Full percutaneous biventricular support with two Impella pumps: the Bi-Pella approach

ESC Heart Failure
Federico PappalardoAzeem Latib

Abstract

Extracorporeal membrane oxygenation is used for acute respiratory distress syndrome, refractory cardiogenic shock, and out-of-hospital cardiac arrest with uncertain neurological status, and, until recently, it was the only minimally invasive option to achieve biventricular support. However, extracorporeal membrane oxygenation increases left ventricular afterload and requires systemic anticoagulation, which is a major contraindication in the context of thrombolytic therapy following an ischaemic stroke. Conversely, the Impella heart pumps by design unload the ventricle and require minimal anticoagulation. We report the first case of mechanical circulatory supported with Impella CP on the left and Impella RP on the right (Abiomed Inc., Danvers, MA) for acute biventricular failure due to suspected acute myocarditis in the context of thrombolytic therapy for ischaemic stroke.

Citations

Aug 8, 2018·Journal of Cardiovascular Translational Research·Carsten TschöpeFrank Spillmann
May 24, 2019·Circulation Research·Carsten TschöpeSophie Van Linthout
Dec 29, 2019·European Journal of Heart Failure·Markus S AnkerStefan D Anker
Dec 31, 2019·ESC Heart Failure·Markus S AnkerWilhelm Haverkamp
Apr 23, 2020·European Heart Journal. Acute Cardiovascular Care·Andi RrokuBettina Heidecker
May 28, 2020·Heart Failure Reviews·Matthew P WeberVakhtang Tchantchaleishvili
Oct 14, 2020·Nature Reviews. Cardiology·Carsten TschöpeSophie Van Linthout
Oct 30, 2020·ESC Heart Failure·Markus S AnkerStephan von Haehling
Feb 21, 2021·European Heart Journal. Acute Cardiovascular Care·Andi RrokuBettina Heidecker
Apr 6, 2021·European Heart Journal Supplements : Journal of the European Society of Cardiology·Letizia F BertoldiFederico Pappalardo
Jun 1, 2021·European Heart Journal. Acute Cardiovascular Care·Alaide ChieffoSusanna Price
May 31, 2020·International Journal of Cardiology·Marina Pieri, Federico Pappalardo
Jun 1, 2021·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Alaide ChieffoSusanna Price
Oct 2, 2021·Pharmacotherapy·Craig J BeaversDouglas L Jennings
Dec 22, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Luca ApruzziDomenico Baccellieri

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Methods Mentioned

BETA
biopsy

Software Mentioned

Impella

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