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Catheter Cardiovasc Interv. 2019 Jun 22. doi: 10.1002/ccd.28378. [Epub ahead of print]

Axillary Impella insertion under regional nerve block: A case report.

Author information

1
Department of Cardiology, University of Texas Health Science Center of Houston, Houston, Texas.
2
Department of Anesthesiology, University of Texas Health Science Center of Houston, Houston, Texas.
3
University of Texas Health Science Center of Houston - Center for Advanced Heart Failure and Transplantation, Houston, Texas.

Abstract

Percutaneous coronary interventions with the Impella (Abiomed, MA) catheter-based, micro-axial mechanical left ventricular assist device is a safe option for patients undergoing higher risk interventions. However, severe peripheral arterial disease limits vascular access for Impella insertion. Upper extremity arterial access has been traditionally obtained under general anesthesia. We present the first case, to our knowledge, of using peripheral nerve blocks for Impella 3.5 CP insertion into the axillary artery.

KEYWORDS:

anesthesia/sedation; mechanical circulatory support, ECMO/IABP/Tandem/Impella; percutaneous coronary interventions, complex PCI

PMID:
31228327
DOI:
10.1002/ccd.28378

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