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The Right Axillary Artery Approach for the Impella Recover LP 5.0 Microaxial Pump

^a Department of Cardiovascular Surgery and Transplantation, Claude Bernard University, Lyon Cedex, France
^b Department of Cardiology and Intensive Care, Louis Pradel Hospital, Claude Bernard University, Lyon Cedex, France

Accepted for publication September 11, 2007.

^_* Address correspondence to Dr Jegaden, Department of Cardiovascular Surgery and Transplantation, Louis Pradel Hospital, 28 Avenue du Doyen Lepine, BP Lyon-Monchat, Lyon Cedex, 69394, France (Email: olivier.jegaden{at}chu-lyon.fr).

As a ventricular unloading catheter, the Impella Recover LP 5.0 (Abiomed, Danvers, MA) is appropriate for temporary circulatory assistance in severe left ventricular dysfunction. We describe a new implantation approach to the right axillary artery with the aims of avoiding vascular problems due to atherosclerosis of the peripheral arteries and improving patient mobility and rehabilitation during mechanical support.