Novel Method for Exchange of Impella Circulatory Assist Catheter: The "Trojan Horse" Technique
Patients with an indwelling Impella may require escalation of hemodynamic support or exchange to another circulatory assistance platform. As such, preservation of vascular access is preferable in cases where anticoagulation cannot be discontinued or to facilitate exchange to an alternative catheter...
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| Veröffentlicht in: | The Journal of invasive cardiology 2017-07, Vol.29 (7), p.250-252 |
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| container_title | The Journal of invasive cardiology |
| container_volume | 29 |
| creator | Phillips, Colin T Tamez, Hector Tu, Thomas M Yeh, Robert W Pinto, Duane S |
| description | Patients with an indwelling Impella may require escalation of hemodynamic support or exchange to another circulatory assistance platform. As such, preservation of vascular access is preferable in cases where anticoagulation cannot be discontinued or to facilitate exchange to an alternative catheter or closure device. Challenges exist in avoiding bleeding and loss of wire access in these situations. We describe a single-access "Trojan Horse" technique that minimizes bleeding while maintaining arterial access for rapid exchange of this percutaneous ventricular assist device. |
| format | Article |
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As such, preservation of vascular access is preferable in cases where anticoagulation cannot be discontinued or to facilitate exchange to an alternative catheter or closure device. Challenges exist in avoiding bleeding and loss of wire access in these situations. 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| fulltext | fulltext |
| identifier | EISSN: 1557-2501 |
| ispartof | The Journal of invasive cardiology, 2017-07, Vol.29 (7), p.250-252 |
| issn | 1557-2501 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1905735557 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Equipment Design Female Heart-Assist Devices Humans Middle Aged Myocardial Infarction - complications Shock, Cardiogenic - etiology Shock, Cardiogenic - therapy |
| title | Novel Method for Exchange of Impella Circulatory Assist Catheter: The "Trojan Horse" Technique |
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