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  • Title: A bailout approach: Transaxillary Impella implantation in toxic cardiomyopathy.
    Author: Khaliel F, Moss E, Demers P, Bouchard D.
    Journal: Asian Cardiovasc Thorac Ann; 2014 Jul; 22(6):722-4. PubMed ID: 24887811.
    Abstract:
    The femoral artery has been the traditional approach for implantation of the Impella left ventricular assist device. We describe the case of a young man with toxic (cocaine-related) cardiomyopathy, severe left ventricular dysfunction, and moderate mitral insufficiency who received a transfemoral Impella left ventricular assist device that was relocated to the right axillary artery due to uncontrolled femoral access bleeding. The patient immediately stabilized post-implantation and was successfully bridged to a full recovery 6 days later.
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