The increasing importance of percutaneous mechanical circulatory assist device therapy in heart failure management

Ricardo A. Weis, Patrick A. Devaleria, Sarang Koushik, Harish Ramakrishna

Research output: Contribution to journalArticle

1 Scopus citations


Introduction: Advances in medical and surgical care have made it possible for an increasing number of patients with Congenital Heart disease (CHD) to live into adulthood. Transposition of the great vessels (TGV) is the most common cyanotic congenital cardiac disease where the right ventricle serves as systemic ventricle. It is not uncommon for these patients to have systemic ventricular failure requiring transplantation. Study Design: Hemodynamic decompensation in these patients can be swift and difficult to manage. Increasingly percutaneous LVAD's such as the Impella (Abiomed, Mass, USA) are gaining popularity in these situations owing to their relative ease of placement, both in and outside of the operating room. Conclusion: In this paper we demonstrate that Impella (IMP) CP placement through the axillary artery approach shows to be suitable option for short term cardiac support and improvement of end organ perfusion in anticipation of cardiac transplantation.

Original languageEnglish (US)
Pages (from-to)467-473
Number of pages7
JournalAnnals of Cardiac Anaesthesia
Issue number4
StatePublished - Oct 1 2015
Externally publishedYes



  • Congenital heart disease
  • Hemodynamic decompensation
  • Impella
  • Percutaneous left ventricular assist device's
  • Transposition of the great vessels

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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