The volume of complex coronary interventions has grown in Brazil and worldwide. Since they are performed in patients at increasingly higher risks, new techniques have been developed when interventional cardiologists are faced with uncommon situations, such as no safe arterial access for the procedure. We report a case of a patient with severe peripheral artery disease and occluded right femoral artery, in whom a single access (left femoral artery) was used for positioning the Impella™ and the guidewire for angioplasty.
Single access in complex angioplasty using the ventricular support system Impella CP™
Ribeiro,Marcelo Harada and Dallan,Luis Augusto Palma and Araújo,Gustavo Neves de and Simoni,Luciana and Campos,Carlos and Wainstein,Rodrigo Vugman. Single access in complex angioplasty using the ventricular support system Impella CP™. J Transcat Intervent [online]. 2021, vol.29, [cited 2026-03-06], Available from: <https://jotci.org/article/single-access-in-complex-angioplasty-using-the-ventricular-support-system-impella-cp/>. ISSN . https://doi.org/10.31160/JOTCI202129A202103.
Ribeiro,Marcelo Harada; Dallan,Luis Augusto Palma; Araújo,Gustavo Neves de; Simoni,Luciana; Campos,Carlos; Wainstein,Rodrigo Vugman. Single access in complex angioplasty using the ventricular support system Impella CP™. J Transcat Intervent, v.29, Aug. 2021. Available from: <https://jotci.org/article/single-access-in-complex-angioplasty-using-the-ventricular-support-system-impella-cp/>. acess on 06 Mar. 2026. https://doi.org/10.31160/JOTCI202129A202103.
Ribeiro,Marcelo Harada, & Dallan,Luis Augusto Palma, & Araújo,Gustavo Neves de, & Simoni,Luciana, & Campos,Carlos, & Wainstein,Rodrigo Vugman. (2021). Single access in complex angioplasty using the ventricular support system Impella CP™. J Transcat Intervent, 29, https://doi.org/10.31160/JOTCI202129A202103.
RibeiroMarcelo Harada, DallanLuis Augusto Palma, AraújoGustavo Neves de, SimoniLuciana, CamposCarlos, WainsteinRodrigo Vugman. Single access in complex angioplasty using the ventricular support system Impella CP™. J Transcat Intervent [Internet]. 2021 Aug [cited 2026 Mar 06]; 29: Available from: https://jotci.org/article/single-access-in-complex-angioplasty-using-the-ventricular-support-system-impella-cp/. https://doi.org/10.31160/JOTCI202129A202103.
Figure 3
Use of the 14F introducer to receive the Impella™ and the long 7F introducer.