Aortofemoral Bypass Graft Access for Impella Placement

Abstract

Left ventricular support with Impella requires a large-bore sheath. Alternate access sites have often been required in patients with severe peripheral artery disease. This paper reports the first case in which an aortofemoral bypass graft for Impella access was used in a patient without other alternatives and the method of access closure. (Level of Difficulty: Advanced.)

Keywords

• aortofemoral bypass
• Impella
• percutaneous coronary intervention
• coronary artery disease