The PulseCath iVAC 2L left ventricular assist device: conversion to a percutaneous transfemoral approach

EuroIntervention. 2015 Nov;11(7):835-9. doi: 10.4244/EIJV11I7A168.

Abstract

Aims: This technical report describes the essentials and practical implantation technique of the completely percutaneous PulseCath iVAC 2L left ventricular assist device.

Methods and results: Percutaneously inserted mechanical left ventricular assist devices are used for circulatory support during cardiogenic shock or high-risk percutaneous coronary interventions. The PulseCath concept is a novel pulsatile design that consists of an extracorporeal membrane pump connected to a large-bore catheter which is inserted across the aortic valve retrogradely into the left ventricle. A genuine intra-aortic balloon pump (IABP) console drives the pulsatile pump.

Conclusions: The percutaneous PulseCath iVAC 2L is driven by a genuine IABP console and provides more left ventricular support.

Publication types

  • Video-Audio Media

MeSH terms

  • Catheterization, Peripheral / methods*
  • Femoral Artery* / diagnostic imaging
  • Heart-Assist Devices*
  • Hemodynamics
  • Humans
  • Percutaneous Coronary Intervention* / adverse effects
  • Prosthesis Design
  • Prosthesis Implantation / adverse effects
  • Prosthesis Implantation / instrumentation*
  • Prosthesis Implantation / methods*
  • Punctures
  • Radiography
  • Recovery of Function
  • Shock, Cardiogenic / diagnosis
  • Shock, Cardiogenic / physiopathology
  • Shock, Cardiogenic / therapy*
  • Treatment Outcome
  • Ventricular Function, Left*