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Chest X-ray showing the Impella cannula ejected into the aortic arch with the catheter shaft looped in the descending aorta.
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Urgent chest X-ray showed the cannula displaced into the aortic arch with the catheter looped retrograde in the descending aorta (Figure 1).
Intra-operative picture showing thrombus retrieved from the axillary graft.
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After removing the hemostatic plug and the Impella device, a #5 Fogarty catheter was used to clear the graft of thrombus; this was repeated until no clots were retrieved (Figure 2).
Post-op image showing the final lay out of the external catheter shaft.
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A segment of a Foley catheter was also wrapped and tied around the proximal 10 inches of the catheter shaft to fix it (Figure 3).