Haemodynamic efficacy of microaxial left ventricular assist device in cardiogenic shock: a systematic review and meta-analysis
| Autor: | Olivier C. Manintveld, N. van Royen, Sanne E. Hoeks, Guillaume S.C. Geuzebroek, K.R.A.H. Peij, Wim J. Morshuis, T.J.F. ten Cate, D.I.M. van Dort |
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| Přispěvatelé: | Cardiology, Anesthesiology |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Cardiac output medicine.medical_treatment Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] Hemodynamics Heart failure Left ventricular assist device Review Article 030204 cardiovascular system & hematology Impella 03 medical and health sciences 0302 clinical medicine Internal medicine medicine 030212 general & internal medicine Cardiogenic shock business.industry Other Research Radboud Institute for Health Sciences [Radboudumc 0] Vascular damage Radboud Institute for Molecular Life Sciences [Radboudumc 16] medicine.disease Confidence interval 3. Good health Meta-analysis Ventricular assist device Cardiology Haemodynamic monitoring Cardiology and Cardiovascular Medicine business |
| Zdroj: | Netherlands Heart Journal, 28, 179-189 Netherlands Heart Journal, 28(4), 179-189. Bohn Stafleu van Loghum Netherlands Heart Journal, 28, 4, pp. 179-189 Netherlands Heart Journal |
| ISSN: | 1568-5888 |
| DOI: | 10.1007/s12471-019-01351-7 |
| Popis: | The Impella percutaneous mechanical circulatory support device is designed to augment cardiac output and reduce left ventricular wall stress and aims to improve survival in cases of cardiogenic shock. In this meta-analysis we investigated the haemodynamic effects of the Impella device in a clinical setting. We systematically searched all articles in PubMed/Medline and Embase up to July 2019. The primary outcomes were cardiac power (CP) and cardiac power index (CPI). Survival rates and other haemodynamic data were included as secondary outcomes. For the critical appraisal, we used a modified version of the U.S. Department of Health and Human Services quality assessment form. The systematic review included 12 studies with a total of 596 patients. In 258 patients the CP and/or CPI could be extracted. Our meta-analysis showed an increase of 0.39 W [95% confidence interval (CI): 0.24, 0.54], (p = 0.01) and 0.22 W/m2 (95% CI: 0.18, 0.26), (p |
| Databáze: | OpenAIRE |
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