title: The PulseCath iVAC 2L left ventricular assist device: conversion to a percutaneous transfemoral approach.
abstract: OBJECTIVE
  This technical report describes the essentials and practical implantation technique of the completely percutaneous PulseCath iVAC 2L left ventricular assist device.
  
  
  RESULTS
  Percutaneously inserted mechanical left ventricular assist devices are used for circulatory support during cardiogenic shock or high-risk percutaneous coronary interventions. The PulseCath concept is a novel pulsatile design that consists of an extracorporeal membrane pump connected to a large-bore catheter which is inserted across the aortic valve retrogradely into the left ventricle. A genuine intra-aortic balloon pump (IABP) console drives the pulsatile pump.
  
  
  CONCLUSIONS
  The percutaneous PulseCath iVAC 2L is driven by a genuine IABP console and provides more left ventricular support.
authors.affiliation: Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands.
authors.forename: Nicolas M
authors.initials: NM
authors.lastname: Van Mieghem
authors.forename: Joost
authors.initials: J
authors.lastname: Daemen
authors.forename: Mattie J
authors.initials: MJ
authors.lastname: Lenzen
authors.forename: Rob
authors.initials: R
authors.lastname: Zandstra
authors.forename: Oren
authors.initials: O
authors.lastname: Malkin
authors.forename: Robert-Jan M
authors.initials: RJ
authors.lastname: van Geuns
mesh_terms: D002406:Catheterization, Peripheral / Q000379:methods*; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006353:Heart-Assist Devices; D006439:Hemodynamics; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D011677:Punctures; D011859:Radiography; D020127:Recovery of Function; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome; D016277:Ventricular Function, Left