{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:02:06Z","timestamp":1753876926712,"version":"3.41.2"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T00:00:00Z","timestamp":1686960000000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Transaxillary implantation of a temporary microaxial left ventricular assist device in patients suffering from cardiogenic shock is an established technique. We present a 77-year-old female patient with severe mitral regurgitation. She underwent minimally invasive surgical mitral valve replacement. After an uneventful postoperative course, the patient developed acute heart failure on the 11th postoperative day. Transthoracic echocardiography revealed new onset of Takotsubo cardiomyopathy with a severely decreased left ventricular ejection fraction. Implantation of a microaxial flow pump for left ventricular decompression was scheduled. Preoperative computed tomography revealed a rectangular course of the right subclavian artery. To advance the Impella, we employed an introducer fitted over the guidewire behind the Impella device as a \u2018cue stick\u2019 to move the rigid part of the pump forward to overcome the kinking using a \u2018shuffleboard technique\u2019. The haemodynamic situation stabilized immediately after implantation. The Impella 5.5 was successfully weaned after 6 days of support. In the event of (rectangular) kinking of the subclavian artery, the \u2018shuffleboard technique\u2019 can be used for the successful positioning of the pump.<\/jats:p>","DOI":"10.1093\/icvts\/ivad088","type":"journal-article","created":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T13:36:46Z","timestamp":1686317806000},"source":"Crossref","is-referenced-by-count":0,"title":["Transaxillary implantation of a temporary microaxial left ventricular assist device in a patient with a rectangular kinked subclavian artery"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2840-8724","authenticated-orcid":false,"given":"Leonhard","family":"Wert","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charit\u00e9 (DHZC) , Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2009-6375","authenticated-orcid":false,"given":"J\u00f6rg","family":"Kempfert","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charit\u00e9 (DHZC) , Berlin, Germany"},{"name":"DZHK (German Center for Cardiovascular Research), Partner Site , Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7911-8620","authenticated-orcid":false,"given":"Volkmar","family":"Falk","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charit\u00e9 (DHZC) , Berlin, Germany"},{"name":"DZHK (German Center for Cardiovascular Research), Partner Site , Berlin, Germany"},{"name":"Department of Cardiothoracic Surgery, Charit\u00e9 \u2212 Universit\u00e4tsmedizin Berlin, Corporate Member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin and Berlin Institute of Health , Berlin, Germany"},{"name":"Department of Health Sciences and Technology, ETH Zurich , Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9720-3175","authenticated-orcid":false,"given":"Evgenij V","family":"Potapov","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charit\u00e9 (DHZC) , Berlin, Germany"},{"name":"DZHK (German Center for Cardiovascular Research), Partner Site , Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,6,5]]},"reference":[{"key":"2023061709453736800_ivad088-B1","doi-asserted-by":"crossref","first-page":"2112","DOI":"10.1016\/S0003-4975(03)00693-3","article-title":"New approach in treatment of acute cardiogenic shock requiring mechanical circulatory support","volume":"76","author":"Potapov","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2023061709453736800_ivad088-B2","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1016\/j.healun.2021.04.001","article-title":"First in man evaluation of a novel circulatory support device: early experience with the Impella 5.5 after CE mark approval in Germany","volume":"40","author":"Bernhardt","year":"2021","journal-title":"J Heart Lung Transplant"},{"key":"2023061709453736800_ivad088-B3","doi-asserted-by":"crossref","first-page":"e135","DOI":"10.1016\/j.athoracsur.2020.06.084","article-title":"ECMELLA 2.0: single arterial access technique for a staged approach in cardiogenic shock","volume":"111","author":"Eulert-Grehn","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"2023061709453736800_ivad088-B4","doi-asserted-by":"crossref","first-page":"76","DOI":"10.21037\/acs.2018.12.01","article-title":"Temporary mechanical circulatory support for refractory heart failure: the German Heart Center Berlin experience","volume":"8","author":"Nersesian","year":"2019","journal-title":"Ann Cardiothorac Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivad088\/50518998\/ivad088.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/36\/6\/ivad088\/50633146\/ivad088.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/36\/6\/ivad088\/50633146\/ivad088.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T09:45:50Z","timestamp":1686995150000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivad088\/7190376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,1]]},"references-count":4,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivad088","relation":{},"ISSN":["2753-670X"],"issn-type":[{"type":"electronic","value":"2753-670X"}],"subject":[],"published-other":{"date-parts":[[2023,6,1]]},"published":{"date-parts":[[2023,6,1]]},"article-number":"ivad088"}}