1. Overview of Impella and mechanical devices in cardiogenic shock.
- Author
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Chera HH, Nagar M, Chang NL, Morales-Mangual C, Dous G, Marmur JD, Ihsan M, Madaj P, and Rosen Y
- Subjects
- Aorta physiopathology, Humans, Shock, Cardiogenic physiopathology, Aorta surgery, Extracorporeal Membrane Oxygenation instrumentation, Extracorporeal Membrane Oxygenation methods, Heart-Assist Devices, Percutaneous Coronary Intervention instrumentation, Percutaneous Coronary Intervention methods, Shock, Cardiogenic surgery
- Abstract
Introduction: Cardiogenic shock (CS) is a life-threatening condition associated with significant morbidity and mortality. The Impella (Abiomed Inc.) is an axial flow pump on a pigtail catheter that is placed across the aortic valve to unload the left ventricle by delivering non-pulsatile blood flow to the ascending aorta. It is used for high-risk percutaneous coronary intervention and CS., Areas Covered: Percutaneous mechanical support devices are placed in a minimally invasive manner and provide life-saving assistance. We review Impella and other percutaneous devices such as intra-aortic balloon pump, TandemHeart, and extracorporeal membrane oxygenation (ECMO) and the evidence supporting their use in the setting of CS., Expert Commentary: Impella has been proven to be safe and may be superior to other mechanical support devices in CS.
- Published
- 2018
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