The use of the Impella left ventricular assist device is feasible in severe cardiogenic shock. Ischemic complications due to the arterial cannulation may occur. The following case shows how the use of a perfusion adapter for antegrade leg perfusion treats ischemia of the lower extremities.
O’NeillWWGrinesCSchreiberTMosesJMainiBDixonSR, et al.. Analysis of outcomes for 15 259 US patients with acute myocardial infarction cardiogenic shock (AMICS) supported with the Impella device. Am Heart J2018; 202: 33–38.
3.
AbaunzaMKabbaniLSNypaverTGreenbaumABalrajPQureshiS, et al.. Incidence and prognosis of vascular complications after percutaneous placement of left ventricular assist device. J Vasc Surg2015; 62: 417–423.
4.
KiznerLFlottmannCHorstkotteDGummertJ. Bilateral antegrade perfusion of the superficial femoral artery to prevent limb ischaemia during combined use of Impella CP left ventricular assist device and extracorporeal life support. Interact Cardiovasc Thorac Surg2016; 23: 335–337.
