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Justus T. Strauch
Ulrich F.W. Franke
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Thorsten Wittwer
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J Thorac Cardiovasc Surg 2005;130:1715-1716
© 2005 The American Association for Thoracic Surgery

Brief Communications

Technical feasibility of Impella Recover 100 microaxial left ventricular assist device placement after biologic aortic valve replacement (21 mm) for postcardiotomy failure

Justus T. Strauch, MD * , Ulrich F.W. Franke, MD, Martin Breuer, MD, Jens Wippermann, MD, Thorsten Wittwer, MD, Navid Madershahian, MD, Mirko Kaluza, Thorsten Wahlers, MD

Department of Cardiothoracic and Vascular Surgery, Friedrich-Schiller University, Jena, Germany

Received for publication June 24, 2005; accepted for publication August 1, 2005.

* Address for reprints: Justus T. Strauch, MD, Friedrich-Schiller University of Jena, Department of Cardiothoracic and Vascular Surgery, Erlanger Allee 101, D-07747 Jena, Germany (Email: justus.strauch@med.uni-jena.de).

The first 20% of the full text of this article appears below.

The Impella Recover 100 (Impella CardioSystems AG, Aachen, Germany) is an intravascular microaxial blood pump intended to provide short-term mechanical support for acutely reduced left ventricular function in the setting of postcardiotomy heart failure refractory to high-dose inotropic support and intra-aortic balloon pump support. The low-cost device is fast to insert across the aortic valve through a 10-mm vascular graft sewn to the ascending aorta, avoiding the use of cardiopulmonary bypass, is simple to remove, and is associated with good properties for weaning. 1-3 Go However, the Impella has just recently been introduced into clinical practice, and no information is available about its use in patients who have previously undergone biologic aortic valve replacement, especially with small prosthesis sizes.

This report summarizes our initial clinical experience with such a patient. It should encourage the surgical community to take the device into consideration for borderline indications as a . . . [Full Text of this Article]




This article has been cited by other articles:


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A. Garatti, T. Colombo, and E. Vitali
Placement of the Impella Recover LD microaxial blood pump through a bioprosthesis is technically feasible
J. Thorac. Cardiovasc. Surg., October 1, 2006; 132(4): 989 - 990.
[Full Text] [PDF]


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