Hirose Masaki, Ishida Hidekazu, Kawamura Takuji, Narita Jun, Ishii Ryo, Watanabe Takuji, Taira Masaki, Ueno Takayoshi, Ozono Keiichi, Miyagawa Shigeru
Department of Pediatrics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
J Artif Organs. 2023 Sep;26(3):242-245. doi: 10.1007/s10047-022-01369-6. Epub 2022 Oct 12.
Impella is a device effective for the treatment of cardiogenic shock. However, among small children, its application has limitations due to left ventricle size and vasculature and the turning diameter of the aortic arch. Herein, we report an 11-year-old girl with fulminant myocarditis who was successfully managed with Impella CP implantation via the right subclavian artery using a polyethylene terephthalate chimney graft. Compared with insertion via the femoral artery, this method has several advantages. That is, it can address limitations in aortic arch diameter and facilitate equable fixation of the Impella device in small pediatric patients.
Impella是一种治疗心源性休克有效的装置。然而，在小儿中，由于左心室大小、血管系统以及主动脉弓的转弯直径，其应用存在局限性。在此，我们报告一名11岁暴发性心肌炎女孩，通过使用聚对苯二甲酸乙二酯烟囱移植物经右锁骨下动脉成功植入Impella CP进行治疗。与经股动脉植入相比，该方法有几个优点。即它可以解决主动脉弓直径的限制，并便于在小儿患者中均匀固定Impella装置。
