NYMC Faculty Publications
Escalation From Intra-Aortic Balloon Pump to Axillary Impella 5.5 Support: Staged Removal of the Femoral Access
Author Type(s)
Faculty
Journal Title
Perfusion
First Page
469
Last Page
472
Document Type
Article
Publication Date
4-1-2024
Department
Surgery
Second Department
Medicine
Abstract
With the growing population of advanced heart failure, the use of Impella 5.5 has been increasing. Here, we report an effective strategy of removing the intra-aortic balloon pump (IABP) in the setting of escalation of support to Impella 5.5. From January 1, 2022 to June 30, 2022, a total of 6 patients have undergone IABP removal during Impella 5.5 insertion. The IABP was subsequently removed over the long wire with manual compression on the femoral artery to control bleeding. An 8 or 9 Fr short sheath is inserted over the wire. Staged hemostasis was successfully performed in 4 patients, and the remaining two patients required escalation of support to veno-arterial membrane oxygenation as EC-PELLA utilizing the femoral arterial sheath. This does not only achieve secured hemostasis but also enables a smooth transition to further escalate support such as extracorporeal membrane oxygenation support, if necessary.
Recommended Citation
Sosa, C. V., Ohira, S., Ahmad, H., Isath, A., De La Pena, C., Spielvogel, D., & Kai, M. (2024). Escalation From Intra-Aortic Balloon Pump to Axillary Impella 5.5 Support: Staged Removal of the Femoral Access. Perfusion, 39 (3), 469-472. https://doi.org/10.1177/02676591221147431
