Truong Huu Tam D, Hunter Glenn, Lotun Kapildeo, Shetty Ranjith, Shanmugasundaram Madhan, Kapoor Divya, Thai Hoang M
Southern Arizona VA Healthcare System, Tucson, AZ, USA; University of Arizona, College of Medicine, Tucson, AZ, USA.
Southern Arizona VA Healthcare System, Tucson, AZ, USA.
Cardiovasc Revasc Med. 2018 Jul;19(5 Pt A):540-544. doi: 10.1016/j.carrev.2017.12.016. Epub 2018 Jan 5.
Hemodynamic support with the Impella device is an important tool during high risk percutaneous coronary intervention. This device is usually inserted via the femoral artery. However, some patients have severe peripheral artery disease precluding the use of the femoral artery for this purpose. The axillary artery is a viable alternative in these cases. We reviewed the two access techniques for inserting the Impella via the axillary artery and also described 6 cases of successful implantation.
在高风险经皮冠状动脉介入治疗期间，使用Impella装置进行血流动力学支持是一项重要工具。该装置通常经股动脉插入。然而，一些患者患有严重的外周动脉疾病，无法使用股动脉进行此项操作。在这些情况下，腋动脉是一种可行的替代途径。我们回顾了经腋动脉插入Impella的两种入路技术，并描述了6例成功植入的病例。
