Fully percutaneous insertion and removal of the Impella CP via a subclavian approach

摘要

The Impella (Abiomed) is a?mechanical circulatory support device which augments cardiac output, but may also unload a?left ventricle during venoarterial extracorporeal membrane oxygenation (ECMO) [1]. However, the Impella requires an access to a?large artery and this may be problematic in a?severe peripheral arterial disease. The presented case demonstrates how to insert and remove the Impella CP via a?subclavian approach without surgical cutting.