{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T06:36:54Z","timestamp":1780555014419,"version":"3.54.1"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Surgically implanted Impella 5.5. delivers full cardiac support and left ventricular unloading for patients with heart failure. So far, the Impella device is implanted under general anesthesia (GA).<\/jats:p><jats:p>\n          Material and Methods\u2003A total of n\u2009=\u20093 critically ill patients presented with acute heart failure in need of cardiac support. All patients suffered cardiogenic shock of varying etiology. Due to hemodynamically unstable conditions, GA was avoided. All implantations were performed solely under local anesthesia (LAS) without any regional anesthesia.<\/jats:p><jats:p>\n          Results\u2003All implantations were performed successfully under LAS with 60\u2009mL of mepivacaine of 2% solution and ropivacaine of 1% solution (50:50 ratio). All devices were placed from the right axillary artery. One patient needed hematoma evacuation several days after surgery. No other Impella-related complication was observed.<\/jats:p><jats:p>\n          Conclusion\u2003A surgical implantation of the Impella 5.5 device under LAS is feasible and safe. Despite the small number of cases, no disadvantage can be described at the present moment. Our series should encourage physicians to perform the procedure under LAS.<\/jats:p>","DOI":"10.1055\/a-2132-4694","type":"journal-article","created":{"date-parts":[[2023,7,18]],"date-time":"2023-07-18T22:48:37Z","timestamp":1689720517000},"page":"296-299","source":"Crossref","is-referenced-by-count":5,"title":["Implanting Impella 5.5 under Local Anesthesia"],"prefix":"10.1055","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6941-7785","authenticated-orcid":false,"given":"Kaveh","family":"Eghbalzadeh","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center of the University of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten C.W.","family":"Wahlers","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center of the University of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje Christin","family":"Deppe","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Heart Center of the University of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,8,11]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1097\/MAT.0000000000001194","article-title":"New surgical circulatory support system outcomes","volume":"66","author":"D Ramzy","year":"2020","journal-title":"ASAIO J"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"e373","DOI":"10.1016\/j.athoracsur.2020.09.069","article-title":"Impella 5.5 direct aortic implant and explant techniques","volume":"111","author":"M Anderson","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.carrev.2020.11.025","article-title":"Simplified trans-axillary aortic valve replacement under local anesthesia\u2014a single-center early experience","volume":"23","author":"J F Ooms","year":"2021","journal-title":"Cardiovasc Revasc Med"},{"issue":"09","key":"ref4","doi-asserted-by":"crossref","first-page":"e016321","DOI":"10.1136\/bmjopen-2017-016321","article-title":"Is local anaesthesia a favourable approach for transcatheter aortic valve implantation? A systematic review and meta-analysis comparing local and general anaesthesia","volume":"7","author":"C Ehret","year":"2017","journal-title":"BMJ Open"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"611","DOI":"10.3390\/medicina58050611","article-title":"ECMO and Impella support strategies as a bridge to surgical repair of post-infarction ventricular septal rupture","volume":"58","author":"G Coyan","year":"2022","journal-title":"Medicina (Kaunas)"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"e278","DOI":"10.1097\/MAT.0000000000001873","article-title":"Impella support for surgical ventricular septal defect repair","volume":"69","author":"E Ruiz Duque","year":"2023","journal-title":"ASAIO J"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"1801906","DOI":"10.1183\/13993003.01906-2018","article-title":"Intensive care, right ventricular support and lung transplantation in patients with pulmonary hypertension","volume":"53","author":"M MBR Hoeper","year":"2019","journal-title":"Eur Respir J"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1002\/ehf2.12622","article-title":"Early cardiac unloading with ImpellaCP\u2122 in acute myocardial infarction with ventricular septal defect","volume":"7","author":"G Via","year":"2020","journal-title":"ESC Heart Fail"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2132-4694.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:48:34Z","timestamp":1730810914000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2132-4694"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,18]]},"references-count":8,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2024,6,3]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2132-4694","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7,18]]},"published":{"date-parts":[[2023,7,18]]}}}