Percutaneous Impella Mechanical Circulatory Support Delivery Using Intravascular Lithotripsy

• Type of Material: Article
• Authors: Robert F Riley, The Christ Hospital - Cincinnati; Brian Kolski, Orange County Heart Institute and Research Center; Chandan Devireddy, Emory University; Amir Kaki, St. John Hospital and Medical Center; Antonious Attallah, St. John Hospital and Medical Center; Mitul B Kadakia, Summitt Medical Center; Carlo Di Mario, Azienda Ospedaliera Careggi; Dean Kereiakes, The Christ Hospital - Cincinnati
• Language: English
• Date: 2020-02-01
• Publisher: Elsevier
• Publication Version: Final Published Version
• Copyright Statement: © 2020 The Authors
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.jaccas.2019.11.085
• Title of Journal or Parent Work: JACC: Case Reports
• Volume: 2
• Issue: 2
• Start Page: 250
• End Page: 254
• Keywords: MACCE, major cardiac and cerebrovascular events; MI, myocardial infarction; peripheral vascular disease; percutaneous coronary intervention; PAD, peripheral arterial disease; IVL, intravascular lithotripsy; cardiac assist devices; AKI, acute kidney injury; p-MCS, percutaneous mechanical circulatory support
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

Intravascular lithotripsy (IVL) may be useful to deliver Impella devices in patients with peripheral arterial disease. Twelve patients were treated with peripheral IVL prior to Impella insertion. A total of 100% of patients underwent successful device implantation with no IVL complications. IVL can facilitate transfemoral access for Impella insertion. (Level of Difficulty: Advanced.)