Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis.
Adult
Cardiomyopathy, Dilated
/ complications
Embolic Protection Devices
Extracorporeal Membrane Oxygenation
/ methods
Heart Ventricles
/ diagnostic imaging
Humans
Intra-Aortic Balloon Pumping
/ methods
Male
Minimally Invasive Surgical Procedures
/ methods
Shock, Cardiogenic
/ etiology
Subclavian Artery
/ surgery
Thoracotomy
/ methods
Thrombectomy
/ methods
Thrombosis
/ diagnostic imaging
Journal
The Canadian journal of cardiology
ISSN: 1916-7075
Titre abrégé: Can J Cardiol
Pays: England
ID NLM: 8510280
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
14
01
2020
revised:
02
04
2020
accepted:
05
04
2020
pubmed:
25
8
2020
medline:
20
5
2021
entrez:
25
8
2020
Statut:
ppublish
Résumé
A 43-year-old man was admitted to a referring hospital for cardiogenic shock caused by dilated cardiomyopathy. Intra-aortic balloon pump and percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) were started initially; however, a thrombus was detected in the left ventricle. After transfer to our institution, we performed thrombectomy through minithoracotomy. Subsequently, an Impella 5.0 device was inserted via the left subclavian artery. His cardiac function gradually improved, and both VA-ECMO and the Impella 5.0 could be weaned off. He was discharged without any thromboembolic event. Impella insertion with thrombectomy was possible, minimally invasive, and effective for a patient with intraventricular thrombosis associated with VA-ECMO.
Identifiants
pubmed: 32835686
pii: S0828-282X(20)30327-5
doi: 10.1016/j.cjca.2020.04.005
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
1690.e13-1690.e15Informations de copyright
Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.