A Review of the Impella Devices

Autor: Rami Zein, Chirdeep Patel, Adrian Mercado-Alamo, Theodore Schreiber, Amir Kaki
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Interventional Cardiology: Reviews, Research, Resources, Vol 17, Iss , Pp - (2022)
Druh dokumentu: article
ISSN: 1756-1485
1756-1477
DOI: 10.15420/icr.2021.11
Popis: The use of mechanical circulatory support (MCS) to provide acute haemodynamic support for cardiogenic shock or to support high-risk percutaneous coronary intervention (HRPCI) has grown over the past decade. There is currently no consensus on best practice regarding its use in these two distinct indications. Impella heart pumps (Abiomed) are intravascular microaxial blood pumps that provide temporary MCS during HRPCI or in the treatment of cardiogenic shock. The authors outline technical specifications of the individual Impella heart pumps and their accompanying technology, the Automated Impella Controller and SmartAssist, their indications for use and patient selection, implantation techniques, device weaning and escalation, closure strategies, anticoagulation regimens, complications, future directions and upcoming trials.
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