Insertion of Impella 5.0 to improve candidacy for HeartMate II left ventricular assist device placement
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Updated: May 1, 2026

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Navin Rajagopalan1, Roh Yanagida, Charles W Hoopes
1University of Kentucky, 900 South Limestone Street, Lexington, KY 40536 USA. n.rajagopalan@uky.edu.
Abstract:
The Impella 5.0 is a minimally invasive heart assist device that can be used to stabilize patients with cardiogenic shock. We present the case of a 49-year-old female in cardiogenic shock who required left ventricular assist device placement, but was not an optimal candidate for surgery due to severe deconditioning and malnutrition. An Impella 5.0 pump was surgically implanted via right axillary artery approach, which allowed the patient time to improve nutritional and functional status before subsequent placement of HeartMate II left ventricular assist device.
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