Impella left ventricular assist device
Diagnosis certain
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Presentation
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This a chest radiograph after cardiac catheterisation in a known patient with CADcoronary artery disease and chest pain.
Systems changed:
- Chest
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Findings
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Right internal jugular central venous catheter, endotracheal tube, enteric tube, triple lead left chest AICD and Impella left ventricular assist device (LVAD) all project in appropriate locations.
ECG leads and defibrillator pads overlie the patient.
The coronary artery stent is overlying the proximal LAD.
The cardiopericardial silhouette and mediastinal structures are stable.
Lungs are equally expanded bilaterally and demonstrate grossly stable, pulmonary parenchymal findings compared to the prior chest radiograph.
No pleural effusion or pneumothorax demonstrated.
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Findings
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Impella LVAD is highlighted in yellow and zoomed. Zoomed in image.
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Question
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How is the Impella LVAD placed?
Answer
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Via a femoral artery Impella LVAD is placed.
The inlet is in LVleft ventricle below the aortic valve. Outlet is above aortic valve in the ascending aorta.
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Answer
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2.5 to 5.0 L/min.
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