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- W4385076023 abstract "The Abiomed Impella 5.5® with SmartAssist® System is a short term use ventricular support device indicated for the treatment of ongoing cardiogenic shock (CS) unresponsive to optimal medical management. The device serves as a bridge to heart transplant, ventricular assist device (VAD), or cardiovascular recovery. Typically, the Impella 5.5 catheter is inserted via a surgical cut-down through the axillary artery and into the left ventricle through the aortic valve using fluoroscopic and transesophageal guidance. The axillary access is performed with a surgical cutdown over the second or third portion of the axillary artery. An 8 mm Dacron graft is then anastomosed to the artery in an end-to-side fashion to help facilitate the introduction of the Impella catheter. Generally, the right axillary artery is selected based on the location and caliber, however alternative locations include the left axillary artery, through an open chest innominate artery, or directly through a chimney graft in the aorta.1, 2 These approaches often necessitate general endotracheal anesthesia to provide an adequate plane of analgesia and stability to place the vascular graft." @default.
- W4385076023 created "2023-07-23" @default.
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- W4385076023 date "2023-11-01" @default.
- W4385076023 modified "2023-10-05" @default.
- W4385076023 title "Surgical Placement of Axillary Impella 5.5 With Regional Anesthesia and Monitored Anesthesia Care" @default.
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- W4385076023 doi "https://doi.org/10.1053/j.jvca.2023.07.028" @default.
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