Despite optimal medical management, some patients with severe right ventricular failure fail to respond and may benefit from additional support with the implantation of a RV assist device. Experience to date with Impella RP is limited. We report a case of percutaneous Impella RP implantation, using a parallel stiff wire to reduce anatomical tortuosity by acting as a buddy-wire to facilitate device implantation and reduce the risk of tricuspid ring damage in a patient recently treated with tricuspid ring annuloplasty.

Use of a parallel stiff wire to facilitate percutaneous Impella RP ventricular assist device positioning / Giannini, Francesco; Montorfano, Matteo; Jabbour, Richard J; Latib, Azeem; Ruparelia, Neil; Azzalini, Lorenzo; Magni, Valeria; Romano, Vittorio; DE BONIS, Michele; Pappalardo, Federico; Colombo, Antonio. - In: CARDIOVASCULAR REVASCULARIZATION MEDICINE. - ISSN 1553-8389. - 18:6S1(2017), p. 54-55. [10.1016/j.carrev.2017.03.012]

Use of a parallel stiff wire to facilitate percutaneous Impella RP ventricular assist device positioning

Montorfano, Matteo;DE BONIS, MICHELE;PAPPALARDO, FEDERICO
Penultimo
;
COLOMBO, ANTONIO
Ultimo
2017-01-01

Abstract

Despite optimal medical management, some patients with severe right ventricular failure fail to respond and may benefit from additional support with the implantation of a RV assist device. Experience to date with Impella RP is limited. We report a case of percutaneous Impella RP implantation, using a parallel stiff wire to reduce anatomical tortuosity by acting as a buddy-wire to facilitate device implantation and reduce the risk of tricuspid ring damage in a patient recently treated with tricuspid ring annuloplasty.
2017
Impella; Right ventricular failure
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/65725
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