December 22, 2014Catheterization and Cardiovascular Interventions
Emergent use of Impella CP™ during transcatheter aortic valve replacement: Transaortic access
Key result
Direct ascending aortic Impella CP rescues a patient from complete circulatory collapse during transaortic TAVR.
- n=1
Population
1 patient undergoing transaortic transcatheter aortic valve replacement with Edwards SAPIEN prosthesis who…
Design
Case_report
Authors
Discussion
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Member takes
Implication
Offers bailout option for circulatory collapse in transaortic TAVR; hypothesis-generating and should not yet change practice.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
A single patient experiencing complete circulatory collapse during transaortic TAVR who required rescue Impella CP placement directly through the ascending aorta.
I
Intervention
Emergent placement of rescue Impella CP directly through the ascending aorta
O
Outcome
Successful rescue from complete circulatory collapse
Demonstrates the feasibility of emergent transaortic placement of an Impella CP device for circulatory collapse during transaortic TAVR when femoral access is unfavorable.
Cite This Study
Singh et al. (2014) conducted a case report in Complete circulatory collapse during transaortic TAVR (n=1). Rescue Impella CP placement directly through the ascending aorta was evaluated. Rescue Impella CP placement directly through the ascending aorta was utilized for a patient experiencing complete circulatory collapse during transaortic TAVR with unfavorable femoral access.