Treatment With Impella Increases the Risk of De Novo Aortic Insufficiency Post Left Ventricular Assist Device Implant.

Journal of Cardiac Failure
Sriram D RaoEdo Y Birati

Abstract

Impella (Abiomed Inc, Danvers, MA) is a temporary mechanical support device positioned across the aortic valve, and can be used to support patient before LVAD implantation. There are no data on the incidence of aortic insufficiency (AI) in patients supported with Impella as a bridge to durable LVAD implantation. We sought to assess the incidence of AI in patients with Impella support as a bridge to durable left ventricular assist device (LVAD) implantation. We reviewed all patients undergoing primary LVAD implantation at the University of Pennsylvania from January 2015 onward, comparing those supported with Impella as temporary mechanical support with those supported by either venoarterial extracorporeal life support or an intra-aortic balloon pump. We reviewed transthoracic echocardiography preoperatively, as well as at 1 week, 1, 3, 6, 9, and 12 months after LVAD implantation. A total of 215 echocardiograms were analyzed in 41 patients. Eleven patients were supported with Impella before LVAD implant-6 patients with Impella alone (5 with Impella CP, 1 with Impella 5.0) and 5 with Impella in conjunction with venoarterial extracorporeal life support (2 with Impella 2.5, 2 with Impella CP, and 1 with Impella 5.0). After LVAD impl...Continue Reading

References

Aug 27, 2010·Circulation. Heart Failure·Jennifer CowgerTheodore J Kolias
May 25, 2012·Journal of Cardiac Surgery·Rahul ChandolaEric Horlick
Dec 18, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hiroki HataJunjiro Kobayashi
Jul 19, 2014·International Journal of Cardiology·Shikha SharmaLuis Afonso
Dec 17, 2014·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Jennifer CowgerJerry D Estep
Aug 5, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Raymond F StainbackUNKNOWN American Society of Echocardiography
May 7, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Tomohiro SaitoEvgenij Potapov
May 10, 2017·The Annals of Thoracic Surgery·Hrvoje GasparovicBojan Biocina
Mar 1, 2018·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Sandeep M PatelHiram G Bezerra
Nov 24, 2018·Journal of Cardiothoracic and Vascular Anesthesia·Edward Hong, Tariq Naseem

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Citations

Feb 3, 2021·European Journal of Heart Failure·Jesse F VeenisKadir Caliskan

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