Single-access technique for Impella-assisted PCI: How to take hold of Impella by the smooth handle
Key Points
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An increasing number of complex higher risk indicated patients (CHIP) are referred to percutaneous coronary intervention (PCI) and mechanical circulatory support (MCS) provided by devices like the Impella CP is being increasingly used in such procedures.
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Impella CP placement and PCI performance can be achieved through the same vascular access (“single-access technique”), avoiding vascular complications and bleeding associated with gaining multiple arterial access sites.
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When looking for an 8-Fr system to perform CHIP-PCI, a sheathless guiding catheter can be directly inserted within the Impella CP sheath, with the use of the Rotaglide™ as a lubricant solution to minimize the friction between the guide catheter and the Impella CP drive shaft.
CONFLICTS OF INTEREST
Giuseppe Tarantini reports honoraria for lectures/consulting from Medtronic, Edwards Lifesciences, Boston Scientific, GADA, Abbott. Tommaso Fabris has nothing to disclose.
