The cVAD registry for percutaneous temporary hemodynamic support: A prospective registry of Impella mechanical circulatory support use in high-risk PCI, cardiogenic shock, and decompensated heart failure

American Heart Journal
George W VetrovecWilliam O'Neill

Abstract

Management of patients requiring temporary, mechanical hemodynamic support during high- risk percutaneous coronary intervention (PCI) or in cardiogenic shock is rapidly evolving. With the availability of the Impella 2.5, CP, 5.0, LD, and RP percutaneous mechanical circulatory support devices, there is a need for continued surveillance of outcomes. Three factors underline the importance of a registry for these populations. First, large randomized trials of hemodynamic support, involving cardiogenic shock, are challenging to conduct. Second, there is increasing interest in the use of registries to provide "real-world" experience and to allow the flexibility to evaluate individual patient uses and outcomes. Third, current, large databases have not captured the specific impact of mechanical support treatment of cardiogenic shock. The predecessor to the catheter-based ventricular assist devices registry, known as USpella, began in 2009 with paper data acquisition but beginning in 2011 transferred to electronic data capture, enrolling 3,339 patients through 2016. Throughout, registry data have been used to assess the outcomes of Impella therapy, leading to 8 publications and 4 Food and Drug Administration premarket approvals covering...Continue Reading

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Citations

Jul 30, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Michael P FlahertyRoxanna Mehran
Aug 23, 2019·Clinical Cardiology·Uri ElkayamCindy Grines
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May 28, 2020·Heart Failure Reviews·Matthew P WeberVakhtang Tchantchaleishvili
Jun 2, 2020·Frontiers in Cardiovascular Medicine·Andreas SchäferJacob Eifer Møller
Sep 24, 2020·Current Heart Failure Reports·Enrique GongoraCharles Hoopes
May 30, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Brian P O'NeillEhtisham Mahmud

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