Safety and Feasibility of Transcaval Access for the Delivery of Impella Microaxial Flow Pump.

ABSTRACT:

Background

Transcaval access (TCA) may enable percutaneous mechanical circulatory support (MCS) with reduced risk of vascular complications in cardiogenic shock patients needing mechanical support.

Methods

This single-center retrospective study included patients who underwent TCA placement of an Impella 5.0 (Abiomed) from June 2015 to March 2023. Data on demographic characteristics, clinical, procedural variables, and in-hospital outcomes were collected.

Results

Seventy-two patients (mean age, 58.2 years; 66.7% men) were included. Twenty-eight patients had nonischemic cardiomyopathy and 43 had ischemic cardiomyopathy, with a baseline left ventricular ejection fraction of 23.5% ± 14.2%. Most patients (90.3%) were in categories C to E of the Society for Cardiovascular A

SUBMITTER: Mohammed M 

PROVIDER: S-EPMC12629743 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature