Panoulas Vasileios F, Monteagudo Vela Maria, Kalogeras Konstantinos, Hurtado-Doce Ana, García Sáez Diana, Bowles Christopher T, Simon Andre R
Department of Cardiology, Royal Brompton and Harefield NHS Foundation Trust, London, UK; Cardiovascular Sciences, National Heart and Lung Institute, Imperial College London, UK.
Department of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, UK.
Cardiovasc Revasc Med. 2019 Nov;20(11S):63-66. doi: 10.1016/j.carrev.2019.06.009. Epub 2019 Jun 23.
In patients with cardiogenic shock, the global use of percutaneous mechanical circulatory support using the Impella CP device has increased with early data suggesting potential benefits over conservative management. In the current case report we describe a simple technique facilitating percutaneous Impella CP or RP exchange with preservation of transfemoral access, which does not require the use of a 0.035' wire. This technique allows for percutaneous sealing of the 14F arteriotomy using new closure devices avoiding the traditional cut-down.
在心源性休克患者中，使用Impella CP装置进行经皮机械循环支持的整体应用有所增加，早期数据表明其相较于保守治疗可能具有优势。在本病例报告中，我们描述了一种简单技术，该技术可在保留经股动脉通路的情况下促进经皮Impella CP或RP更换，且无需使用0.035英寸导丝。此技术可使用新型闭合装置经皮闭合14F动脉切开处，避免了传统的切开手术。
