Percutaneous repositioning of Impella RP: the Snare-Manoeuvre-Prolapse technique-a case report.

ABSTRACT:

Background

Impella RP (Abiomed, Danvers, MA, USA) is indicated for right ventricular failure after left ventricular assist device insertion or biventricular shock. Once the peel-away sheath is removed, Impella RP repositioning can only be achieved with manual manipulation of the catheter itself. This method does not always accomplish appropriate positioning of the catheter and can result in continued haemodynamic instability.

Case summary

A young male presented to our institution with recurrent ventricular fibrillation and ST-elevation myocardial infarction that underwent emergent coronary intervention but was in progressive cardiogenic shock requiring implantation of Impella 5.0 and Impella RP. After insertion of the right ventricular support, the patient stabilized transie

SUBMITTER: Patel SM 

PROVIDER: S-EPMC9128371 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature