Abstract
The Impella small catheter like 6 inch long device which works on principle of submersible water pump. It is inserted in to heart without any surgical procedure it provides 2.5- 5.5 litters/min blood flow. Impella device is available in various types according to their location, size and flow rate. There are some indications of Impella device implantation cardiac failure, high risk percutaneous intervention, risk of bleeding, left ventricular failure ect. This device is contraindicated in some disease conditions like Left Ventricular Thrombus, Ventricular Septal Defect, Severe Peripheral Arterial Disease, Aortic Stenosis and Regurgitation, Mechanical Haemolysis, Peripheral Vascular Ischemia. In this article we provide information about Impella device. There are total 57 cases has done till 2019 were Impella 5.0 inserted in 14 cases via axillaries access. In 36 cases Impella CP inserted via percutaneous Trans femoral approach, but one, in a young patient, who due to the small calibre of his femoral artery required inter positioning of a 6 mm Dacron graft on his common femoral artery. In 07 cases Impella RP were implanted percutaneously through the femoral accesses.
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