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

Martin Geyer
Martin Geyer1, MD; Markus Vosseler1, MD; Tommaso Gori1, MD, PhD
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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Coronary interventionsInterventions for heart failurePeripheral interventionsNSTEMIAcute heart failureIliac / Femoral / Popliteal
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