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Review
. 2018 Jul;19(5 Pt A):540-544.
doi: 10.1016/j.carrev.2017.12.016. Epub 2018 Jan 5.

Insertion of the Impella via the axillary artery for high-risk percutaneous coronary intervention

Huu Tam D Truong  1 , Glenn Hunter  2 , Kapildeo Lotun  3 , Ranjith Shetty  3 , Madhan Shanmugasundaram  4 , Divya Kapoor  4 , Hoang M Thai  5
Affiliations
Review

Insertion of the Impella via the axillary artery for high-risk percutaneous coronary intervention

Huu Tam D Truong et al. Cardiovasc Revasc Med. 2018 Jul.

Abstract

Hemodynamic support with the Impella device is an important tool during high risk percutaneous coronary intervention. This device is usually inserted via the femoral artery. However, some patients have severe peripheral artery disease precluding the use of the femoral artery for this purpose. The axillary artery is a viable alternative in these cases. We reviewed the two access techniques for inserting the Impella via the axillary artery and also described 6 cases of successful implantation.

Keywords: Axillary artery; Coronary artery disease; Impella; Percutaneous coronary intervention.

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