title: Bilateral antegrade perfusion of the superficial femoral artery to prevent limb ischaemia during combined use of Impella CP left ventricular assist device and extracorporeal life support.
abstract: The combined use of extracorporeal cardiac life support and the Impella left ventricular assist device is feasible in severe cardiogenic shock. Ischaemic complications due to the arterial cannulation may occur. The following cases show how the use of a perfusion adapter for bilateral antegrade leg perfusion prevents malperfusion of the lower extremities.
authors.affiliation: Clinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
authors.forename: Lukasz
authors.initials: L
authors.lastname: Kizner
authors.affiliation: Clinic for Cardiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany cflottmann@hdz-nrw.de.
authors.forename: Christian
authors.initials: C
authors.lastname: Flottmann
authors.affiliation: Clinic for Cardiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
authors.forename: Dieter
authors.initials: D
authors.lastname: Horstkotte
authors.affiliation: Clinic for Thoracic and Cardiovascular Surgery, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
authors.forename: Jan
authors.initials: J
authors.lastname: Gummert
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D002406:Catheterization, Peripheral / Q000009:adverse effects; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D005263:Femoral Artery; D006353:Heart-Assist Devices; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D035002:Lower Extremity / Q000098:blood supply*; D008875:Middle Aged; D010477:Perfusion / Q000379:methods*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*
keywords: Cardiogenic shock; Extracorporeal life support; Impella left ventricular assist device; Limb ischaemia