case_images: PMC8278451_01
case_images: PMC8278451_02
case_images: Chest X-ray showing the Impella cannula ejected into the aortic arch with the catheter shaft looped in the descending aorta.
case_images: 10.1177_2050313X211032401-fig1.jpg
case_images: PMC8278451_02_10.1177_2050313X211032401-fig1.jpg
case_images: fig1-2050313X211032401
case_images: Urgent chest X-ray showed the cannula displaced into the aortic arch with the catheter looped retrograde in the descending aorta (Figure 1).
case_images: Intra-operative picture showing thrombus retrieved from the axillary graft.
case_images: 10.1177_2050313X211032401-fig2.jpg
case_images: PMC8278451_02_10.1177_2050313X211032401-fig2.jpg
case_images: fig2-2050313X211032401
case_images: 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).
case_images: Post-op image showing the final lay out of the external catheter shaft.
case_images: 10.1177_2050313X211032401-fig3.jpg
case_images: PMC8278451_02_10.1177_2050313X211032401-fig3.jpg
case_images: fig3-2050313X211032401
case_images: 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).