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Acute complication due to impella 2.5 device (superficial femoral artery thrombosis): managed successfully with novel aspiration thrombectomy catheter (pronto v3).

作者信息

Bhat Tariq M, Waked Alain, Teli Sumaya, Lafferty James, Gala Bhavesh

机构信息

Department of Medicine, Staten Island University Hospital, New York, USA.

出版信息

Clin Med Insights Cardiol. 2011 Feb 10;5:17-21. doi: 10.4137/CMC.S6157.

DOI:10.4137/CMC.S6157
PMID:21344022
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3041237/
Abstract

The Impella recover LP 2.5 is a percutaneous left ventricular assist device (LVAD) recently approved for use in patients undergoing high risk percutaneous coronary intervention (PCI) and also in cases of cardiogenic shock. There is limited evidence available in literature about its safety, especially with regards to the incidence of local vascular complications, their management and long-term implications. We report here the first case of a serious local vascular complication-superficial femoral artery thrombus formation during Impella recover LP 2.5 use in a high risk PCI which was managed successfully with novel aspiration thrombectomy catheter (Pronto V3), which in itself is the first reported use of Pronto V3 in such a vascular complication.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e816/3041237/37ff02b43e4c/cmc-2011-017f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e816/3041237/78d3465a6229/cmc-2011-017f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e816/3041237/bf86f4b6321a/cmc-2011-017f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e816/3041237/37ff02b43e4c/cmc-2011-017f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e816/3041237/78d3465a6229/cmc-2011-017f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e816/3041237/bf86f4b6321a/cmc-2011-017f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e816/3041237/37ff02b43e4c/cmc-2011-017f3.jpg

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本文引用的文献

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Supported high-risk percutaneous coronary intervention with the Impella 2.5 device the Europella registry.在 Europella 注册研究中，Impella 2.5 装置支持高危经皮冠状动脉介入治疗。
J Am Coll Cardiol. 2009 Dec 15;54(25):2430-4. doi: 10.1016/j.jacc.2009.09.018.
2
Intracranial dural sinus thrombosis: novel use of a mechanical thrombectomy catheter and review of management strategies.颅内硬脑膜窦血栓形成：机械取栓导管的新应用及治疗策略综述
Clin Med Res. 2009 Dec;7(4):157-65. doi: 10.3121/cmr.2009.847.
3
A prospective feasibility trial investigating the use of the Impella 2.5 system in patients undergoing high-risk percutaneous coronary intervention (The PROTECT I Trial): initial U.S. experience.
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JACC Cardiovasc Interv. 2009 Feb;2(2):91-6. doi: 10.1016/j.jcin.2008.11.005.
4
Adjunctive manual thrombectomy improves myocardial perfusion and mortality in patients undergoing primary percutaneous coronary intervention for ST-elevation myocardial infarction: a meta-analysis of randomized trials.辅助手动血栓切除术可改善接受ST段抬高型心肌梗死直接经皮冠状动脉介入治疗患者的心肌灌注并降低死亡率：一项随机试验的荟萃分析
Eur Heart J. 2008 Dec;29(24):3002-10. doi: 10.1093/eurheartj/ehn389. Epub 2008 Sep 5.
5
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6
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