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Case Reports
. 2011 Feb 10:5:17-21.
doi: 10.4137/CMC.S6157.

Acute complication due to impella 2.5 device (superficial femoral artery thrombosis): managed successfully with novel aspiration thrombectomy catheter (pronto v3)

Tariq M Bhat  1 , Alain Waked, Sumaya Teli, James Lafferty, Bhavesh Gala
Affiliations
Case Reports

Acute complication due to impella 2.5 device (superficial femoral artery thrombosis): managed successfully with novel aspiration thrombectomy catheter (pronto v3)

Tariq M Bhat et al. Clin Med Insights Cardiol. .

Abstract

The Impella recover LP 2.5 is a percutaneous left ventricular assist device (LVAD) recently approved for use in patients undergoing high risk percutaneous coronary intervention (PCI) and also in cases of cardiogenic shock. There is limited evidence available in literature about its safety, especially with regards to the incidence of local vascular complications, their management and long-term implications. We report here the first case of a serious local vascular complication-superficial femoral artery thrombus formation during Impella recover LP 2.5 use in a high risk PCI which was managed successfully with novel aspiration thrombectomy catheter (Pronto V3), which in itself is the first reported use of Pronto V3 in such a vascular complication.

Keywords: complication of impella; high risk PCI; impella LP 2.5; pronto V3.

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Figures

Figure 1.
Figure 1.
Pre-procedure angiogram showing patent superficial femoral artery.
Figure 2.
Figure 2.
Post sheath removal angiogram showing absence of blood flow in superficial femoral artery.
Figure 3.
Figure 3.
Post Pronto V3 device use, showing resumption of blood flow in superficial femoral artery.
See this image and copyright information in PMC

References

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