Use of a parallel stiff wire to facilitate percutaneous Impella RP ventricular assist device positioning.
Despite optimal medical management, some patients with severe right ventricular failure fail to respond and may benefit from additional support with the implantation of a RV assist device. Experience to date with Impella RP is limited. We report a case of percutaneous Impella RP implantation, using a parallel stiff wire to reduce anatomical tortuosity by acting as a buddy-wire to facilitate device implantation and reduce the risk of tricuspid ring damage in a patient recently treated with tricuspid ring annuloplasty.
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy; EMO-GVM Centro Cuore Columbus, Milan, Italy. Electronic address: giannini_fra@yahoo.it.
Francesco
F
Giannini
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy.
Matteo
M
Montorfano
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy.
Richard J
RJ
Jabbour
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy; EMO-GVM Centro Cuore Columbus, Milan, Italy.
Azeem
A
Latib
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy.
Neil
N
Ruparelia
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy.
Lorenzo
L
Azzalini
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy.
Valeria
V
Magni
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy.
Vittorio
V
Romano
Department of Heart Surgery, San Raffaele Hospital, Milan, Italy.
Michele
M
De Bonis
Department of Cardiothoracic Anesthesia and Intensive Care, San Raffaele Hospital, Milan, Italy.
Federico
F
Pappalardo
Interventional Cardiology Unit, San Raffaele Hospital, Milan, Italy; EMO-GVM Centro Cuore Columbus, Milan, Italy.
Antonio
A
Colombo
D000368:Aged; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D012306:Risk; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation
Impella; Right ventricular failure