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Heart, Lung and Circulation

Impella5.0 “ILIPELLA” Approach for a Fulminant Myocarditis Patient With a Small Peripheral Artery

Published:January 19, 2022DOI:https://doi.org/10.1016/j.hlc.2021.12.007
      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.

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