Utilization of the Impella for hemodynamic support during percutaneous intervention and cardiogenic shock: an insight

Authors

• Nikhil Nalluri, Department of cardiology , Staten Island University Hospital , New York , NY , USA.
• Nileshkumar Patel, Department of cardiology , University of Miami Miller School of Medicine , Miami , FL , USA.
• Samer Saouma, Department of cardiology , Staten Island University Hospital , New York , NY , USA.
• Viswajit Reddy Anugu, Department of cardiology , Staten Island University Hospital , New York , NY , USA.
• Dixitha Anugula, Department of Medicine , Creighton University School of Medicine , Omaha , NE , USA.
• Deepak Asti, Department of cardiology , Staten Island University Hospital , New York , NY , USA.
• Varshil Mehta, Department of Cardiology , Mount Sinai Hospital , Manhattan , NY.
• Varun Kumar, Department of Cardiology , Mt. Sinai St. Luke's Roosevelt Hospital Center , New York , NY , USA.
• Varunsiri Atti, Department of Medicine , Michigan State University , Lansing , MI , USA.
• Sushruth Edla, St. John hospital and Medical Center , Cardiology , Detroit , MI , USA.
• Rasleen K. Grewal, Department of Medicine , Muhlenberg College , Allentown , PA , USA.
• Hafiz M. Khan, Department of cardiology , Staten Island University Hospital , New York , NY , USA.
• Ritesh Kanotra, Department of medicine , Banner baywood medical center , Phoenix , AZ , USA.
• Gregory Maniatis, Department of cardiology , Staten Island University Hospital , New York , NY , USA.
• Ruben Kandov, Department of cardiology , Staten Island University Hospital , New York , NY , USA.
• James C. Lafferty, Department of cardiology , Staten Island University Hospital , New York , NY , USA.
• Michael Dyal, Department of cardiology , University of Miami Miller School of Medicine , Miami , FL , USA.
• Carlos E. Alfonso, Department of cardiology , University of Miami Miller School of Medicine , Miami , FL , USA.
• Mauricio G. Cohen, Department of cardiology , University of Miami Miller School of Medicine , Miami , FL , USA.

Document Type

Article

Abstract

Impella is a catheter-based micro-axial flow pump placed across the aortic valve, and it is currently the only percutaneous left ventricular assist device approved for high-risk percutaneous coronary intervention and cardiogenic shock. Areas Covered: Even though several studies have repeatedly demonstrated the excellent hemodynamic profile of Impella in high-risk settings, it remains underutilized. Here we aim to provide an up-to-date summary of the available literature on Impellas use in High risk settings as well as the practical aspects of its usage. Expert Commentary: Percutaneous coronary interventions in high rsk settings have always been challenging for a physician. Impella 2.5 and CP, have been proven safe, cost effective and feasible in High Risk Percutaneous coronary Interventions with an excellent hemodynamic profile.

Medical Subject Headings

Contraindications, Procedure; Cost-Benefit Analysis; Heart-Assist Devices (adverse effects); Hemodynamics; Humans; Medical Illustration; Percutaneous Coronary Intervention (instrumentation, methods); Shock, Cardiogenic (therapy)

Publication Date

10-1-2017

Publication Title

Expert review of medical devices

E-ISSN

1745-2422

Volume

14

Issue

10

First Page

789

Last Page

804

PubMed ID

28862481

Digital Object Identifier (DOI)

10.1080/17434440.2017.1374849

Recommended Citation

Nalluri, Nikhil; Patel, Nileshkumar; Saouma, Samer; Anugu, Viswajit Reddy; Anugula, Dixitha; Asti, Deepak; Mehta, Varshil; Kumar, Varun; Atti, Varunsiri; Edla, Sushruth; Grewal, Rasleen K.; Khan, Hafiz M.; Kanotra, Ritesh; Maniatis, Gregory; Kandov, Ruben; Lafferty, James C.; Dyal, Michael; Alfonso, Carlos E.; and Cohen, Mauricio G., "Utilization of the Impella for hemodynamic support during percutaneous intervention and cardiogenic shock: an insight" (2017). Neurology. 2094.
https://scholar.barrowneuro.org/neurology/2094