ArticleInterdisciplinary cardiovascular and thoracic surgery2023
Single-vessel access venoarterial extracorporeal membrane oxygenation and Impella technique for acute cardiogenic shock complicated by lung congestion.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 3 citations in OpenAlex.
- Comprehensive Management of Microaxial Flow Pump: Strategies to Ensure Safe Removal.JACC. Case reports · 2026Article
- Alternative Arterial Access in Veno-Arterial ECMO: The Role of the Axillary Artery.Journal of clinical medicine · 2025Review
- A case of successful surgical treatment of left ventricular thrombus associated with acute myocardial infarction by Impella combined with extracorporeal membrane oxygenation approach.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025Article
- A successful post-surgical treatment of cardiogenic shock using Impella via brachiocephalic artery.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
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Abstract
The combination of the Impella and peripheral venoarterial extracorporeal membrane oxygenation (Ecmella) is a promising treatment for critically ill patients. We report a single-access Ecmella approach using the brachiocephalic artery. A 65-year-old woman with acute myocardial infarction involving the left main coronary artery underwent intra-aortic balloon pump and peripheral venoarterial extracorporeal membrane oxygenation (VA-ECMO) placement. Given the progression of pulmonary congestion and lower limb ischaemia, and an axillary artery diameter of 4.9 mm, we decided to perform a single Ecmella approach. A Y-shaped 9-mm Dacron woven graft was anastomosed to the brachiocephalic artery through a reverse T-shaped partial sternotomy. The Impella 5.5 and arterial cannula of VA-ECMO were introduced through each graft. Six days after, VA-ECMO was removed. Sixty-two days after the surgery, the patient received durable left ventricle assist device implantation. In conclusion, haemodynamic support using a single-access Ecmella through brachiocephalic artery allows for managing patients with narrow peripheral arteries.
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