Switch to a bicarbonate-based Impella CP™ purge solution in a patient with haemothorax: a case report.

ABSTRACT:

Background

Percutaneous mechanical circulatory support (pMCS) by an Impella™ device implies the initiation of systemic anticoagulation to prevent systemic thrombotic complications and a purge fluid to prevent device blockage. Traditionally, unfractionated heparin (UFH) was used for both. In April 2022, the use of bicarbonate-based purge solution (BBPS) as an alternative to UFH in dextrose solution was approved by the Food and Drug Administration in case of contraindications for UFH.

Case summary

We present the case of a 73-year-old female that was admitted to the cardiac intensive care unit with cardiogenic shock, requiring upgrade with pMCS by an axillary Impella CP™. When she developed a severe haemothorax, all UFH was stopped and the purge was switched to BBPS-dextrose so

SUBMITTER: Van Edom C 

PROVIDER: S-EPMC9883732 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature