Overview of Impella and mechanical devices in cardiogenic shock. (3rd April 2018)

• Record Type: Journal Article
• Authors: Chera, Hymie Habib; Nagar, Menachem; Chang, Nai-Lun; Morales-Mangual, Carlos; Dous, George; Marmur, Jonathan D.; Ihsan, Muhammad; Madaj, Paul; Rosen, Yitzhak
• Is Part Of: Expert review of medical devices. Volume 15:Number 4(2018)
• Page Start: 293
• Page End: 299
• Publication Date: 2018-04-03
• Subjects: Cardiogenic shock -- Mechanical support devices -- Impella -- mechanical circulatory support -- percutaneous ventricular assist device -- intra-aortic balloon pump; Medical instruments and apparatus -- Periodicals; 610.28
• DOI: 10.1080/17434440.2018.1456334
• Languages: English
• ISSNs: 1743-4440

Abstract

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.