to maintain the haemodynamics. However, the small peripheral vascularity in small-bodied patients interrupts the upgrade from ECMO to Impella5.0, which usually requires grafting to a femoral artery or subclavian artery of at least 7 mm in size. This report outlines the external iliac artery approach, named the “ILIPELLA” technique, which uses a reconstructed external iliac artery to introduce Impella5.0 in patients with small peripheral vascularity.",

keywords = "External iliac approach, Impella 5.0, Small peripheral vascular access",

author = "Masato Mutsuga and Hiroshi Banno and Takahiro Okumura and Ryota Morimoto and Toru Kondo and Yuki Kimura and Hiroaki Hiraiwa and Toyoaki Murohara and Akihiko Usui",

note = "Publisher Copyright: {\textcopyright} 2021 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ)",

year = "2022",

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doi = "10.1016/j.hlc.2021.12.007",

language = "English",

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T1 - Impella5.0 “ILIPELLA” Approach for a Fulminant Myocarditis Patient With a Small Peripheral Artery

AU - Mutsuga, Masato

AU - Banno, Hiroshi

AU - Okumura, Takahiro

AU - Morimoto, Ryota

AU - Kondo, Toru

AU - Kimura, Yuki

AU - Hiraiwa, Hiroaki

AU - Murohara, Toyoaki

AU - Usui, Akihiko

PY - 2022/5

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N2 - Cardiogenic shock with fulminant myocarditis is a life-threatening diagnosis. Extracorporeal membrane oxygenation (ECMO) with an Impella for left ventricle unloading is often required to maintain the haemodynamics. However, the small peripheral vascularity in small-bodied patients interrupts the upgrade from ECMO to Impella5.0, which usually requires grafting to a femoral artery or subclavian artery of at least 7 mm in size. This report outlines the external iliac artery approach, named the “ILIPELLA” technique, which uses a reconstructed external iliac artery to introduce Impella5.0 in patients with small peripheral vascularity.

AB - Cardiogenic shock with fulminant myocarditis is a life-threatening diagnosis. Extracorporeal membrane oxygenation (ECMO) with an Impella for left ventricle unloading is often required to maintain the haemodynamics. However, the small peripheral vascularity in small-bodied patients interrupts the upgrade from ECMO to Impella5.0, which usually requires grafting to a femoral artery or subclavian artery of at least 7 mm in size. This report outlines the external iliac artery approach, named the “ILIPELLA” technique, which uses a reconstructed external iliac artery to introduce Impella5.0 in patients with small peripheral vascularity.

KW - External iliac approach

KW - Impella 5.0

KW - Small peripheral vascular access

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Impella5.0 “ILIPELLA” Approach for a Fulminant Myocarditis Patient With a Small Peripheral Artery

Abstract

All Science Journal Classification (ASJC) codes

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