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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