Int J Angiol 2012; 21(03): 163-166
DOI: 10.1055/s-0032-1324736
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Use of Impella Ventricular Assist Device in Patients with Severe Coronary Artery Disease Presenting with Cardiac Arrest

Venkata K. Mukku
1   Division of Cardiology, University of Texas Medical Branch, Galveston, Texas
,
Qiangjun Cai
1   Division of Cardiology, University of Texas Medical Branch, Galveston, Texas
,
Syed Gilani
1   Division of Cardiology, University of Texas Medical Branch, Galveston, Texas
,
Ken Fujise
1   Division of Cardiology, University of Texas Medical Branch, Galveston, Texas
,
Alejandro Barbagelata
1   Division of Cardiology, University of Texas Medical Branch, Galveston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
20 August 2012 (online)

Abstract

Impella (Abiomed, Danvers, MA) is a percutaneously inserted ventricular assist device (VAD). It has been increasingly used in patients with severe heart failure, cardiogenic shock, and high-risk percutaneous intervention (PCI). However, the use and efficacy of Impella in patients with severe coronary artery disease (CAD) presenting with cardiac arrest has rarely been reported.The objective of this study is to report our center experience in using Impella VAD in CAD patients presenting with cardiac arrest. From December 2010 to March 2011, three patients with severe CAD presented to our center with cardiac arrest underwent PCI with Impella support. We reported three cases of severe CAD presenting with cardiac arrest successfully treated with PCI and Impella support. Our experience demonstrated that Impella VAD may play an adjunctive role in obtaining hemodynamic stability in these high-risk patients undergoing PCI. One of the patients was supported to left VAD implantation, and the other two had excellent neurological and functional recovery. Our reports suggest an important role of Impella in cardiac arrest population. Earlier Impella implantation after cardiac arrest might provide cardiac support and tissue perfusion until recovery or high-risk PCI.

 
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