Cardiogenic shock with fulminant myocarditis is a life-threatening diagnosis. Extracorporeal
membrane oxygenation (ECMO) with an Impella for left ventricle unloading is often
required to maintain the haemodynamics. However, the small peripheral vascularity
in small-bodied patients interrupts the upgrade from ECMO to Impella5.0, which usually
requires grafting to a femoral artery or subclavian artery of at least 7 mm in size.
This report outlines the external iliac artery approach, named the “ILIPELLA” technique,
which uses a reconstructed external iliac artery to introduce Impella5.0 in patients
with small peripheral vascularity.
Keywords
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References
- Current status of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of European Society of Cardiology Working Group on Myocardial and Pericardial Diseases.Eur Heart J. 2013; 34 (2638-48, 2648a-2648d)
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Article info
Publication history
Published online: January 19, 2022
Accepted:
December 3,
2021
Received in revised form:
November 3,
2021
Received:
July 21,
2021
Identification
Copyright
© 2021 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
