{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:41:30Z","timestamp":1780076490077,"version":"3.54.0"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T00:00:00Z","timestamp":1588896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Percutaneous mechanical circulatory support (pMCS) devices are commonly being utilized for hemodynamic support in patients undergoing high\u2010risk percutaneous coronary interventions or stabilization for those in cardiogenic shock. Left ventricular (LV) to ascending aorta (Ao) rotodynamic pumps such as the Impella devices allow for rapid hemodynamic stabilization or support in such instances. The use of such devices is contraindicated in patients with known LV thrombus. However, it remains unclear on how to manage patients who develop an LV thrombus while on prolonged Impella support. While there are currently no cerebral embolic protection devices (CEPDs) approved for use in conjunction with LV to Ao pMCS devices or other short\u2010term mechanical support devices, there is a theoretical benefit for the use of such technology in the right circumstances. We present a case describing the use of the sentinel cerebral protection system (SCPS) in a patient who developed LV thrombus while on Impella CP support. The use of the SCPS in this patient suggests a potential role for CEPD in prevention of thromboembolism while on Impella support.<\/jats:p>","DOI":"10.1002\/ccd.28956","type":"journal-article","created":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T22:06:15Z","timestamp":1588975575000},"page":"504-506","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The use of a sentinel cerebral protection system during Impella <scp>CP<\/scp> removal in a patient with left ventricular thrombus"],"prefix":"10.1002","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1773-2438","authenticated-orcid":false,"given":"Ayaaz K.","family":"Sachedina","sequence":"first","affiliation":[{"name":"Center for Advanced Heart Failure University of Texas Health Science Center of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven C.","family":"Ajluni","sequence":"additional","affiliation":[{"name":"McGovern Medical School The University of Texas Health Science Center at Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwan F.","family":"Jumean","sequence":"additional","affiliation":[{"name":"Center for Advanced Heart Failure University of Texas Health Science Center of Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,8]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"LangfordT WardIG. Data presented at TCT 2018 shows use of Impella and best practices increases cardiogenic shock survival [Internet].2018.http:\/\/investors.abiomed.com\/news-releases\/news-release-details\/data-presented-tct-2018-shows-use-impella-and-best-practices. 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