CTICasesImpella Device Fracture with Free Fragment in Left Ventricle
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Imaging findings
Chest radiograph demonstrates discontinuity between the housing and the tip of the Impella device, with an abrupt angulation of the distal component, indicating a fracture.
Key takeaways
Fracture of an Impella device is a rare but serious complication, leading to a free fragment in the ventricle. Radiographic signs include discontinuity and angulation of the device. This complication can go unrecognized, especially if other circulatory support devices (like ECMO) are in place.
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