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Updated: Sep 19, 2025

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
Published on: August 16, 2021
Axillary Microaxial Left Ventricular Support as a Bridge to Durable Left Ventricular Assist Device in a Child With
Jean-Luc A Maigrot1, Edward G Soltesz1, Michael Z Tong1
1Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Abstract:
A 14-year-old male patient (body surface area, 1.49 m2; axillary artery diameter, 4.8 mm) with Duchenne muscular dystrophy and dilated cardiomyopathy presenting with refractory cardiogenic shock underwent successful right axillary Impella 5.5 device (Abiomed) insertion as a bridge to advanced therapies. On insertion of the Impella device, his hemodynamics and clinical status rapidly stabilized. After 8 days, he was successfully transitioned to a durable left ventricular assist device. Simple modifications of the standard Impella 5.5 insertion technique, along with the elasticity of the pediatric vasculature, facilitated success of this cardiogenic shock management pathway.
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