PMID- 32835686 OWN - NLM STAT- MEDLINE DCOM- 20210519 LR - 20210519 IS - 1916-7075 (Electronic) IS - 0828-282X (Linking) VI - 36 IP - 10 DP - 2020 Oct TI - Impella 5.0 for Cardiogenic Shock After Thrombectomy in a Patient With Intraventricular Thrombosis. PG - 1690.e13-1690.e15 LID - S0828-282X(20)30327-5 [pii] LID - 10.1016/j.cjca.2020.04.005 [doi] AB - A 43-year-old man was admitted to a referring hospital for cardiogenic shock caused by dilated cardiomyopathy. Intra-aortic balloon pump and percutaneous venoarterial extracorporeal membrane oxygenation (VA-ECMO) were started initially; however, a thrombus was detected in the left ventricle. After transfer to our institution, we performed thrombectomy through minithoracotomy. Subsequently, an Impella 5.0 device was inserted via the left subclavian artery. His cardiac function gradually improved, and both VA-ECMO and the Impella 5.0 could be weaned off. He was discharged without any thromboembolic event. Impella insertion with thrombectomy was possible, minimally invasive, and effective for a patient with intraventricular thrombosis associated with VA-ECMO. CI - Copyright (c) 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved. FAU - Kimura, Yuki AU - Kimura Y AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kondo, Toru AU - Kondo T AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. Electronic address: toru.k0927@med.nagoya-u.ac.jp. FAU - Mutsuga, Masato AU - Mutsuga M AD - Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Morimoto, Ryota AU - Morimoto R AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kazama, Shingo AU - Kazama S AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Shibata, Naoki AU - Shibata N AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Oishi, Hideo AU - Oishi H AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Arao, Yoshihito AU - Arao Y AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kuwayama, Tasuku AU - Kuwayama T AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kato, Hiroo AU - Kato H AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Yamaguchi, Shogo AU - Yamaguchi S AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Hiraiwa, Hiroaki AU - Hiraiwa H AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Okumura, Takahiro AU - Okumura T AD - Department of Cardiology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Fujimoto, Kazuro AU - Fujimoto K AD - Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Usui, Akihiko AU - Usui A AD - Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Murohara, Toyoaki AU - Murohara T AD - Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. LA - eng PT - Case Reports DEP - 20200411 PL - England TA - Can J Cardiol JT - The Canadian journal of cardiology JID - 8510280 SB - IM MH - Adult MH - Cardiomyopathy, Dilated/*complications MH - Embolic Protection Devices MH - Extracorporeal Membrane Oxygenation/*methods MH - *Heart Ventricles/diagnostic imaging/pathology MH - Humans MH - Intra-Aortic Balloon Pumping/*methods MH - Male MH - Minimally Invasive Surgical Procedures/methods MH - *Shock, Cardiogenic/etiology/physiopathology/therapy MH - Subclavian Artery/surgery MH - Thoracotomy/methods MH - Thrombectomy/*methods MH - *Thrombosis/diagnostic imaging/etiology/surgery EDAT- 2020/08/25 06:00 MHDA- 2021/05/20 06:00 CRDT- 2020/08/25 06:00 PHST- 2020/01/14 00:00 [received] PHST- 2020/04/02 00:00 [revised] PHST- 2020/04/05 00:00 [accepted] PHST- 2020/08/25 06:00 [pubmed] PHST- 2021/05/20 06:00 [medline] PHST- 2020/08/25 06:00 [entrez] AID - S0828-282X(20)30327-5 [pii] AID - 10.1016/j.cjca.2020.04.005 [doi] PST - ppublish SO - Can J Cardiol. 2020 Oct;36(10):1690.e13-1690.e15. doi: 10.1016/j.cjca.2020.04.005. Epub 2020 Apr 11.