Author + information
- Jay D. Pal, MD, PhD∗ ()
- ↵∗Division of Cardiothoracic Surgery, University of Washington, 1959 NE Pacific Street, Box 356310, Seattle, Washington 98195-6410
We were pleased to read “First Experience With Successful Percutaneous Retrieval of Retained-Fractured Impella Device” in JACC: Cardiovascular Interventions (1). Because temporary mechanical circulatory support devices are used with increasing frequency, we are likely to continue experiencing device-related issues.
We reported on a remarkably similar case 2 months prior: “Impella 5.0 Fracture and Transcatheter Retrieval” (2). The location of device fracture is different, highlighting the potential areas of weakness that should be considered by those implanting these devices. The technique we described for retrieval of the retained device is also used in the current report (1), validating our process as appropriate for this clinical scenario.
With rapidly increasing use of new technology, we are bound to discover new challenges such as reported here. Creative thinking will lead to innovative solutions as highlighted in these papers.
Please note: Dr. Pal is writing on behalf of Castigliano M. Bhamidipati, DO, PhD, Moses Mathur, MD, MS, Ravi S. Hira, MD, and James M. McCabe, MD. Dr. Pal is a consultant for HeartWare.
- 2017 American College of Cardiology Foundation
- Saleh Q.A.,
- Foster M.,
- Abi Rafeh N.
- Bhamidipati C.M.,
- Mathur M.,
- Hira R.S.,
- McCabe J.M.,
- Pal J.D.