Direct Pull-Through Technique to Insert the Impella RP Device Without Using Fluoroscopy

Authors

Suguru Ohira, From the Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York.Follow
David Spielvogel
Steven L. LansmanFollow
Masashi KaiFollow

Author Type(s)

Faculty

DOI

10.1097/MAT.0000000000001446

Journal Title

ASAIO Journal

First Page

e19

Last Page

e21

Document Type

Article

Publication Date

2-1-2022

Department

Surgery

Abstract

We describe a technique for insertion of the Impella RP device that does not require fluoroscopy. Venous cannulation was performed via the superior vena cava and femoral vein percutaneously. After right atriotomy, the Impella RP is percutaneously inserted and advanced to the right atrium under transesophageal echocardiography guidance. Next, via a longitudinal 2 cm incision in the main pulmonary artery (PA), a large C-shaped clamp is advanced retrograde through the pulmonic and tricuspid valves into the right atrium. The pigtail portion is grasped, pulled through to the main PA, and the device is positioned in the PA under direct vision.

Recommended Citation

Ohira, S., Spielvogel, D., Lansman, S. L., & Kai, M. (2022). Direct Pull-Through Technique to Insert the Impella RP Device Without Using Fluoroscopy. ASAIO Journal, 68 (2), e19-e21. https://doi.org/10.1097/MAT.0000000000001446