DOI: 10.1093/icvts/ivae202 ISSN: 2753-670X

A successful post-surgical treatment of cardiogenic shock using Impella via brachiocephalic artery

Ai Sakai, Kenji Iino, Yoshitaka Yamamoto, Hirofumi Takemura

Abstract

Patients with low-flow, low-gradient severe aortic stenosis and ischaemic cardiomyopathy are at risk for postcardiotomy cardiogenic shock and have a poor prognosis. Although Impella has emerged as a bridge therapy, traditional approaches for Impella insertion are infeasible in patients with peripheral vascular diseases. We successfully managed postcardiotomy cardiogenic shock in a patient with low-flow, low-gradient severe aortic stenosis and ischaemic cardiomyopathy and limited vascular access by introducing Impella via the brachiocephalic artery. Impella may enable the surgical treatment of high-risk patients.

More from our Archive