title: Percutaneous left axillary artery approach for Impella 2.5 liter circulatory support for patients with severe aortoiliac arterial disease undergoing high-risk percutaneous coronary intervention.
abstract: The use of the Impella 2.5 liter (L) device for hemodynamic support has been well described. The typical access site for the Impella 2.5 L device is the femoral artery. The use of the axillary and subclavian artery has been described via surgical cut down for the Impella 5 L device when femoral artery access is not possible. In patients with severe aortoiliac disease and difficult anatomy the femoral artery access for the Impella 2.5 L device is not feasible. We describe the successful percutaneous use of the Impella 2.5 L device for hemodynamic support via the left axillary artery in 2 patients undergoing high-risk PCI with concomitant severe aortoiliac disease.
authors.affiliation: Department of Internal Medicine, Cardiovascular Division, University of Arizona, Tucson, Arizona 85724, USA. klotun@shc.arizona.edu
authors.forename: Kapildeo
authors.initials: K
authors.lastname: Lotun
authors.forename: Ranjith
authors.initials: R
authors.lastname: Shetty
authors.forename: Manishkumar
authors.initials: M
authors.lastname: Patel
authors.forename: Salman A
authors.initials: SA
authors.lastname: Arain
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001011:Aorta / Q000473:pathology; D001157:Arterial Occlusive Diseases / Q000453:epidemiology* / Q000628:therapy*; D001366:Axillary Artery / Q000033:anatomy & histology; D002404:Catheterization / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D007083:Iliac Artery / Q000473:pathology; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation