Tag: axillary access


Hybrid Closure Technique with Impella

Rajiv Tayal, MD, Director of Structural Heart Disease at JFK Medical Center, presents information from a clinical paper he co-authored regarding vascular closure in Impella supported PCI patients using multiple devices. Read more about The Hybrid Closure Technique: A Potential Standard for Large-Bore Arteriotomy Closure by R. Tayal, et al, in JACC: Cardiovascular Interventions Supplement, CRT-200.03. … Continue reading “Hybrid Closure Technique with Impella”

Training Video for the Axillary Insertion Kit

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Escalation of Support and Algorithms for Cardiogenic Shock

Dr. Mark Anderson joins Dr. Dan Raess to discuss improvements outcomes for patients in cardiogenic shock through the early use of mechanical circulatory support and the development of a shock protocol with the heart team. Dr. Anderson outlines Hackensack University Medical Center’s multi-disciplinary, heart team approach in treatment decision-making for patients in cardiogenic shock. Cardiac … Continue reading “Escalation of Support and Algorithms for Cardiogenic Shock”

Axillary Access Case Review: High-Risk PCI on an Unprotected Left Main Coronary Artery

Dr. Elias Haddad of Vanderbilt University Medical Center presents a case of a surgical turndown patient with cirrhosis, severe aortic valve stenosis, severe coronary artery disease, and LAD with moderate severe calcification. Dr. Haddad outlines his decision-making and considerations in the procedure planning for this Protected PCI using axillary access. Additionally, he discusses pre-close solutions … Continue reading “Axillary Access Case Review: High-Risk PCI on an Unprotected Left Main Coronary Artery”

Percutaneous Insertion and Removal of Impella® Using the Axillary Artery for Treatment of Advanced Peripheral Artery Disease

Peripheral arterial disease (PAD), also referred to as hardening of the arteries, is a vascular disease that occurs in the arteries in the circulatory system. In PAD, the disease occurs in the arteries that carry oxygen and nutrient-rich blood from the heart to the arms and legs. For interventions that are aimed toward treating PAD or providing mechanical support, common femoral and brachial arteries are typical access sites for devices such as Impella® or intraaortic balloon pumps. Radial access does present its fair share of limitations, despite it becoming an increasingly popular access method among interventionalists. This synopsis of a recent article from the Journal of Invasive Cardiology provides a brief overview of the percutaneous insertion and removal of the Impella device using the axillary artery.The technique for insertion and removal of the Impella device using the axillary artery (AA) is as follows: Continue readingPercutaneous Insertion and Removal of Impella® Using the Axillary Artery for Treatment of Advanced Peripheral Artery Disease