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Thrompella: Acute Impella Thrombosis during Ecpella Support
release_fmgbeg63srhzrfhcu35323yikq
by
Faris Araj,
Hurst Hall,
Amy Hackman
Published
in The VAD Journal: The Journal of Mechanical Assisted Circulation and Heart Failure
by Texas Medical Center Library.
2023 Volume 9, Issue 1, e2023913
Abstract
We present a case of acute Impella thrombosis during Ecpella support in a 48-year-old man listed for a heart transplant. After two weeks of Ecpella support, echocardiography revealed a 2.6 x 1.1 cm mobile thrombus attached to the Impella inlet (Video). The Impella and attached thrombus were pulled across the aortic valve into the descending aorta and removed without systemic thromboembolism. Due to the ongoing need for left ventricular venting, a new Impella CP was placed.
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