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The Buddy-Wire Technique for Impella RP Placement: A Case Report
Michael V DiCaro1, Vasiliki Tasouli-Drakou2, KaChon Lei1
1Department of Cardiovascular Medicine, University of Nevada, Las Vegas, Nevada.
Journal of the Society for Cardiovascular Angiography & Interventions
|February 23, 2026
Summary
The buddy-wire technique successfully facilitated Impella RP placement in a patient with a complex cardiac anatomy and a defibrillator lead. This method offers a potential solution for challenging Impella RP implantations.
Area of Science:
- Cardiology
- Medical Devices
- Interventional Cardiology
Background:
- Acute right ventricular failure is a critical condition requiring advanced support.
- The Impella RP is a recognized device for treating acute right ventricular failure.
- Standard Impella RP placement techniques can be challenging in patients with complex cardiac anatomies, such as those with existing device leads.
