Percutaneous Circulatory Support for Biventricular Failure

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Presentation transcript:

Percutaneous Circulatory Support for Biventricular Failure by Christian D. Nagy, Marwan F. Jumean, Duc Thinh Pham, Michael S. Kiernan, David Denofrio, and Navin K. Kapur Circ Cardiovasc Interv Volume 6(2):e12-e14 April 16, 2013 Copyright © American Heart Association, Inc. All rights reserved.

Fluoroscopic image showing an Impella 5 Fluoroscopic image showing an Impella 5.0 ventricular assist device (VAD) implanted via the axillary artery across the aortic valve (black arrow), and a TandemHeart VAD implanted for simultaneous right ventricular support with an inflow cannula positioned in the inferior vena cava/right atrial junction and an outflow cannula in the main pulmonary artery (white arrows). Fluoroscopic image showing an Impella 5.0 ventricular assist device (VAD) implanted via the axillary artery across the aortic valve (black arrow), and a TandemHeart VAD implanted for simultaneous right ventricular support with an inflow cannula positioned in the inferior vena cava/right atrial junction and an outflow cannula in the main pulmonary artery (white arrows). Pacemaker leads, a Swan-Ganz catheter, and a TEE probe (*) are also seen. Christian D. Nagy et al. Circ Cardiovasc Interv. 2013;6:e12-e14 Copyright © American Heart Association, Inc. All rights reserved.

Chest radiography (posterior-anterior [PA]; and lateral [Lat]) showing biventricular surgical HeartWare HVAD devices. Chest radiography (posterior-anterior [PA]; and lateral [Lat]) showing biventricular surgical HeartWare HVAD devices. For left ventricle (LV) support (#), the inflow cannula is implanted into the LV apex with an outflow graft anastomosed to the ascending aorta. For right ventricle (RV) support (*), the inflow cannula is implanted into the RV free wall with a modified outflow graft to the main pulmonary artery. A dual chamber pacemaker is also seen in place. Christian D. Nagy et al. Circ Cardiovasc Interv. 2013;6:e12-e14 Copyright © American Heart Association, Inc. All rights reserved.