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
DOI
10.1177/02676591221147431
Journal Title
Perfusion United Kingdom
First Page
469
Last Page
472
Document Type
Article
Publication Date
4-1-2024
Department
Surgery
Second Department
Medicine
Keywords
ECMO, hemostasis, impella, Intra-aortic balloon pump
Disciplines
Medicine and Health Sciences
Abstract
Background: 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. Results: 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. Conclusion: 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., 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 United Kingdom, 39 (3), 469-472. https://doi.org/10.1177/02676591221147431
