Percutaneous Salvage of an Impella Pretzel

Moses Mathur, MD, MSc; Adam Mohmand-Borkowski, MD; Mariko Harper, MD; Gordon Kritzer, MD

JACC: Case Reports (Aug 2019)

Percutaneous Salvage of an Impella Pretzel

Moses Mathur, MD, MSc,
Adam Mohmand-Borkowski, MD,
Mariko Harper, MD,
Gordon Kritzer, MD

Affiliations

Moses Mathur, MD, MSc: Address for correspondence: Dr. Moses Mathur, Virginia Mason Medical Center, 1100 Ninth Avenue, X3-CAR, Seattle, Washington 98101.; Virginia Mason Heart Institute, Virginia Mason Medical Center, Seattle, Washington
Adam Mohmand-Borkowski, MD: Virginia Mason Heart Institute, Virginia Mason Medical Center, Seattle, Washington
Mariko Harper, MD: Virginia Mason Heart Institute, Virginia Mason Medical Center, Seattle, Washington
Gordon Kritzer, MD: Virginia Mason Heart Institute, Virginia Mason Medical Center, Seattle, Washington

Journal volume & issue: Vol. 1, no. 2
pp. 254 – 255

Abstract

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This report describes a case in which bedside manipulation of an Impella CP led to device entanglement in the aorta. Using a snare and counter-traction, we were able to untangle and re-deliver it into the left ventricle to restore normal device support. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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