We present a case of acute Impella thrombosis during Ecpella support in a 48-year-old man listed for a heart transplant. After two weeks of Ecpella support, echocardiography revealed a 2.6 x 1.1 cm mobile thrombus attached to the Impella inlet (Video). The Impella and attached thrombus were pulled across the aortic valve into the descending aorta and removed without systemic thromboembolism. Due to the ongoing need for left ventricular venting, a new Impella CP was placed.
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Araj, Faris; Hall, Hurst M.; and Hackmann, Amy E.
"Thrompella: Acute Impella Thrombosis During Ecpella Support,"
The VAD Journal: Vol. 9(1)
Available at: https://digitalcommons.library.tmc.edu/vad/vol9/iss1/3