The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Peripheral interventions

Interventional femoral “crossover” bypass for peripheral ischaemia under cardiocirculatory support with the Impella CP heart pump

EuroIntervention 2020;15:1286-1287. DOI: 10.4244/EIJ-D-18-00797

1. Center for Cardiology, Cardiology I, Heart Center and German Center for Cardiovascular Research (DZHK), Partner Site Rhein-Main, University Medical Center Mainz (Johannes Gutenberg-University Mainz), Mainz, Germany

Figure 1. Interventional femoral “crossover” bypass under Impella CP. A) Angiography (via 6 Fr sheath) of the right femoral axis before introduction of the Impella. B) Critical limb ischaemia (right leg) under extracorporeal augmentation with the microaxial pump. C) Interventional femoral “crossover” bypass. D) & E) Doppler signal and aspect of the right leg after restoration of limb perfusion by interventional “crossover” bypass.

In recent years, cardiocirculatory support by axial flow pump (Impella®; Abiomed, Danvers, MA, USA) has become a routinely used advanced therapy for protected percutaneous coronary intervention (PCI) and cardiogenic ...

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