The PulseCath iVAC 2L left ventricular assist device: conversion to a percutaneous transfemoral approach

Aims: This technical report describes the essentials and practical implantation technique of the completely percutaneous PulseCath iVAC 2L left ventricular assist device. Methods and results: Percutaneously inserted mechanical left ventricular assist devices are used for circulatory support during cardiogenic shock or high-risk percutaneous coronary interventions. The PulseCath concept is a novel pulsatile design that consists of an extracorporeal membrane pump connected to a large-bore catheter which is inserted across the aortic valve retrogradely into the left ventricle. A genuine intra-aortic balloon pump (IABP) console drives the pulsatile pump. Conclusions: The percutaneous PulseCath iVAC 2L is driven by a genuine IABP console and provides more left ventricular support.