title: Optimization of Impella 5.0 implantation using mini-sternotomy approach in postmyocardial infarction cardiogenic shock.
abstract: The Impella Recover LP 5.0® (Abiomed, Inc. Danvers, MA, USA) is an aortic transvalvular microaxial pump designed to unload the left ventricle and to ensure a systemic flow in severe left ventricular dysfunction. Surgical implantation using femoral or right subclavian approach may be difficult in certain circumstances, such as encountered in peripheral vascular disease, patients with small vessels or during substantial use of vasoactive drugs responsible for vasospasm. We propose a simple and effective technique for implantation of the Impella 5.0 LVAD by means of a mini-sternotomy in patients with postinfarction refractory cardiogenic shock.
authors.affiliation: CHU de Bordeaux, service de chirurgie cardiaque, Pessac, Bordeaux, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Oses
authors.forename: Frederic
authors.initials: F
authors.lastname: Casassus
authors.forename: Lionel
authors.initials: L
authors.lastname: Leroux
authors.forename: Joachim
authors.initials: J
authors.lastname: Calderon
authors.forename: Laurent
authors.initials: L
authors.lastname: Barandon
mesh_terms: D000768:Anesthesia, General / Q000379:methods; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006353:Heart-Assist Devices; D006801:Humans; D007423:Intra-Aortic Balloon Pumping / Q000295:instrumentation* / Q000379:methods; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D012770:Shock, Cardiogenic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D056346:Sternotomy / Q000379:methods*; D016896:Treatment Outcome